Am J Perinatol 2010; 27(1): 031-036
DOI: 10.1055/s-0029-1234037
© Thieme Medical Publishers

Second-Trimester Serum Cytokines in Women Who Develop Spontaneous Preterm Labor at Less than 28 Weeks' Gestation versus Term Labor

Qing Yang1 , Yasser El Sayed2 , Gary M. Shaw3 , Joyce Fu2 , James Schilling1 , Ashima Madan1
  • 1Department of Pediatrics, Stanford University School of Medicine, Stanford, California
  • 2Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California
  • 3March of Dimes, California Research Division, Children's Hospital Oakland Research Institute, Oakland, California
Further Information

Publication History

Publication Date:
30 July 2009 (online)

ABSTRACT

We sought to determine if there is a relationship between serum concentrations of cytokines and the development of preterm labor. A panel of 28 cytokines was measured using the multiplex assay in serum samples collected between 15 and 18 weeks' gestation from women who developed spontaneous preterm labor and delivered between 24 and 28 weeks' gestation (n = 25) and from women who delivered at term (≥37 weeks; n = 25). Sixteen of the 28 cytokines measured were detected. Except for vascular endothelial growth factor, which showed a trend toward a significant increase in patients who developed preterm labor, there was no difference in cytokine levels between groups in preterm labor and in term labor. Serum cytokine changes in women who develop spontaneous preterm labor possibly occur in the period between 18 weeks' gestation and the onset of labor.

