4.4 Article

Amniotic Fluid Interleukin-1 Beta and Interleukin-6, but not Interleukin-8 Correlate with Microbial Invasion of the Amniotic Cavity in Preterm Labor

期刊

AMERICAN JOURNAL OF REPRODUCTIVE IMMUNOLOGY
卷 65, 期 6, 页码 549-556

出版社

WILEY
DOI: 10.1111/j.1600-0897.2010.00940.x

关键词

Cytokines; intra-amniotic infection; Mycoplasma hominis; Ureaplasma urealyticum

资金

  1. Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [07/50726-7, 07/52758-3]
  2. Fundacao para o Desenvolvimento da UNESP (FUNDUNESP) [0125505]

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Problem We compared the frequency of intra-amniotic infection in preterm labor (PL) with women not in labor, and correlated infection with amniotic fluid (AF) cytokines. Detailed identification of species, especially mycoplasmata, was tried to improve our understanding of the pathogenesis of PL. Method of study AF from 20 women with PL and 20 controls were evaluated. Infection was detected by PCR for Mycoplasma hominis, Ureaplasma urealyticum and 16S rRNA bacterial gene, which was cloned and sequenced for bacterial identification. Interleukin (IL)-1 beta, IL-6, IL-8 and tumor necrosis factor (TNF)-alpha levels were measured by ELISA. Results Frequency of intra-amniotic infection is higher in PL (40.0%). Sequencing-based method identified Bacteroides fragilis, Prevotella bivia and Leptotrichia amnionii, in addition to Mycoplasma species detected by PCR. AF infection correlated with increased IL-1 beta and IL-6 levels. Conclusion The frequency of intra-amniotic infection, especially M. hominis, in PL women who delivered with 7 days, is high and correlates with high IL-1 beta and IL-6 levels, but not IL-8.

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