PMID- 27613665 OWN - NLM STAT- MEDLINE DCOM- 20171226 LR - 20180403 IS - 1600-0897 (Electronic) IS - 1046-7408 (Linking) VI - 76 IP - 5 DP - 2016 Nov TI - HSV-2 enhances ZIKV infection of the placenta and induces apoptosis in first-trimester trophoblast cells. PG - 348-357 LID - 10.1111/aji.12578 [doi] AB - PROBLEM: Zika virus (ZIKV) has gained public concern for its association with microcephaly in infants born to ZIKV-infected mothers. To reach the fetus the virus must overcome the defense mechanisms provided by trophoblast cells. Additionally, in the first trimester, the integrity of the placenta is critical for fetal protection as damage to differentiating trophoblast can affect placental formation and function. We sought to investigate the effect of ZIKV infection on trophoblast cells and the factors that might increase the risk for ZIKV infection during pregnancy. METHODS: First-trimester human trophoblast cells, Swan 7.1, were infected with ZIKV, herpes simplex virus-2 (HSV-2), and yellow fiver (YFV). C57BL/6 pregnant mice were infected with HSV-2, ZIKV, or coinfection. Placental viral titers were determined by RT-PCR. RESULTS: ZIKV infection induces apoptosis in first-trimester trophoblasts and prevents differentiation of these cells. Furthermore, HSV-2 infection enhances placental sensitivity to ZIKV by enhancing the expression of TAM receptors, which facilitate ZIKV cell entry. CONCLUSION: These findings may explain the mechanism by which ZIKV breaches the placental barrier to access the fetus. Furthermore, our results suggest that patients with HSV-2 infection are at a higher risk for the teratogenic effects induced by ZIKV. CI - (c) 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Aldo, Paulomi AU - Aldo P AD - Division of Reproductive Sciences, Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA. FAU - You, Yuan AU - You Y AD - Division of Reproductive Sciences, Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA. FAU - Szigeti, Klara AU - Szigeti K AD - Department of Comparative Medicine, Yale University School of Medicine, New Haven, CT, USA. FAU - Horvath, Tamas L AU - Horvath TL AD - Division of Reproductive Sciences, Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA. AD - Department of Comparative Medicine, Yale University School of Medicine, New Haven, CT, USA. FAU - Lindenbach, Brett AU - Lindenbach B AD - Department of Microbial Pathogenesis, Yale University School of Medicine, New Haven, CT, USA. FAU - Mor, Gil AU - Mor G AD - Division of Reproductive Sciences, Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA. gil.mor@yale.edu. LA - eng SI - GENBANK/FSS13025 GR - R56 AI124356/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20160910 PL - Denmark TA - Am J Reprod Immunol JT - American journal of reproductive immunology (New York, N.Y. : 1989) JID - 8912860 SB - IM CIN - Am J Reprod Immunol. 2017 Feb;77(2):null. PMID: 27868270 CIN - Am J Reprod Immunol. 2017 Feb;77(2):null. PMID: 28028879 MH - Apoptosis MH - Cell Line MH - Coinfection MH - Female MH - Fetus MH - Herpes Genitalis/*immunology MH - Herpesvirus 2, Human/*immunology MH - Humans MH - Infant, Newborn MH - Infant, Newborn, Diseases/*epidemiology MH - Infectious Disease Transmission, Vertical MH - Microcephaly/*epidemiology MH - Placenta/*physiology MH - Pregnancy MH - Pregnancy Complications, Infectious/*immunology MH - Trophoblasts/*immunology/pathology/virology MH - Zika Virus/*immunology MH - Zika Virus Infection/*epidemiology/*immunology OTO - NOTNLM OT - HSV-1/2 OT - co-infection OT - fetal viral infection OT - pika virus OT - placenta OT - pregnancy EDAT- 2016/09/11 06:00 MHDA- 2017/12/27 06:00 CRDT- 2016/09/11 06:00 PHST- 2016/08/16 00:00 [received] PHST- 2016/08/23 00:00 [accepted] PHST- 2016/09/11 06:00 [pubmed] PHST- 2017/12/27 06:00 [medline] PHST- 2016/09/11 06:00 [entrez] AID - 10.1111/aji.12578 [doi] PST - ppublish SO - Am J Reprod Immunol. 2016 Nov;76(5):348-357. doi: 10.1111/aji.12578. Epub 2016 Sep 10.