A Translational Perspective of Maternal Immune Activation by SARS-CoV-2 on the Potential Prenatal Origin of Neurodevelopmental Disorders : The Role of the Cholinergic Anti-inflammatory Pathway

Copyright © 2021 Reyes-Lagos, Abarca-Castro, Echeverría, Mendieta-Zerón, Vargas-Caraveo and Pacheco-López..

The emergent Coronavirus Disease 2019 (COVID-19) caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) could produce a maternal immune activation (MIA) via the inflammatory response during gestation that may impair fetal neurodevelopment and lead to postnatal and adulthood mental illness and behavioral dysfunctions. However, so far, limited evidence exists regarding long-term physiological, immunological, and neurodevelopmental modifications produced by the SARS-CoV-2 in the human maternal-fetal binomial and, particularly, in the offspring. Relevant findings derived from epidemiological and preclinical models show that a MIA is indeed linked to an increased risk of neurodevelopmental disorders in the offspring. We hypothesize that a gestational infection triggered by SARS-CoV-2 increases the risks leading to neurodevelopmental disorders of the newborn, which can affect childhood and the long-term quality of life. In particular, disruption of either the maternal or the fetal cholinergic anti-inflammatory pathway (CAP) could cause or exacerbate the severity of COVID-19 in the maternal-fetal binomial. From a translational perspective, in this paper, we discuss the possible manifestation of a MIA by SARS-CoV-2 and the subsequent neurodevelopmental disorders considering the role of the fetal-maternal cytokine cross-talk and the CAP. Specifically, we highlight the urgent need of preclinical studies as well as multicenter and international databanks of maternal-fetal psychophysiological data obtained pre-, during, and post-infection by SARS-CoV-2 from pregnant women and their offspring.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Frontiers in psychology - 12(2021) vom: 16., Seite 614451

Sprache:

Englisch

Beteiligte Personen:

Reyes-Lagos, José Javier [VerfasserIn]
Abarca-Castro, Eric Alonso [VerfasserIn]
Echeverría, Juan Carlos [VerfasserIn]
Mendieta-Zerón, Hugo [VerfasserIn]
Vargas-Caraveo, Alejandra [VerfasserIn]
Pacheco-López, Gustavo [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Cholinergic anti-inflammatory pathway
Heart rate variability
Human development
Journal Article
Maternal immune activation
Neurodevelopmental disorders
Quality of life
SARS-CoV-2

Anmerkungen:

Date Revised 31.03.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.3389/fpsyg.2021.614451

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM324227523