Virome Analysis and Association of Positive Coxsackievirus B Serology during Pregnancy with Congenital Heart Disease

Bibliographic Details
Title: Virome Analysis and Association of Positive Coxsackievirus B Serology during Pregnancy with Congenital Heart Disease
Authors: Mathieu Garand, Susie S. Y. Huang, Lisa S. Goessling, Fei Wan, Donna A. Santillan, Mark K. Santillan, Anoop Brar, Todd N. Wylie, Kristine M. Wylie, Pirooz Eghtesady
Source: Microorganisms, Vol 11, Iss 2, p 262 (2023)
Publisher Information: MDPI AG, 2023.
Publication Year: 2023
Collection: LCC:Biology (General)
Subject Terms: enterovirus, coxsackievirus B, cardiotropic virus, viremia, anti-CVB IgG/IgM, maternal virome, Biology (General), QH301-705.5
More Details: Background: We have previously shown coxsackievirus B (CVB) to be a potent inducer of congenital heart disease (CHD) in mice. The clinical relevance of these findings in humans and the roles of other viruses in the pathogenesis of CHD remain unknown. Methods: We obtained plasma samples, collected at all trimesters, from 89 subjects (104 pregnancies), 73 healthy controls (88 pregnancies), and 16 with CHD–affected birth (16 pregnancies), from the Perinatal Family Tissue Bank (PFTB). We performed CVB IgG/IgM serological assays on plasma. We also used ViroCap sequencing and PCR to test for viral nucleic acid in plasma, circulating leukocytes from the buffy coat, and in the media of a co-culture system. Results: CVB IgG/IgM results indicated that prior exposure was 7.8 times more common in the CHD group (95% CI, 1.14–54.24, adj. p-value = 0.036). However, the CVB viral genome was not detected in plasma, buffy coat, or co-culture supernatant by molecular assays, although other viruses were detected. Conclusion: Detection of viral nucleic acid in plasma was infrequent and specifically no CVB genome was detected. However, serology demonstrated that prior CVB exposure is higher in CHD-affected pregnancies. Further studies are warranted to understand the magnitude of the contribution of the maternal blood virome to the pathogenesis of CHD.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2076-2607
Relation: https://www.mdpi.com/2076-2607/11/2/262; https://doaj.org/toc/2076-2607
DOI: 10.3390/microorganisms11020262
Access URL: https://doaj.org/article/437c9072cae645b3bb2bd7cf8190a5a6
Accession Number: edsdoj.437c9072cae645b3bb2bd7cf8190a5a6
Database: Directory of Open Access Journals
More Details
ISSN:20762607
DOI:10.3390/microorganisms11020262
Published in:Microorganisms
Language:English