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Orofacial clefts and infections during pregnancy

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Abstract

Orofacial clefts (OFCs) are common congenital malformations of the lip, palate, or both caused by complex genetic and environmental factors. Specific antibodies against viruses influenza, rubella, cytomegalovirus, Epstein-Barr, parotitis and hepatitis B were investigated serologically in children with orofacial clefts and in their mothers. The results were compared with those obtained in control children and their mothers. Evaluation of the results and their statistical processing supports the assumption that infection during pregnancy may have occurred in the series studied induced by viruses of influenza, rubella, cytomegalovirus and possibly also by the Epstein-Barr virus. No association with the viruses of hepatitis B and parotitis was established.

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Abbreviations

HIT:

Hemagglutination inhibition test

KFR:

Complement fixation test

NIR:

Indirect immunofluorescence assay

ELISA:

Enzyme-linked immunosorbent assay

RIA:

Radioimmuno assay.4

References

  • Avgil M, Ornoy A (2006) Herpes simplex virus and Epstein – Barr virus infections in pregnancy: consequences of neonatal or intrauterine infection. Reprod Toxicol 21:436–445

    Article  PubMed  CAS  Google Scholar 

  • Bauer CHR, Elie K, Spence L (1973) Hong Kong influenza in a neonatal unit. J Am Med Assoc 223:1233–1935

    Article  CAS  Google Scholar 

  • Beloosesky R, Feldblum I, Shrim A, Kertes J, Segal J, Bachar R, Youval Y (2017) Trends in Continuity of Pregnancy in Women with Positive Cytomegalovirus IgM during the First Trimester 2008-2009. Isr Med Assoc J 19(8):484–488

    PubMed  Google Scholar 

  • Buxmann H, Hamprecht K, Meyer-Wittkopf M, Friese K (2017) Primary Human Cytomegalovirus infection in Pregnancy. Dtsch Arztebl Int 114:45–52

    PubMed Central  PubMed  Google Scholar 

  • Černý M, Fára M, Hrivnáková J, Seeman J (1987) Rozštěp rtu a patra: vztah k cytomegalovirové infekci. Cas Lek Cesk 126:469–473

    PubMed  Google Scholar 

  • Černý M, Fára M, Hrivnáková J, Vojtěchovský K (1988) Protilátky proti viru Epstein-Barrové u dětí s rozštěpem rtu a patra a u jejich matek. Cesk Gynekol 53:577–582

    PubMed  Google Scholar 

  • Cohen JI (2015) Epstein–barr virus vaccines. Clin Transl Immunology 4:32

    Article  CAS  Google Scholar 

  • David TJ (2013) Drugs and environmental agents in the pathogenesis of congenital malformations. In: Finster M (ed) Eskes TKAB. Butterworth & Co, London, pp 32–52

    Google Scholar 

  • Edwards MJ, Shiota K, Smith MSR, Walsh DA (1995) Hypertermia and birth defects. Reprod Toxicol 9:411–425

    Article  PubMed  CAS  Google Scholar 

  • Enders G (1983) Virus und andere infektionen in der Schwangerschaft. Z Geburtshilfe Perinatol 187:155–167

    PubMed  CAS  Google Scholar 

  • Fedová O, Bručková M, Plesník V, Slonim D, Šejda J, Švandová E, Kubínová I (1987) Detection of postvaccination mumps virus antibody by neutralization test, enlinked immunosorbent assay and sensitive hemaglutination inhibition test. J Hyg Epidemiol Microbiol Immunol 31:409–422

    PubMed  Google Scholar 

  • Fell DB, Baumgartner EA, Baker MG, Batra M, Beaute J et al (2017) Influenza epidemiology and immunization during pregnancy. Final report of a World Health Organization working group. Vaccine 35:5738–5750

    Article  PubMed  Google Scholar 

  • Garcia A, Pereira J, Vidigal M (1980) Intrauterinne infection with mumps virus. Obstet Gynecol 56:756–759

    PubMed  CAS  Google Scholar 

  • Goderis J, Leenheer E, Smets K, Hoecke H, Keymeuln A, Dhooge I (2014) Hearing loss and congenital CMV infection: A systematic rewiew. Pediatrics 134:5

    Article  Google Scholar 

  • Goldberg G, Fulginiti V, Ray G (1981) In utero Epstein-Barr virus (infectious mononucleosis) infection. J Am Med Assoc 246:1579

    Article  CAS  Google Scholar 

  • Goodday RHJ, Precious DS (1988) Duplication of Mental nerve in a patient with cleft lip-palate and rubeolla syndrome. Oral Surg Oral Med Oral Pathol 62:157–160

    Article  Google Scholar 

  • Griffith G, Adelstein A, Lambert P (1972) Inflluenza and infant mortality. Br Med J 3:553–556

