Evidence map›Paper›PMID 41806097›Full record

ArticleReproductive sciences (Thousand Oaks, Calif.)2026

Early Placental Angioactive Response to Maternal SARS-CoV-2 Infection: an Immunohistochemical Study.

Antonio Carlos de Quadros Junior, Thamirys Cosmo Grillo Fajardo, Maurício Feliciano da Silva, Andrea Cristina Botelho da Silva, Andrea Cristina de Moraes Malinverni, Leonardo Cardili, Estela Bevilacqua, Saulo Duarte Passos

Abstract read
In one paragraph

Article in Reproductive sciences (Thousand Oaks, Calif.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Antonio Carlos de Quadros JuniorPediatric Infectiology Laboratory, Pediatrics Department, Jundiaí School of Medicine, Jundiaí-SP, Brazil. profjuniorquadros@yahoo.com.br.ORCID 0000-0003-4936-4342
Thamirys Cosmo Grillo FajardoPediatric Infectiology Laboratory, Pediatrics Department, Jundiaí School of Medicine, Jundiaí-SP, Brazil.ORCID 0000-0003-1096-1078
Maurício Feliciano da SilvaPediatric Infectiology Laboratory, Pediatrics Department, Jundiaí School of Medicine, Jundiaí-SP, Brazil.ORCID 0000-0003-0121-2075
Andrea Cristina Botelho da SilvaPediatric Infectiology Laboratory, Pediatrics Department, Jundiaí School of Medicine, Jundiaí-SP, Brazil.ORCID 0009-0006-8092-6656
Andrea Cristina de Moraes MalinverniLaboratory of Molecular and Experimental Pathology I, Department of Pathology, Paulista School of Medicine, Federal University of São Paulo, São Paulo-SP, Brazil.ORCID 0000-0002-0397-6135
Leonardo CardiliLaboratory of Molecular and Experimental Pathology I, Department of Pathology, Paulista School of Medicine, Federal University of São Paulo, São Paulo-SP, Brazil.ORCID 0000-0001-9673-4030
Estela Bevilacqua *Laboratory of Biology Studies of the Trophoblast and Maternal-Fetal Interaction, University of São Paulo, São Paulo-SP, Brazil.ORCID 0000-0003-4178-4625
Saulo Duarte Passos *Pediatric Infectiology Laboratory, Pediatrics Department, Jundiaí School of Medicine, Jundiaí-SP, Brazil.ORCID 0000-0002-0908-2677

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

SARS-CoV-2, responsible for COVID-19, affects multiple bodily systems, including placenta. Understanding its effects on placental angioactive factors is vital due to its vascular implications. Herein, we hypothesized that maternal SARS-CoV-2 infection could impact placental morphology and the expression of angioactive and inflammatory factors. The study included 23 pregnant women tested for COVID-19 through reverse transcription polymerase chain reaction (RT-qPCR) and IgG serology around time of delivery and discriminated as: Viremia Group (VG, n = 6, maternal positive RT-qPCR, early infection), Serology Group (SG, n = 10, maternal positive serology, late infection), and Control Group (CG, n = 7, negative for SARS-CoV-2). PCR and immunolocalization of SARS-CoV-2 in the placenta tested negative. Placental morphology was examined using H&E-stained sections, along with immunostaining for vascular endothelial growth factor (VEGF), placental growth factor (PlGF), inducible and endothelial nitric oxide synthase (iNOS, eNOS), and cyclooxygenase 2 (COX2). SG showed a significant higher level of placental morphological changes compared to control samples, which included an increase in syncytial knots and fibrin deposits on the villous surface, and villous peripheral and central infarctions. In contrast, samples from VG exhibited more frequent vascular dilation, congestion, and chorioangiosis. Compared with the control group, immunohistochemical analysis showed significantly higher expression of VEGF (P = 0.001), COX2 (P = 0.03), and eNOS (P = 0.02) in VG. Conversely, in the SG, PlGF levels decreased (P = 0.01), while COX2 (P = 0.01) and iNOS (P = 0.01) levels were elevated. Our data suggests a temporal adaptation of the placenta to maternal SARS-CoV-2 infection, triggering structural, angioactive, and inflammatory responses, enhancing our understanding of potential placental pathways to cope with SARS-CoV-2 infection.

Indexed as

COVID-19PlacentaPregnancy Complications, InfectiousAdultCyclooxygenase 2FemaleHumansImmunohistochemistryNitric Oxide Synthase Type IINitric Oxide Synthase Type IIIPlacenta Growth FactorPregnancySARS-CoV-2Vascular Endothelial Growth Factor ACyclooxygenase 2Nitric Oxide Synthase Type IINitric Oxide Synthase Type IIINOS3 protein, humanPGF protein, humanPlacenta Growth FactorPTGS2 protein, humanVascular Endothelial Growth Factor AVEGFA protein, humanPlacentaSARS-CoV-2VEGF, PlGF, NO, COX2

Identifiers

PMID41806097
PMCPMC13139233

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.