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Circulating Cytokines and Alarmins Associated with Placental Inflammation in High-Risk Pregnancies

Problem Inflammation during pregnancy has devastating consequences for the placenta and fetus. These events are incompletely understood, thereby hampering screening and treatment. Method of study The inflammatory profile of villous tissue was studied in pregnancies at high‐risk of placental dysfunct...

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Published in:American journal of reproductive immunology (1989) 2014-10, Vol.72 (4), p.422-434
Main Authors: Girard, Sylvie, Heazell, Alexander E. P., Derricott, Hayley, Allan, Stuart M., Sibley, Colin P., Abrahams, Vikki M., Jones, Rebecca L.
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cited_by cdi_FETCH-LOGICAL-c5844-99c66d068bd5c4642b8175ce8a42ba92b077621192bded98bfd6fd6a599bf58f3
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container_issue 4
container_start_page 422
container_title American journal of reproductive immunology (1989)
container_volume 72
creator Girard, Sylvie
Heazell, Alexander E. P.
Derricott, Hayley
Allan, Stuart M.
Sibley, Colin P.
Abrahams, Vikki M.
Jones, Rebecca L.
description Problem Inflammation during pregnancy has devastating consequences for the placenta and fetus. These events are incompletely understood, thereby hampering screening and treatment. Method of study The inflammatory profile of villous tissue was studied in pregnancies at high‐risk of placental dysfunction and compared to uncomplicated pregnancies. The systemic inflammatory profile was assessed in matched maternal serum samples in cases of reduced fetal movements (RFM). Results Placentas from RFM pregnancies had a unique inflammatory profile characterized by increased interleukin (IL)‐1 receptor antagonist and decreased IL‐10 expression, concomitant with increased numbers of placental macrophages. This aberrant cytokine profile was evident in maternal serum in RFM, as were increased levels of alarmins (uric acid, HMGB1, cell‐free fetal DNA). Conclusion This distinct inflammatory profile at the maternal‐fetal interface, mirrored in maternal serum, could represent biomarkers of placental inflammation and could offer novel therapeutic options to protect the placenta and fetus from an adverse maternal environment.
doi_str_mv 10.1111/aji.12274
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P. ; Derricott, Hayley ; Allan, Stuart M. ; Sibley, Colin P. ; Abrahams, Vikki M. ; Jones, Rebecca L.</creator><creatorcontrib>Girard, Sylvie ; Heazell, Alexander E. P. ; Derricott, Hayley ; Allan, Stuart M. ; Sibley, Colin P. ; Abrahams, Vikki M. ; Jones, Rebecca L.</creatorcontrib><description>Problem Inflammation during pregnancy has devastating consequences for the placenta and fetus. These events are incompletely understood, thereby hampering screening and treatment. Method of study The inflammatory profile of villous tissue was studied in pregnancies at high‐risk of placental dysfunction and compared to uncomplicated pregnancies. The systemic inflammatory profile was assessed in matched maternal serum samples in cases of reduced fetal movements (RFM). Results Placentas from RFM pregnancies had a unique inflammatory profile characterized by increased interleukin (IL)‐1 receptor antagonist and decreased IL‐10 expression, concomitant with increased numbers of placental macrophages. This aberrant cytokine profile was evident in maternal serum in RFM, as were increased levels of alarmins (uric acid, HMGB1, cell‐free fetal DNA). Conclusion This distinct inflammatory profile at the maternal‐fetal interface, mirrored in maternal serum, could represent biomarkers of placental inflammation and could offer novel therapeutic options to protect the placenta and fetus from an adverse maternal environment.