Congenital <scp>CMV</scp> Infection: Determination of Transplacental Passage of Aciclovir by Ex Vivo Placental Perfusion

The transplacental transfer of aciclovir is low. Despite aciclovir's low molecular weight and hydrophilicity, moderate plasma protein binding and rapid renal elimination may limit placental availability, and the observed transfer was lower than expected for passive diffusion, suggesting involvement of facilitated uptake or efflux mechanisms. These results support the current rationale for high-dose valaciclovir regimens in pregnancy and suggest a potential role for transporter-mediated drug transfer.

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Publication Details

Journal
BJOG An International Journal of Obstetrics & Gynaecology
Published
2026-02-01
DOI
https://doi.org/10.1111/1471-0528.70168
Primary Topic
Cytomegalovirus and herpesvirus research
Type
article
Field-Weighted Citation Impact
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article

Congenital CMV Infection: Determination of Transplacental Passage of Aciclovir by Ex Vivo Placental Perfusion

Marianne Leruez‐Ville, Julien Stirnemann, Valentine Faure Bardon, Helyett Ollivier et al.
BJOG An International Journal of Obstetrics & Gynaecology
Cytomegalovirus and herpesvirus research
article

Congenital CMV Infection: Determination of Transplacental Passage of Aciclovir by Ex Vivo Placental Perfusion

Marianne Leruez‐Ville, Julien Stirnemann, Valentine Faure Bardon, Helyett Ollivier, Leo Froelicher Bournaud, Jean‐Marc Treluyer, Isidore Gaubert, Tiffany Guilleminot, Yves Ville, Gabrielle Lui
article en

Abstract

The transplacental transfer of aciclovir is low. Despite aciclovir's low molecular weight and hydrophilicity, moderate plasma protein binding and rapid renal elimination may limit placental availability, and the observed transfer was lower than expected for passive diffusion, suggesting involvement of facilitated uptake or efflux mechanisms. These results support the current rationale for high-dose valaciclovir regimens in pregnancy and suggest a potential role for transporter-mediated drug transfer.

BJOG An International Journal of Obstetrics & Gynaecology
Hôpital Necker-Enfants Malades (FR), Centre National de la Recherche Scientifique (FR), Inserm (FR), Université Paris Cité (FR), Université Paris-Saclay (FR), Sorbonne Université (FR), Institut des Neurosciences Paris-Saclay (FR), Sorbonne Paris Cité (FR), Hôpital Cochin (FR), Assistance Publique – Hôpitaux de Paris (FR), Hôpital Européen Georges-Pompidou (FR)
Openalex Percentile: Top 69%
Cytomegalovirus and herpesvirus research
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Congenital <scp>CMV</scp> Infection: Determination of Transplacental Passage of Aciclovir by Ex Vivo Placental Perfusion — Marianne Leruez‐Ville, Julien Stirnemann, et al. · BJOG An International Journal of Obstetrics & Gynaecology (2026) | TGRS Research Map | TGRS