Current State of Knowledge about Transplacental Transmission of SARS-CoV-2 Infection | ||
| Journal of Integrated Maternal and Pediatric Care | ||
| Volume 3, Issue 2, December 2020, Pages 50-55 PDF (415.35 K) | ||
| Document Type: Scientific Review | ||
| DOI: 10.18502/wjpn.v3i2.6154 | ||
| Authors | ||
| Atiyeh Javaheri1; Mahmood Noorishadkam2; Mahta Mazaheri2, 3, 4; Ali Dadbinpour3; Seyed Alireza Dastgheib5; Reza Bahrami* 6; Mojgan Karimi-Zarchi7, 8; Fatemeh Asadian9; Hossein Neamatzadeh2, 3 | ||
| 1Department of Obstetrics and Gynecology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran | ||
| 2Mother and Newborn Health Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran | ||
| 3Department of Medical Genetics, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran | ||
| 4Stem Cell Biology Research Center, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran | ||
| 5Department of Medical Genetics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| 6Neonatal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| 7Endometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran | ||
| 8Department of Obstetrics and Gynecology, Iran University of Medical Sciences, Tehran, Iran | ||
| 9Department of Medical Laboratory Sciences, School of Paramedical Science, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| Abstract | ||
| Background: To date, some cases of perinatal transmission of severe acute respiratory syndrome coronavirus-2 (SARS‐CoV‐2) have been reported. However, it is unanswered if these occurred via the trans-placental or the trans-cervical route or through environmental exposure. Methods: To address this question, we conducted this study to review the current state of knowledge about the transplacental transmission of COVID-19. Results: There are no known placental findings associated with the COVID-19 infection. The possibility of intrauterine infection has been based mainly on the detection of IgM in the neonatal blood. Real time-PCR tests on amniotic fluid, placenta, and cord blood are required to ascertain the possibility of intrauterine vertical transmission. Conclusion: There is currently no sufficient and convincing evidence about the transplacental transmission of SARS-COV-2 infection in pregnant mothers. However, the paucity of placental expression of ACE-2 involved in the cytoplasmic entry of SARS-CoV-2 may explain its relative insensitivity to transplacental infection. | ||
| Keywords | ||
| COVID-19; SARS‐CoV‐2; Placenta; Intrauterine Transmission; Transplacental Transmission; Neonates | ||
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