scholarly journals Detection of Anti-HLA Antibodies in Maternal Blood in the Second Trimester to Identify Patients at Risk of Antibody-Mediated Maternal Anti-Fetal Rejection and Spontaneous Preterm Delivery

2013 ◽  
Vol 70 (2) ◽  
pp. 162-175 ◽  
Author(s):  
JoonHo Lee ◽  
Roberto Romero ◽  
Yi Xu ◽  
Jezid Miranda ◽  
Wonsuk Yoo ◽  
...  
2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Catalina Latorre Uriza ◽  
Juliana Velosa-Porras ◽  
Nelly S. Roa ◽  
Stephani Margarita Quiñones Lara ◽  
Jaime Silva ◽  
...  

Periodontal disease is an infection that, in pregnant women, can act as a risk factor for preterm delivery by increasing local and systemic inflammatory responses. Objective. To analyze the presence of periodontal disease, proinflammatory cytokines, and prostaglandin E2 (PGE2) in pregnant patients at high risk for preterm delivery. Materials and Methods. Pilot study for a case-control study. We included 46 pregnant patients (23 patients at risk of preterm delivery as cases and 23 patients without risk of preterm delivery as controls). We excluded patients who received periodontal treatment, antibiotics, or antimicrobials over the last 3 months as well as those with infections or diseases such as diabetes or hypercholesterolemia. The patients underwent a periodontal assessment, and their levels of cytokines (interleukin- [IL-] 2, IL-6, IL-10, and tumor necrosis factor- [TNF-] α) and prostaglandin E2 (PGE2) were quantified. Results. Patients with periodontal disease showed higher levels of cytokines (IL-2, IL-6, IL-10, and TNF-α) and PGE2. Patients at high risk for preterm birth showed higher IL levels compared with patients at low risk for preterm delivery. PGE2 increased with the severity of periodontal disease. PGE2 was higher in patients at low risk for preterm delivery, although this difference was not significant. Conclusion. Periodontal disease can increase the systemic inflammatory response as well as the levels of PGE2 and inflammatory cytokines in pregnant patients.


2000 ◽  
Vol 69 (Supplement) ◽  
pp. S183-S184
Author(s):  
Juan C. Scornik ◽  
Willem J. Van der Werf ◽  
Alan W. Hemming ◽  
Alan I. Reed ◽  
Consuelo Soldevilla Pico ◽  
...  

2010 ◽  
Vol 36 (S1) ◽  
pp. 32-32
Author(s):  
M. Parra-Cordero ◽  
D. Pedraza ◽  
G. Rencoret ◽  
H. Muñoz ◽  
R. Terra ◽  
...  

2019 ◽  
Vol 47 (3) ◽  
pp. 304-310 ◽  
Author(s):  
Rauf Melekoglu ◽  
Ercan Yilmaz ◽  
Osman Ciftci ◽  
Yusuf Taner Kafadar ◽  
Ebru Celik

Abstract Background We investigated the roles of inflammatory cytokines and the A disintegrin and metalloproteinase with thrombospondin motifs (ADAMTS) family in the etiopathogenesis of spontaneous preterm delivery by comparing the ADAMTS4, ADAMTS5, interleukin (IL)-6, and tumor necrosis factor-α (TNF-α) levels in second-trimester amniotic fluid between pregnant women with preterm birth and term controls. Methods All pregnant women who underwent second-trimester amniocentesis for genetic analysis between January 1, 2016, and January 1, 2018, were enrolled in this study. From this cohort, 22 patients who subsequently experienced spontaneous preterm delivery before 34 weeks of pregnancy formed the study group, and 22 age- and body mass index (BMI)-matched patients without preterm birth constituted the control group. Results No significant differences were observed between the preterm birth and control groups in terms of age, BMI, obstetric history of preterm delivery, gestational age at amniocentesis, or indication for amniocentesis. The mean amniotic fluid levels of ADAMTS4 and ADAMTS5 were significantly increased in the preterm birth group compared to the control group (248.3±22.6 and 182.4±19.8 pg/mL, P=0.012; and 198.6±21.6 and 159.1±21.7 pg/mL, P=0.035, respectively). Significantly increased IL-6 and TNF-α levels were also detected in the amniotic fluid of women who experienced spontaneous preterm delivery, relative to controls (142.1±16.2 and 95.8±16.4 pg/mL, P<0.001; and 139.4±12.5 and 89.6±11.2 pg/mL, P<0.001, respectively). Conclusion The results of this study imply that increased mid-trimester amniotic fluid levels of ADAMTS4, ADAMTS5, IL-6, and TNF-α play an important role in the pathophysiology of spontaneous preterm delivery.


2010 ◽  
Vol 23 (12) ◽  
pp. 1344-1359 ◽  
Author(s):  
Roberto Romero ◽  
Shali Mazaki-Tovi ◽  
Edi Vaisbuch ◽  
Juan Pedro Kusanovic ◽  
Tinnakorn Chaiworapongsa ◽  
...  

2012 ◽  
Vol 32 (12) ◽  
pp. 1170-1173
Author(s):  
Da Eun Lee ◽  
So Yeon Park ◽  
June Seek Choi ◽  
Shin Young Kim ◽  
Ji Hyae Lim ◽  
...  

2004 ◽  
Vol 24 (4) ◽  
pp. 435-439 ◽  
Author(s):  
F. Cobian-Sanchez ◽  
F. Prefumo ◽  
A. Bhide ◽  
B. Thilaganathan

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