Graduation Year

2022

Document Type

Dissertation

Degree

Ph.D.

Degree Name

Doctor of Philosophy (Ph.D.)

Degree Granting Department

Nursing

Major Professor

Maureen Groër, Ph.D.

Committee Member

Stephanie Prescott, Ph.D.

Committee Member

Allyson Duffy, Ph.D.

Committee Member

Adetola Louis-Jacques, M.D.

Keywords

COVID-19, gut microbiota, immunoregulation, prenatal, serostatus, surveillance

Abstract

Pregnant Hispanic females have been disproportionately impacted by SARS-CoV-2 andhave experienced high rates of asymptomatic or mildly symptomatic, unrecognized infection. Acute SARS-CoV-2 infection has been associated with gut microbiome changes and altered peripherally circulating cytokine levels in symptomatic, non-pregnant individuals.

This study investigated the seroprevalence of anti-SARS-CoV-2 IgG antibodies in a sample of pregnant Hispanic females (n = 197). A sub-sample of SARS-CoV-2 seropositive and seronegative pregnant Hispanic females were followed across pregnancy and their bacterial gut microbiome was characterized, and cytokine levels measured to investigate relationships between SARS-CoV-2 serostatus, the gut microbiome, and peripherally circulating cytokine levels across pregnancy.

The seroprevalence rate in this sample of pregnant Hispanic females was 31%. Only 13% of the seropositive group reported SARS-CoV-2-related symptoms, indicating a high rate of asymptomatic or mildly symptomatic, unrecognized infection in this sample. No significant difference in abundance, diversity, or composition of the gut microbiome was observed between serostatus groups across pregnancy. Seropositive pregnant Hispanic females had significantly lower levels of IL-10 at the first prenatal visit and IL-12 between 24 and 28 weeks of gestation. There were no associations between univariate bacterial taxa abundances and cytokine levels by serostatus. A few associations were observed between bacterial taxa and IL-17 or IFN-gamma, but these associations were irrespective of SARS-CoV-2 serostatus.

Share

COinS