REFERENCES

  • 1 Hack M, Fanaroff A A. Outcomes of children of extremely low birthweight and gestational age in the 1990s.  Semin Neonatol. 2000;  5 89-106
  • 2 Lemons J A, Bauer C R, Oh W NICHD Neonatal Research Network et al. Very low birth weight outcomes of the National Institute of Child health and human development neonatal research network, January 1995 through December 1996.  Pediatrics. 2001;  107 E1
  • 3 McCormick M C. The contribution of low birth weight to infant mortality and childhood morbidity.  N Engl J Med. 1985;  312 82-90
  • 4 Slattery M M, Morrison J J. Preterm delivery.  Lancet. 2002;  360 1489-1497
  • 5 Simhan H N, Caritis S N. Prevention of preterm delivery.  N Engl J Med. 2007;  357 477-487
  • 6 Smith R. Parturition.  N Engl J Med. 2007;  356 271-283
  • 7 Challis J R, Sloboda D M, Alfaidy N et al.. Prostaglandins and mechanisms of preterm birth.  Reproduction. 2002;  124 1-17
  • 8 DeFranco E, Teramo K, Muglia L. Genetic influences on preterm birth.  Semin Reprod Med. 2007;  25 40-51
  • 9 Goldenberg R L, Hauth J C, Andrews W W. Intrauterine infection and preterm delivery.  N Engl J Med. 2000;  342 1500-1507
  • 10 Goldenberg R L, Culhane J F, Iams J D, Romero R. Epidemiology and causes of preterm birth.  Lancet. 2008;  371 75-84
  • 11 González-Bosquet E, Cerqueira M J, Dominguez C, Gasser I, Bermejo B, Cabero L. Amniotic fluid glucose and cytokines values in the early diagnosis of amniotic infection in patients with preterm labor and intact membranes.  J Matern Fetal Med. 1999;  8 155-158
  • 12 Hauth J C, Andrews W W. Use of antibiotics to prevent preterm birth.  Am J Obstet Gynecol. 1998;  178 624-625
  • 13 Hillier S L, Martius J, Krohn M, Kiviat N, Holmes K K, Eschenbach D A. A case-control study of chorioamnionic infection and histologic chorioamnionitis in prematurity.  N Engl J Med. 1988;  319 972-978
  • 14 Mueller-Heubach E, Rubinstein D N, Schwarz S S. Histologic chorioamnionitis and preterm delivery in different patient populations.  Obstet Gynecol. 1990;  75 622-626
  • 15 Peltier M R. Immunology of term and preterm labor.  Reprod Biol Endocrinol. 2003;  1 122
  • 16 Pennell C E, Jacobsson B, Williams S M PREBIC Genetics Working Group et al. Genetic epidemiologic studies of preterm birth: guidelines for research.  Am J Obstet Gynecol. 2007;  196 107-118
  • 17 Rizzo G, Capponi A, Rinaldo D, Tedeschi D, Arduini D, Romanini C. Interleukin-6 concentrations in cervical secretions identify microbial invasion of the amniotic cavity in patients with preterm labor and intact membranes.  Am J Obstet Gynecol. 1996;  175(4 Pt 1) 812-817
  • 18 Yoon B H, Romero R, Park J S et al.. The relationship among inflammatory lesions of the umbilical cord (funisitis), umbilical cord plasma interleukin 6 concentration, amniotic fluid infection, and neonatal sepsis.  Am J Obstet Gynecol. 2000;  183 1124-1129
  • 19 Baggia S, Gravett M G, Witkin S S, Haluska G J, Novy M J. Interleukin-1 beta intra-amniotic infusion induces tumor necrosis factor-alpha, prostaglandin production, and preterm contractions in pregnant rhesus monkeys.  J Soc Gynecol Investig. 1996;  3 121-126
  • 20 Brown N L, Alvi S A, Elder M G, Bennett P R, Sullivan M H. A spontaneous induction of fetal membrane prostaglandin production precedes clinical labour.  J Endocrinol. 1998;  157 R1-R6
  • 21 Klein L L, Gibbs R S. Infection and preterm birth.  Obstet Gynecol Clin North Am. 2005;  32 397-410
  • 22 Mohan A R, Loudon J A, Bennett P R. Molecular and biochemical mechanisms of preterm labour.  Semin Fetal Neonatal Med. 2004;  9 437-444
  • 23 Romero R, Wu Y K, Sirtori M et al.. Amniotic fluid concentrations of prostaglandin F2 alpha, 13,14-dihydro-15-keto-prostaglandin F2 alpha (PGFM) and 11-deoxy-13,14-dihydro-15-keto-11, 16-cyclo-prostaglandin E2 (PGEM-LL) in preterm labor.  Prostaglandins. 1989;  37 149-161
  • 24 Andrews W W, Hauth J C, Goldenberg R L, Gomez R, Romero R, Cassell G H. Amniotic fluid interleukin-6: correlation with upper genital tract microbial colonization and gestational age in women delivered after spontaneous labor versus indicated delivery.  Am J Obstet Gynecol. 1995;  173 606-612
  • 25 Cox S M, King M R, Casey M L, MacDonald P C. Interleukin-1 beta, -1 alpha, and -6 and prostaglandins in vaginal/cervical fluids of pregnant women before and during labor.  J Clin Endocrinol Metab. 1993;  77 805-815
