Inflammatory cytokines patterns in the placenta of pregnancies complicated by HELLP (hemolysis, elevated liver enzyme, and low platelet) syndrome.

Abstract:

OBJECTIVE:We investigated the expression pattern and the role of inflammatory cytokines and their receptors in the placentas of pregnancy with HELLP syndrome. STUDY DESIGN:Placentas were collected after cesarean section, 10 from normal pregnancy and 10 from HELLP. The array was performed with GEArray Q Series Human Inflammatory Cytokines & Receptors Gene Array HS-015. The data were confirmed by quantitative real-time PCR. The Student's t test was used for statistical analysis. RESULTS:Macroarray analysis identified 14 cytokines differentially expressed. PCR confirmed that only IL-10, IL-6-receptor, and TGF-beta3 were increased, whilst CCL18, CXCL5, and IL-16 were significantly decreased, in HELLP. CONCLUSION:The regulation of cytokines involved in angiogenesis and adaptive immune responses may be critical for the placental vascular dysfunction. Our data support the hypothesis that HELLP syndrome could be a placental inflammatory response which leads to a systemic and endothelial dysfunction.

journal_name

Cytokine

journal_title

Cytokine

authors

Tranquilli AL,Landi B,Corradetti A,Giannubilo SR,Sartini D,Pozzi V,Emanuelli M

doi

10.1016/j.cyto.2007.08.010

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

82-8

issue

2

eissn

1043-4666

issn

1096-0023

pii

S1043-4666(07)00378-X

journal_volume

40

pub_type

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