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Inflammation induced preterm labor and birth

J Reprod Immunol. 2018 Sep:129:53-58. doi: 10.1016/j.jri.2018.06.029. Epub 2018 Jun 30.

Abstract

Preterm birth which occurs before 37 weeks gestation is one of the most common obstetrical complication in humans. After many studies, it appears that "not one answer fits all" regarding the risk factors, causes and the treatments for this syndrome. However, it is becoming more evident that one of the major risk factors is inflammation and/or infection in the fetoplacental unit. In animal models (usually consisting of mice injected with lipopolysaccharide at 14 days of gestation), IL-22 and IL-6 have been identified as factors related to preterm birth. There are some clinical tests available to determine the risk for preterm labor and delivery, which can be identified before, during early, or at mid-gestation. However, treatment of preterm birth with antibiotics so far has not been "curable" and studies using anti-inflammatory treatments are not readily available. More studies regarding causes and treatments for preterm labor and delivery in humans are necessary to prevent neonatal deaths and/or developmental abnormalities associated with this common syndrome.

Keywords: Animal models; Clinical tests; Inflammation; Preterm birth; Treatment.

Publication types

  • Review

MeSH terms

  • Animals
  • Disease Models, Animal
  • Female
  • Humans
  • Inflammation / immunology*
  • Interleukin-22
  • Interleukin-6 / metabolism
  • Interleukins / metabolism
  • Mice
  • Obstetric Labor, Premature / immunology*
  • Pregnancy / immunology*
  • Premature Birth / immunology*
  • Risk

Substances

  • Interleukin-6
  • Interleukins