  • 26 Hillier S L, Witkin S S, Krohn M A, Watts D H, Kiviat N B, Eschenbach D A. The relationship of amniotic fluid cytokines and preterm delivery, amniotic fluid infection, histologic chorioamnionitis, and chorioamnion infection.  Obstet Gynecol. 1993;  81 941-948
  • 27 Romero R, Avila C, Santhanam U, Sehgal P B. Amniotic fluid interleukin 6 in preterm labor. Association with infection.  J Clin Invest. 1990;  85 1392-1400
  • 28 Skrablin S, Lovric H, Banovic V, Kralik S, Dijakovic A, Kalafatic D. Maternal plasma interleukin-6, interleukin-1beta and C-reactive protein as indicators of tocolysis failure and neonatal outcome after preterm delivery.  J Matern Fetal Neonatal Med. 2007;  20 335-341
  • 29 Hanna N, Bonifacio L, Weinberger B et al.. Evidence for interleukin-10-mediated inhibition of cyclo-oxygenase-2 expression and prostaglandin production in preterm human placenta.  Am J Reprod Immunol. 2006;  55 19-27
  • 30 Sadowsky D W, Adams K M, Gravett M G, Witkin S S, Novy M J. Preterm labor is induced by intraamniotic infusions of interleukin-1beta and tumor necrosis factor-alpha but not by interleukin-6 or interleukin-8 in a nonhuman primate model.  Am J Obstet Gynecol. 2006;  195 1578-1589
  • 31 Athayde N, Romero R, Maymon E et al.. Interleukin 16 in pregnancy, parturition, rupture of fetal membranes, and microbial invasion of the amniotic cavity.  Am J Obstet Gynecol. 2000;  182(1 Pt 1) 135-141
  • 32 Pacora P, Romero R, Maymon E et al.. Participation of the novel cytokine interleukin 18 in the host response to intra-amniotic infection.  Am J Obstet Gynecol. 2000;  183 1138-1143
  • 33 Saito S, Kasahara T, Kato Y, Ishihara Y, Ichijo M. Elevation of amniotic fluid interleukin 6 (IL-6), IL-8 and granulocyte colony stimulating factor (G-CSF) in term and preterm parturition.  Cytokine. 1993;  5 81-88
  • 34 Chaiworapongsa T, Romero R, Espinoza J et al.. Macrophage migration inhibitory factor in patients with preterm parturition and microbial invasion of the amniotic cavity.  J Matern Fetal Neonatal Med. 2005;  18 405-416
  • 35 Ghezzi F, Gomez R, Romero R et al.. Elevated interleukin-8 concentrations in amniotic fluid of mothers whose neonates subsequently develop bronchopulmonary dysplasia.  Eur J Obstet Gynecol Reprod Biol. 1998;  78 5-10
  • 36 Romero R, Ceska M, Avila C, Mazor M, Behnke E, Lindley I. Neutrophil attractant/activating peptide-1/interleukin-8 in term and preterm parturition.  Am J Obstet Gynecol. 1991;  165(4 Pt 1) 813-820
  • 37 Esplin M S, Romero R, Chaiworapongsa T et al.. Monocyte chemotactic protein-1 is increased in the amniotic fluid of women who deliver preterm in the presence or absence of intra-amniotic infection.  J Matern Fetal Neonatal Med. 2005;  17 365-373
  • 38 Athayde N, Romero R, Maymon E et al.. A role for the novel cytokine RANTES in pregnancy and parturition.  Am J Obstet Gynecol. 1999;  181 989-994
  • 39 Keelan J A, Yang J, Romero R J et al.. Epithelial cell-derived neutrophil-activating peptide-78 is present in fetal membranes and amniotic fluid at increased concentrations with intra-amniotic infection and preterm delivery.  Biol Reprod. 2004;  70 253-259
  • 40 Romero R, Espinoza J, Gonçalves L F, Kusanovic J P, Friel L, Hassan S. The role of inflammation and infection in preterm birth.  Semin Reprod Med. 2007;  25 21-39
  • 41 Goldenberg R L, Iams J D, Mercer B M Maternal-Fetal Medicine Units Network et al. The Preterm Prediction Study: toward a multiple-marker test for spontaneous preterm birth.  Am J Obstet Gynecol. 2001;  185 643-651
  • 42 Romero R, Gomez R, Ghezzi F et al.. A fetal systemic inflammatory response is followed by the spontaneous onset of preterm parturition.  Am J Obstet Gynecol. 1998;  179 186-193
  • 43 Tu F F, Goldenberg R L, Tamura T, Drews M, Zucker S J, Voss H F. Prenatal plasma matrix metalloproteinase-9 levels to predict spontaneous preterm birth.  Obstet Gynecol. 1998;  92 446-449
  • 44 Olomu I N, Hecht J L, Onderdonk A O, Allred E N, Leviton A. Extremely Low Gestational Age Newborn Study Investigators . Perinatal correlates of Ureaplasma urealyticum in placenta parenchyma of singleton pregnancies that end before 28 weeks of gestation.  Pediatrics. 2009;  123 1329-1336

Ashima MadanM.D. 

Department of Pediatrics, Stanford University School of Medicine

S 4245A CCSR, 269 Campus Drive, Stanford, CA 94305-5178

Email: ashima@stanford.edu

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