Human cytomegalovirus and neonatal infection

Human cytomegalovirus is an ancient virus that has co-evolved with humans. It establishes a life-long infection in suspectable individuals for which there is no vaccination or cure. The virus can be transmitted to a developing fetus in seropositive pregnant women, and it is the leading cause of cong...

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Main Author: Shelley M. Lawrence
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Current Research in Microbial Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666517424000397
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author Shelley M. Lawrence
author_facet Shelley M. Lawrence
author_sort Shelley M. Lawrence
collection DOAJ
description Human cytomegalovirus is an ancient virus that has co-evolved with humans. It establishes a life-long infection in suspectable individuals for which there is no vaccination or cure. The virus can be transmitted to a developing fetus in seropositive pregnant women, and it is the leading cause of congenital infectious disease. While the majority of infected infants remain asymptomatic at birth, congenital cytomegalovirus infection can lead to substantial long-term neurodevelopmental impairments in survivors, resulting in considerable economic and social hardships. Recent discoveries regarding cytomegalovirus pathophysiology and viral replication cycles might enable the development of innovative diagnostics and therapeutics, including an effective vaccine. This Review will detail our understanding of human cytomegalovirus infection, with an in-depth discussion regarding the viral genome and transcriptome that contributes to its pathophysiology. The neonate's clinical course will also be highlighted, including maternal and neonatal testing, treatment recommendations, and long-term outcomes.
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spelling doaj-art-e72ae28fcc2a43a9a2e075ff84bf61142025-08-20T02:30:34ZengElsevierCurrent Research in Microbial Sciences2666-51742024-01-01710025710.1016/j.crmicr.2024.100257Human cytomegalovirus and neonatal infectionShelley M. Lawrence0Corresponding author at: Division of Neonatology, Department of Pediatrics, The University of Utah; 925 Chipeta Dr, Salt Lake City, Utah, 84108, USA.; University of Utah, College of Medicine, Department of Pediatrics, Division of Neonatology, Salt Lake City, UT, USAHuman cytomegalovirus is an ancient virus that has co-evolved with humans. It establishes a life-long infection in suspectable individuals for which there is no vaccination or cure. The virus can be transmitted to a developing fetus in seropositive pregnant women, and it is the leading cause of congenital infectious disease. While the majority of infected infants remain asymptomatic at birth, congenital cytomegalovirus infection can lead to substantial long-term neurodevelopmental impairments in survivors, resulting in considerable economic and social hardships. Recent discoveries regarding cytomegalovirus pathophysiology and viral replication cycles might enable the development of innovative diagnostics and therapeutics, including an effective vaccine. This Review will detail our understanding of human cytomegalovirus infection, with an in-depth discussion regarding the viral genome and transcriptome that contributes to its pathophysiology. The neonate's clinical course will also be highlighted, including maternal and neonatal testing, treatment recommendations, and long-term outcomes.http://www.sciencedirect.com/science/article/pii/S2666517424000397CytomegalovirusNeonatesCongenital infectionAcquired infectionIn pregnancyAntivirals
spellingShingle Shelley M. Lawrence
Human cytomegalovirus and neonatal infection
Current Research in Microbial Sciences
Cytomegalovirus
Neonates
Congenital infection
Acquired infection
In pregnancy
Antivirals
title Human cytomegalovirus and neonatal infection
title_full Human cytomegalovirus and neonatal infection
title_fullStr Human cytomegalovirus and neonatal infection
title_full_unstemmed Human cytomegalovirus and neonatal infection
title_short Human cytomegalovirus and neonatal infection
title_sort human cytomegalovirus and neonatal infection
topic Cytomegalovirus
Neonates
Congenital infection
Acquired infection
In pregnancy
Antivirals
url http://www.sciencedirect.com/science/article/pii/S2666517424000397
work_keys_str_mv AT shelleymlawrence humancytomegalovirusandneonatalinfection