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Hall RK (1989) Prevalence of developmental defects of tooth enamel (DDE) in a pediatric hospital department of dentistry population. Adv Dent Res 3:114–119

    Article  PubMed  CAS  Google Scholar 

  • Hanson JW (1980) Patterns of abnormal human craniofacial development. In: Pratt RH, Christiansen RL (eds) Current Research Trends in Prenatal Craniofacial Development. Elselier, North Holland-New York-Amsterdam-Oxford, pp 345–356

    Google Scholar 

  • Holková R, Molnárová A, Nemec R, Brozman M, Fábry J, Horáková E (1994) Naše sledovanie vzťahu toxoplazmózy k orofaciálnym rázštepom detí. Bratisl Lek Listy 95:64–67

    PubMed  Google Scholar 

  • Horáček J (1987) Návrh na standardní metodu mikrobiologické diagnostiky nákaz vyvolaných cytomegaloviry, Příloha č. 2 k Acta HEM

  • Jelínek R, Dostál M, Peterka M (1983) Rozštěp rtu a patra v obrazu experimentu. Universita Karlova Praha, p 203

  • Knorr K (1983) Prenatale und perinatale Virusinfektion aus gynekologischgeburtshilfe-icher Sicht. Geburtshilfe Frauenheilkd 43:701.709

    Article  Google Scholar 

  • Koskimies O, Lapinieimu K, Saxen L (1978) Infections and other maternal factors as risk indicators for congenital malformations: a case – control study with paired serum samples. Pediatrics 61:832–837

    PubMed  CAS  Google Scholar 

  • Koskiniem M, Vaheri A (1982) Acute encephalitis of viral origin. Scand J Infect Dis 14:181–187

    Article  Google Scholar 

  • Leck I, Steward J (1971) Further tests of hypothesis that influenza in pregnancy causes malformations. HSMHA Health Rep 86:265–269

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Lošan J, Seeman J, Straus J (1985) Klinický význam zisťovania prenatálnych infekcií u malformovaných plodov. Čes-slov Pediat 40:277–279

    Google Scholar 

  • Merlin TL (1986) Chronic mononucleosis: Pittfals in the laboratory diagnosis. Hum Pathol 17:2–8

    Article  PubMed  CAS  Google Scholar 

  • Miller L (1980) Imunita lidského plodu a novorozence. Avicenum, Praha, p 248

    Google Scholar 

  • Mims CA (1976) The pathogenesis of infestions disease. Academic Press, London

    Google Scholar 

  • Molnárová A, Blaškovič D (1975) The influence of influenza infection of pregnant mice on the development of their fetuses. Acta Virol 19:259

    PubMed  Google Scholar 

  • Molnárová A, Holková R, Nemec R, Brozman M, Fábry J, Horáková E (1992) Toxoplasmosis and orofacial clefts. Teratology 46:96–102

    Google Scholar 

  • Molnárová A, Brozman M, Rajčáni J, Murányová M, Fábry J, Horáková E, Dziuban M (1993) Herpetic infection during pregnancy and orofacial clefts. Teratology 48(30A):P21

    Google Scholar 

  • Molnárová A, Brozman M, Fedeleš J, Bohmer D, Šrámeková R, Horáková E (1995) Possible Epstein-Barr virus infection during pregnancy and orofacial clefts. Teratology 51(27A):P28

    Google Scholar 

  • Molnárová A, Fedeleš J, Zboja Š (1997) Orofacial clefts in Slovakia-incidence and causes. Teratology 56(397):P46

    Google Scholar 

  • Molnárová A, Petrovičová A, Fedeleš J, Zboja Š, Bopegamage S, Horáková E (2001) Enteroviral infection and orofacial cleft. Reprod Toxicol 15:455–456 P2. https://doi.org/10.1016/S0890-6238(01)00151-4

    Article  Google Scholar 

  • Molnárová A, Petrovičová A, Fedeleš J, Horáková E (2002) Role of prenatal coxsackie viral infection in development and manifestation of orofacial clefts in newborns. Reprod Toxicol 16(440):P76. https://doi.org/10.1016/S0890-6238(02)00036-9

    Article  Google Scholar 

  • Molnárová A, Kováčová E, Kazár J, Fedeleš J, Vojtaššák J (2003) Infection with chlamydia trachomatis and oral cleft in newborns in Slovakia. Reprod Toxicol 17:P35

    Google Scholar 

  • Molnárová A, Kováčová E, Horáková E, Fedeleš J, Vojtaššák J, Repiská V (2004) Infection with mycoplasma and orofacial cleft in newborn infants in Slovakia. Reprod Toxicol 18:P58