</description><identifier>ISSN: 1046-7408</identifier><identifier>EISSN: 1600-0897</identifier><identifier>DOI: 10.1111/aji.12274</identifier><identifier>PMID: 24867252</identifier><language>eng</language><publisher>Denmark: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Biomarkers - blood ; Clinical Aspects of Reproductive Immunology ; Cytokines - blood ; Female ; Fetuses ; High-risk pregnancy ; HMGB1 Protein - blood ; Humans ; Inflammation ; Inflammation - blood ; Interleukin 1 Receptor Antagonist Protein - blood ; Interleukin-10 - blood ; Interleukin-18 - blood ; Interleukin-1alpha - blood ; Interleukin-1beta - blood ; Macrophages - immunology ; Placenta - immunology ; Placenta - physiopathology ; placental dysfunction ; Pregnancy ; Pregnancy Complications - blood ; Pregnancy Complications - physiopathology ; Pregnancy, High-Risk - blood ; Prenatal development ; stillbirth ; Young Adult</subject><ispartof>American journal of reproductive immunology (1989), 2014-10, Vol.72 (4), p.422-434</ispartof><rights>2014 The Authors. Published by John Wiley &amp; Sons Ltd.</rights><rights>2014 The Authors. American Journal of Reproductive Immunology Published by John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2014 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><rights>2014 The Authors. 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P.</creatorcontrib><creatorcontrib>Derricott, Hayley</creatorcontrib><creatorcontrib>Allan, Stuart M.</creatorcontrib><creatorcontrib>Sibley, Colin P.</creatorcontrib><creatorcontrib>Abrahams, Vikki M.</creatorcontrib><creatorcontrib>Jones, Rebecca L.</creatorcontrib><title>Circulating Cytokines and Alarmins Associated with Placental Inflammation in High-Risk Pregnancies</title><title>American journal of reproductive immunology (1989)</title><addtitle>Am J Reprod Immunol</addtitle><description>Problem Inflammation during pregnancy has devastating consequences for the placenta and fetus. These events are incompletely understood, thereby hampering screening and treatment. Method of study The inflammatory profile of villous tissue was studied in pregnancies at high‐risk of placental dysfunction and compared to uncomplicated pregnancies. The systemic inflammatory profile was assessed in matched maternal serum samples in cases of reduced fetal movements (RFM). Results Placentas from RFM pregnancies had a unique inflammatory profile characterized by increased interleukin (IL)‐1 receptor antagonist and decreased IL‐10 expression, concomitant with increased numbers of placental macrophages. This aberrant cytokine profile was evident in maternal serum in RFM, as were increased levels of alarmins (uric acid, HMGB1, cell‐free fetal DNA). 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The systemic inflammatory profile was assessed in matched maternal serum samples in cases of reduced fetal movements (RFM). Results Placentas from RFM pregnancies had a unique inflammatory profile characterized by increased interleukin (IL)‐1 receptor antagonist and decreased IL‐10 expression, concomitant with increased numbers of placental macrophages. This aberrant cytokine profile was evident in maternal serum in RFM, as were increased levels of alarmins (uric acid, HMGB1, cell‐free fetal DNA). Conclusion This distinct inflammatory profile at the maternal‐fetal interface, mirrored in maternal serum, could represent biomarkers of placental inflammation and could offer novel therapeutic options to protect the placenta and fetus from an adverse maternal environment.</abstract><cop>Denmark</cop><pub>Blackwell Publishing Ltd</pub><pmid>24867252</pmid><doi>10.1111/aji.12274</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Biomarkers - blood
Clinical Aspects of Reproductive Immunology
Cytokines - blood
Female
Fetuses
High-risk pregnancy
HMGB1 Protein - blood
Humans
Inflammation
Inflammation - blood
Interleukin 1 Receptor Antagonist Protein - blood
Interleukin-10 - blood
Interleukin-18 - blood
Interleukin-1alpha - blood
Interleukin-1beta - blood
Macrophages - immunology
Placenta - immunology
Placenta - physiopathology
placental dysfunction
Pregnancy
Pregnancy Complications - blood
Pregnancy Complications - physiopathology
Pregnancy, High-Risk - blood
Prenatal development
stillbirth
Young Adult
title Circulating Cytokines and Alarmins Associated with Placental Inflammation in High-Risk Pregnancies
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