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. 2023 Jan 16;11(1):223.
doi: 10.3390/microorganisms11010223.

Low Interferon-γ Levels in Cord and Peripheral Blood of Pregnant Women Infected with SARS-CoV-2

Affiliations

Low Interferon-γ Levels in Cord and Peripheral Blood of Pregnant Women Infected with SARS-CoV-2

Michele Cennamo et al. Microorganisms. .

Abstract

COVID-19 is characterized by the immune system's overreaction resulting in a 'cytokine storm', consisting in a massive release of cytokine into the bloodstream, leading to local and systemic inflammatory response. This clinical picture is further complicated in case of infection of patients with a peculiar immunological status, such as pregnancy. In this paper, we focused on Interferon-γ, which plays a pivotal immunomodulatory role in normal pregnancy and fetal development, as well as in defense against pathogens. In this study, we compared the levels of Interferon-γ and the Interferon autoantibodies of the peripheral and cord blood of pregnant women with confirmed mild COVID-19 and healthy pregnant women. The Interferon-γ was significantly lower both in the peripheral and cord blood of SARS-CoV-2-positive mothers, suggesting that infection can affect the fetal microenvironment even without severe maternal symptoms. In conclusion, further studies are needed to clarify whether lower levels of Interferon-γ due to SARS-CoV-2 infection affect the development or infection susceptibility of infants born to SARS-CoV-2-infected mothers.

Keywords: Interferon-γ; SARS-CoV-2; anti-Interferon antibody; cord blood; immune system; pregnancy.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Lymphocyte count in maternal blood. Lymphocytes were counted in EDTA blood using ADVIA 2 analyzer. Lymphocyte concentration is expressed as 1000/µL. Box plots denote median and 25th to 75th percentiles (boxes) and min-to-max whiskers. The p value was evaluated using unpaired t-test.
Figure 2
Figure 2
Serum IFN-γ in maternal blood and cord blood (a) and serum IFN antibodies (b). Box plots denote median and 25th to 75th percentiles (boxes) and Tukey whiskers. The p value was evaluated using unpaired t-test and Mann–Whitney test.
Figure 3
Figure 3
Simple linear regression of (a) IFN-γ levels (pg/mL) in maternal blood and cord blood; (b) lymphocyte count (1000/μL) and IFN-γ levels (pg/mL) in maternal blood. Each subject is represented on a scatter plot.
Figure 4
Figure 4
Schematic representation of lymphocyte and IFN-γ decrease in maternal and cord blood. Parts of the figure were drawn using pictures from Servier Medical Art by Servier, licensed under a Creative Commons Attribution 3.0 Unported License.

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