    Google Scholar 

  • Molnárová A, Kováčová E, Cvachová S, Fedeleš J, Bieliková E, Šimko J, Kazár J, Vojtaššák J (2005) Relationship of the risk of chlamydial and mycoplasmal infection too incidence of orofacial cleft. Reprod Toxicol 20:474–475. https://doi.org/10.1016/j.reprotox.2005.04.009

    Article  CAS  Google Scholar 

  • Molnárová A, Kováčová E, Majtán J, Fedeleš J, Bieliková E, Cvachová S, Vojtaššák J, Repiská V (2006) Chlamydia and mycoplasma infections during pregnancy and their relationships too orofacial cleft. Biologia 61:719–723

    Article  Google Scholar 

  • Molnárová A, Kováčová E, Fedeleš J, Bieliková E, Vojtaššák J, Repiská V, Kazár J (2007) Detection of antibodies too C. pneumoniae in mothers and their newborns with orofacial cleft. Reprod Toxicol 24:62–63

    Article  Google Scholar 

  • Peterka M, Tvrdek M, Likovskýn Z, Peterková R, Fára M (1994) Maternal hyperthermia and infection as one of possible cuses of orofacial clefts. Acta Chir Plast 36(4):114–118

    PubMed  CAS  Google Scholar 

  • Plachý V, Vortel V, Horáček J (1979) Cytomegalovírus – virológie – pediatrie – patologie. Avicenum, Praha s 199

    Google Scholar 

  • Prince HE, Lapé-Nixon M (2014) Role of Cytomegalovirus IgG Avidity Testing in Diagnosing Primary CMV Infection during pregnancy. Clin Vaccine Immunol 21:1377–1384

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Rajčáni J (1983) Patogenéza vírusových nákaz. Veda SAV, Bratislava s 326

    Google Scholar 

  • Rosenberg H, Kohl S, Vogler C (1981) Viral infections on of the fetus and the neonate. Monogr Pathol 22:133–200

    Google Scholar 

  • Saxen L (1975) The association betwen maternal influenza, drug consumption and oral clefts. Acta Odontol Scand 33:259–267

    Article  PubMed  CAS  Google Scholar 

  • Sever JL (1985) Approaches used for the detection of infectious agents as human teratogens. Prog Clin Biol Res 163:215–220

    Google Scholar 

  • Sharma V, Goessling L, Mullen C, Muller A, Dailey B, Perry D, Miller A, Carvajal H, Brar A, Eghesady P (2017) Coxackievirus Infection During the First Trimester of Pregnancy Leads too Wentricular Septal Defect. Circulation 136:A20801

    Google Scholar 

  • Sibille G, Sarda P, Jalaguier J, Eliaou JF, Montoya F, Bonnet H (1986) Reinfection after rubeolla and congenital polymalformation. Acta Virol 18:256–266

    Google Scholar 

  • Strauss J (1981) Standardní metody diagnostiky zarděnek. Acta HEM Příloha č 5

  • Swamy GK, Heine PH (2015) Vaccinations for Pregnant Women. Obstet Gynecol 125:212–226

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Takatsy G (2003) The use of spiral loops in serological and virological micro-methods. Acta Microbiol Immunol Hung 50:369–383

    Article  PubMed  Google Scholar 

  • Thompson J, Glasgow L (1980) Intrauterine viral infection and the cell mediated immune responce. Neurology 30:212–215

    Article  PubMed  CAS  Google Scholar 

  • Tyor W, Harrison T (2014) Mumps and rubella. Handb Clin Neurol 123:591–600

    Article  PubMed  Google Scholar 

  • Velemínsky M, Potužník V (1984) Infekce plodu a novorozence. Avicenum, Praha s 153

    Google Scholar 

  • Vojtěchovský K (1982) Protilátky k Epstein-Barrové virusu těhotných žen podezřelých z teratogenní virové nákazy. Čes-slov Pediat 37:653

    Google Scholar 

  • Watkins J (2014) Rubella: An overview of the symptoms and complications. BJSN 9:284–286

    Google Scholar 

  • World Health Organization (2016) Congenital anomalies. Fact sheet. Accessed Online http://www.who.int/en/news-room/fact-sheets/detail/congenital-anomalies

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Acknowledgments

This work was supported by the and Grant VEGA 2/0129/15. Authors would like to thank to team of Center for Orofacial Clefts in Hospital Ružinov Bratislava.

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Correspondence to Eduard Ujházy.

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Molnárová, A., Palenčár, D., Fekiačová, D. et al. Orofacial clefts and infections during pregnancy. Biologia 73, 629–635 (2018). https://doi.org/10.2478/s11756-018-0065-y

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  • DOI: https://doi.org/10.2478/s11756-018-0065-y

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