Modulation of lipopolysaccharide-induced chorioamnionitis by Ureaplasma parvum in sheep.

Abstract:

OBJECTIVE:Ureaplasma colonization in the setting of polymicrobial flora is common in women with chorioamnionitis, and is a risk factor for preterm delivery and neonatal morbidity. We hypothesized that Ureaplasma colonization of amniotic fluid would modulate chorioamnionitis induced by Escherichia coli lipopolysaccharide (LPS). STUDY DESIGN:Sheep received intraamniotic (IA) injections of media (control) or live Ureaplasma either 7 or 70 days before delivery. Another group received IA LPS 2 days before delivery. To test for interactions, U parvum-exposed animals were challenged with IA LPS, and delivered 2 days later. All animals were delivered preterm at 125 ± 1 day of gestation. RESULTS:Both IA Ureaplasma and LPS induced leukocyte infiltration of chorioamnion. LPS greatly increased the expression of proinflammatory cytokines and myeloperoxidase in leukocytes, while Ureaplasma alone caused modest responses. Interestingly, 7-day but not 70-day Ureaplasma exposure significantly down-regulated LPS-induced proinflammatory cytokines and myeloperoxidase expression in the chorioamnion. CONCLUSION:Acute (7-day) U parvum exposure can suppress LPS-induced chorioamnionitis.

journal_name

Am J Obstet Gynecol

authors

Snyder CC,Wolfe KB,Gisslen T,Knox CL,Kemp MW,Kramer BW,Newnham JP,Jobe AH,Kallapur SG

doi

10.1016/j.ajog.2013.02.018

subject

Has Abstract

pub_date

2013-05-01 00:00:00

pages

399.e1-8

issue

5

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(13)00159-2

journal_volume

208

pub_type

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