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10.1002/uog.22178

http://scihub22266oqcxt.onion/10.1002/uog.22178
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32798244!7461228!32798244
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suck abstract from ncbi


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pmid32798244      Ultrasound+Obstet+Gynecol 2021 ; 57 (2): 242-247
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  • Protein expression of angiotensin-converting enzyme 2, a SARS-CoV-2-specific receptor, in fetal and placental tissues throughout gestation: new insight for perinatal counseling #MMPMID32798244
  • Faure-Bardon V; Isnard P; Roux N; Leruez-Ville M; Molina T; Bessieres B; Ville Y
  • Ultrasound Obstet Gynecol 2021[Feb]; 57 (2): 242-247 PMID32798244show ga
  • OBJECTIVE: Pregnant women can be infected by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), yet the incidence of perinatal infection is low. We hypothesized that this could be related to low expression of the membrane receptor for SARS-CoV-2, angiotensin-converting enzyme 2 (ACE2), in the fetoplacental unit. We evaluated protein expression of ACE2 at various gestational ages in both placentae and fetal organs from pregnancies not infected with SARS-CoV-2. METHODS: In May 2020, using samples from a registered biobank, we performed immunohistochemical analysis for ACE2 in tissue samples from fetal organs and placentae from five cases of second- or third-trimester medical termination of pregnancy in healthy women (performed between 15 and 38 weeks' gestation), as well as a further two placentae, one from a 7-week spontaneous miscarriage in a non-infected woman and one from a symptomatic pregnant woman positive for SARS-CoV-2 delivered by Cesarean section at 34 weeks. Samples were paraffin-embedded and organ tissues included kidney, brain, lung, intestinal tract, heart and testis. Matching tissues (kidney, intestinal tract, lung and testis) from autopsies of four 8-year-old children were tested as controls. Tissue sections were incubated with rabbit monoclonal anti-ACE2, and protein expression of ACE2 was detected by immunohistochemistry. RESULTS: ACE2 expression was detected in fetal kidney, rectum and ileum samples from 15 weeks onwards and in the pediatric controls. It was barely detectable in fetal lung samples at 15 + 5 weeks' gestation and not detectable thereafter, and, in the pediatric controls, ACE2 was detectable only in type-2 pneumocytes. No ACE2 expression was found in the cerebral ependymal or parenchymal tissues or in cardiac tissues. ACE2 was expressed in placental syncytiotrophoblast and cytotrophoblast samples, but not in the amnion, from 7 weeks onwards. The intensity and distribution of ACE2 staining in the placenta from the symptomatic SARS-CoV-2 woman was similar to that in the non-infected placentae. CONCLUSIONS: Marked placental expression of ACE2 provides a rationale for vertical transmission at the cellular level. Absence of ACE2 expression in the fetal brain and heart is reassuring regarding the risk of congenital malformation. Clinical follow-up of infected pregnant women and their children is needed to validate these observations. (c) 2020 International Society of Ultrasound in Obstetrics and Gynecology.
  • |Adult[MESH]
  • |Angiotensin-Converting Enzyme 2/*biosynthesis[MESH]
  • |COVID-19/enzymology/transmission/virology[MESH]
  • |Case-Control Studies[MESH]
  • |Child[MESH]
  • |Female[MESH]
  • |Fetus/*enzymology[MESH]
  • |Humans[MESH]
  • |Infectious Disease Transmission, Vertical[MESH]
  • |Male[MESH]
  • |Placenta/*enzymology[MESH]
  • |Pregnancy[MESH]
  • |Pregnancy Complications, Infectious/enzymology/virology[MESH]
  • |Proteomics/methods[MESH]
  • |SARS-CoV-2/metabolism[MESH]


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