Evidence map›Paper›PMID 37443288›Full record

ArticleNature cell biology2023

A placental model of SARS-CoV-2 infection reveals ACE2-dependent susceptibility and differentiation impairment in syncytiotrophoblasts.

J Chen, J A Neil, J P Tan, R Rudraraju, M Mohenska, Y B Y Sun, E Walters, N G Bediaga, G Sun, Y Zhou and 10 more

Erratum issuedAbstract read
In one paragraph

Article in Nature cell biology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Trophoblast ferroptosis restricts SARS-CoV-2 spread in the placenta.bioRxiv : the preprint server for biology · 2026
    Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Placentas From SARS-CoV-2 Infection During Pregnancy Exhibit Foci of Oxidative Stress and DNA Damage.American journal of reproductive immunology (New York, N.Y. : 1989) · 2025
    Article
  14. Article
  15. Article
  16. Article
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  18. Review
  19. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

J Chen *Department of Anatomy and Developmental Biology, Monash University, Clayton, Victoria, Australia.ORCID http://orcid.org/0009-0002-3715-3871
J A Neil *Department of Microbiology and Immunology, The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0003-2824-3701
J P Tan *Department of Anatomy and Developmental Biology, Monash University, Clayton, Victoria, Australia.
R Rudraraju *Department of Microbiology and Immunology, The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia.
M MohenskaDepartment of Anatomy and Developmental Biology, Monash University, Clayton, Victoria, Australia.
Y B Y SunDepartment of Anatomy and Developmental Biology, Monash University, Clayton, Victoria, Australia.ORCID http://orcid.org/0000-0003-0863-2769
E WaltersDepartment of Anatomy and Developmental Biology, Monash University, Clayton, Victoria, Australia.
N G BediagaAdelaide Centre for Epigenetics, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.
G SunDepartment of Anatomy and Developmental Biology, Monash University, Clayton, Victoria, Australia.
Y ZhouDepartment of Anatomy and Developmental Biology, Monash University, Clayton, Victoria, Australia.
Y LiImplantation and Pregnancy Research Laboratory, School of Health and Biomedical Sciences, RMIT University, Melbourne, Victoria, Australia.
D DrewInfectious Diseases and Immune Defences Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.
P PymmInfectious Diseases and Immune Defences Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.
W H ThamInfectious Diseases and Immune Defences Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.
Y WangImplantation and Pregnancy Research Laboratory, School of Health and Biomedical Sciences, RMIT University, Melbourne, Victoria, Australia.
F J RosselloAustralian Regenerative Medicine Institute, Monash University, Clayton, Victoria, Australia.
G NieImplantation and Pregnancy Research Laboratory, School of Health and Biomedical Sciences, RMIT University, Melbourne, Victoria, Australia.
X LiuSchool of Life Sciences, Westlake University, Hangzhou, China.ORCID http://orcid.org/0000-0002-9315-3406
K SubbaraoDepartment of Microbiology and Immunology, The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia. kanta.subbarao@influenzacentre.org.ORCID http://orcid.org/0000-0003-1713-3056
J M PoloDepartment of Anatomy and Developmental Biology, Monash University, Clayton, Victoria, Australia. jose.polo@monash.edu.ORCID http://orcid.org/0000-0002-2531-778X

Funding

Wellcome TrustWellcome Trust 208693/Z/17/Z
6 · The paper itself

Abstract

SARS-CoV-2 infection causes COVID-19. Several clinical reports have linked COVID-19 during pregnancy to negative birth outcomes and placentitis. However, the pathophysiological mechanisms underpinning SARS-CoV-2 infection during placentation and early pregnancy are not clear. Here, to shed light on this, we used induced trophoblast stem cells to generate an in vitro early placenta infection model. We identified that syncytiotrophoblasts could be infected through angiotensin-converting enzyme 2 (ACE2). Using a co-culture model of vertical transmission, we confirmed the ability of the virus to infect syncytiotrophoblasts through a previous endometrial cell infection. We further demonstrated transcriptional changes in infected syncytiotrophoblasts that led to impairment of cellular processes, reduced secretion of HCG hormone and morphological changes vital for syncytiotrophoblast function. Furthermore, different antibody strategies and antiviral drugs restore these impairments. In summary, we have established a scalable and tractable platform to study early placental cell types and highlighted its use in studying strategies to protect the placenta.

Indexed as

COVID-19Angiotensin-Converting Enzyme 2Cell DifferentiationFemaleHumansPlacentaPregnancySARS-CoV-2TrophoblastsAngiotensin-Converting Enzyme 2

Identifiers

PMID37443288
PMCPMC10415184

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.