The Immunological Role of the Placenta in SARS-CoV-2 Infection-Viral Transmission, Immune Regulation, and Lactoferrin Activity

Int J Mol Sci. 2021 May 28;22(11):5799. doi: 10.3390/ijms22115799.

Abstract

A pandemic of acute respiratory infections, due to a new type of coronavirus, can cause Severe Acute Respiratory Syndrome 2 (SARS-CoV-2) and has created the need for a better understanding of the clinical, epidemiological, and pathological features of COVID-19, especially in high-risk groups, such as pregnant women. Viral infections in pregnant women may have a much more severe course, and result in an increase in the rate of complications, including spontaneous abortion, stillbirth, and premature birth-which may cause long-term consequences in the offspring. In this review, we focus on the mother-fetal-placenta interface and its role in the potential transmission of SARS-CoV-2, including expression of viral receptors and proteases, placental pathology, and the presence of the virus in neonatal tissues and fluids. This review summarizes the current knowledge on the anti-viral activity of lactoferrin during viral infection in pregnant women, analyzes its role in the pathogenicity of pandemic virus particles, and describes the potential evidence for placental blocking/limiting of the transmission of the virus.

Keywords: COVID-19; lactoferrin; mother’s placenta; oxidative stress; pregnant women.

Publication types

  • Review

MeSH terms

  • Anti-Infective Agents / pharmacology*
  • COVID-19 / complications
  • COVID-19 / immunology*
  • Female
  • Humans
  • Infant, Newborn
  • Infectious Disease Transmission, Vertical / prevention & control*
  • Lactoferrin / metabolism
  • Lactoferrin / pharmacology*
  • Placenta / immunology*
  • Placenta / pathology
  • Placenta / virology
  • Pregnancy
  • Pregnancy Complications, Infectious / immunology
  • Pregnancy Complications, Infectious / virology*
  • SARS-CoV-2 / immunology*

Substances

  • Anti-Infective Agents
  • Lactoferrin