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Severe Acute Respiratory Syndrome Coronavirus 2 ACE2 and TMPRSS2 Receptor Protein Expression Patterns Throughout Gestation.
J Infect Dis. 2021 Dec 08; 224(Supplement_6):S642-S646.JI

Abstract

We previously demonstrated that the late gestation placental expression pattern of ACE2 (the primary severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2] receptor) is localized to the villous syncytiotrophoblast (ST), usually in a polarized membranous pattern at the ST base sparing the apical surface (that directly exposed to maternal blood). We found that the late gestation placental expression pattern of TMPRSS2 (the spike proteinase required for SARS-CoV-2 cellular infection), is usually absent in the trophoblast but is rarely, weakly expressed in the placental endothelium. We now show the developmental protein expression patterns of ACE2 and TMPRSS2 by immunohistochemistry throughout gestation, from the first through third trimester. We found that TMPRSS2 expression was rarely detectable in villous endothelium and very rarely detectable in the ST across gestation. We found that ACE2 expression varied during gestation with circumferential ST expression more common in early gestations and polarized expression more common in later gestation. Although this study is small, these preliminary results suggest that earlier gestation pregnancies may be more vulnerable to infection than later gestation pregnancies.

Authors+Show Affiliations

Department of Pathology, Massachusetts General Hospital, Boston, Massachusetts, USA.Department of Medicine, Division of Infectious Diseases, Medical Practice Evaluation Center, and Global Health Collaborative, Massachusetts General Hospital, Boston, Massachusetts, USA.Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33880519

Citation

Roberts, Drucilla J., et al. "Severe Acute Respiratory Syndrome Coronavirus 2 ACE2 and TMPRSS2 Receptor Protein Expression Patterns Throughout Gestation." The Journal of Infectious Diseases, vol. 224, no. Supplement_6, 2021, pp. S642-S646.
Roberts DJ, Bebell LM, Edlow AG. Severe Acute Respiratory Syndrome Coronavirus 2 ACE2 and TMPRSS2 Receptor Protein Expression Patterns Throughout Gestation. J Infect Dis. 2021;224(Supplement_6):S642-S646.
Roberts, D. J., Bebell, L. M., & Edlow, A. G. (2021). Severe Acute Respiratory Syndrome Coronavirus 2 ACE2 and TMPRSS2 Receptor Protein Expression Patterns Throughout Gestation. The Journal of Infectious Diseases, 224(Supplement_6), S642-S646. https://doi.org/10.1093/infdis/jiab164
Roberts DJ, Bebell LM, Edlow AG. Severe Acute Respiratory Syndrome Coronavirus 2 ACE2 and TMPRSS2 Receptor Protein Expression Patterns Throughout Gestation. J Infect Dis. 2021 Dec 8;224(Supplement_6):S642-S646. PubMed PMID: 33880519.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Severe Acute Respiratory Syndrome Coronavirus 2 ACE2 and TMPRSS2 Receptor Protein Expression Patterns Throughout Gestation. AU - Roberts,Drucilla J, AU - Bebell,Lisa M, AU - Edlow,Andrea G, PY - 2021/4/22/pubmed PY - 2021/12/21/medline PY - 2021/4/21/entrez KW - ACE2 KW - SARS-CoV-2 KW - TMPRSS2 KW - placental expression SP - S642 EP - S646 JF - The Journal of infectious diseases JO - J Infect Dis VL - 224 IS - Supplement_6 N2 - We previously demonstrated that the late gestation placental expression pattern of ACE2 (the primary severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2] receptor) is localized to the villous syncytiotrophoblast (ST), usually in a polarized membranous pattern at the ST base sparing the apical surface (that directly exposed to maternal blood). We found that the late gestation placental expression pattern of TMPRSS2 (the spike proteinase required for SARS-CoV-2 cellular infection), is usually absent in the trophoblast but is rarely, weakly expressed in the placental endothelium. We now show the developmental protein expression patterns of ACE2 and TMPRSS2 by immunohistochemistry throughout gestation, from the first through third trimester. We found that TMPRSS2 expression was rarely detectable in villous endothelium and very rarely detectable in the ST across gestation. We found that ACE2 expression varied during gestation with circumferential ST expression more common in early gestations and polarized expression more common in later gestation. Although this study is small, these preliminary results suggest that earlier gestation pregnancies may be more vulnerable to infection than later gestation pregnancies. SN - 1537-6613 UR - https://www.unboundmedicine.com/medline/citation/33880519/Severe_Acute_Respiratory_Syndrome_Coronavirus_2_ACE2_and_TMPRSS2_Receptor_Protein_Expression_Patterns_Throughout_Gestation_ DB - PRIME DP - Unbound Medicine ER -