Skip to content
Licensed Unlicensed Requires Authentication Published by De Gruyter December 13, 2021

Chorioamnionitis has no impact on immunohistochemical expression of IL-6 in placental membranes of the late preterm delivery regardless of the membrane status

  • Zdeslav Benzon , Ivana Kuzmić Prusac , Sandra Zekić Tomaš , Marko Vulić , Luka Vulić , Sandra Benzon and Vedran Stefanovic ORCID logo EMAIL logo

Abstract

Objectives

To compare the immunohistochemical expression of IL-6 in placental membranes of late preterm delivery in women with histologically proven chorioamnionitis with and without preterm premature rupture of membranes (PPROM).

Methods

Fetal membranes were collected from 60 women who had late preterm delivery with histologic chorioamnionitis with and without PPROM (30 in each group). Immunohistochemistry for IL-6 was performed on formalin fixed and paraffin-embedded sections. The two groups were matched for age, body mass index and parity. SPSS Version 17.0 was used for statistical analysis.

Results

There was no difference in immunohistochemical expression of IL-6 in placental membranes of women with histologic chorioamnionitis regardless of the membrane status.

Conclusions

Chorioamnionitis has no impact on immunohistochemical expression of IL-6 in placental membranes of women with late preterm delivery despite the clinical presentation.


Corresponding author: Prof. Vedran Stefanovic, Vice-President of the IAPM Educational Committee, Department of Obstetrics and Gynecology, Fetomaternal Medical Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland, Phone: +358 50 427 1230, E-mail:

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: Research relating to human subjects complied with national regulations, institutional policies the tenets of the Helsinki Declaration, and has been approved by the authors’ hospital Institutional Ethical Committee.

References

1. Davidoff, MJ, Dias, T, Damus, K, Russell, R, Bettegowda, VR, Dolan, S, et al.. Changes in the gestational age distribution among U.S. singleton births: impact on rates of late preterm birth, 1992 to 2002. Semin Perinatol 2006;30:8–15. https://doi.org/10.1053/j.semperi.2006.01.009.Search in Google Scholar

2. Shapiro-Mendoza, CK, Tomashek, KM, Kotelchuck, M, Barfield, W, Weiss, J, Evans, S. Risk factors for neonatal morbidity and mortality among “healthy,” late preterm newborns. Semin Perinatol 2006;30:54–60. https://doi.org/10.1053/j.semperi.2006.02.002.Search in Google Scholar

3. Bénin, A, Blanc, M, Chollat, C, Jarreau, P-H, Goffinet, F, Tsatsaris, V, et al.. The cause of birth is associated with neonatal prognosis in late preterm singletons. J Gynecol Obstet Hum Reprod 2020;49:101920. https://doi.org/10.1016/j.jogoh.2020.101920.Search in Google Scholar

4. Aziz, N, Cheng, YW, Caughey, AB. Neonatal outcomes in the setting of preterm premature rupture of membranes complicated by chorioamnionitis. J Matern Fetal Neonatal Med 2009;22:780–4. https://doi.org/10.3109/14767050902922581.Search in Google Scholar

5. Taylor, BD, Holzman, CB, Fichorova, RN, Tian, Y, Jones, NM, Fu, W, et al.. Inflammation biomarkers in vaginal fluid and preterm delivery. Hum Reprod 2013;28:942–52. https://doi.org/10.1093/humrep/det019.Search in Google Scholar

6. Boyle, AK, Rinaldi, SF, Norman, JE, Stock, SJ. Preterm birth: inflammation, fetal injury and treatment strategies. J Reprod Immunol 2017;119:62–6. https://doi.org/10.1016/j.jri.2016.11.008.Search in Google Scholar

7. Romero, R, Gomez-Lopez, N, Winters, AD, Jung, E, Shaman, M, Bieda, J, et al.. Evidence that intra-amniotic infections are often the result of an ascending invasion – a molecular microbiological study. J Perinat Med 2019;47:915–31. https://doi.org/10.1515/jpm-2019-0297.Search in Google Scholar

8. Noda-Nicolau, NM, Polettini, J, da Silva, MG, Peltier, MR, Menon, R. Polybacterial stimulation suggests discrete IL-6/IL-6R signaling in human fetal membranes: potential implications on IL-6 bioactivity. J Reprod Immunol 2018;126:60–8. https://doi.org/10.1016/j.jri.2018.02.007.Search in Google Scholar

9. Menard, JP, Mazouni, C, Salem-Cherif, I, Fenollar, F, Raoult, D, Boubli, L, et al.. High vaginal concentrations of Atopobium vaginae and Gardnerella vaginalis in women undergoing preterm labor. Obstet Gynecol 2010;115:134–40. https://doi.org/10.1097/AOG.0b013e3181c391d7.Search in Google Scholar

10. Menon, R, Richardson, LS. Preterm prelabor rupture of the membranes: a disease of the fetal membranes. Semin Perinatol 2017;41:409–19. https://doi.org/10.1053/j.semperi.2017.07.012.Search in Google Scholar

11. Romero, R, Miranda, J, Chaiworapongsa, T, Korzeniewski, SJ, Chaemsaithong, P, Gotsch, F, et al.. Prevalence and clinical significance of sterile intra-amniotic inflammation in patients with preterm labor and intact membranes. Am J Reprod Immunol 2014;72:458–74. https://doi.org/10.1111/aji.12296.Search in Google Scholar

12. Menon, R, Taylor, RN, Fortunato, SJ. Chorioamnionitis – a complex pathophysiologic syndrome. Placenta 2010;31:113–20. https://doi.org/10.1016/j.placenta.2009.11.012.Search in Google Scholar

13. Fortunato, SJ, Menon, R, Lombardi, SJ. Collagenolytic enzymes (gelatinases) and their inhibitors in human amniochorionic membrane. Am J Obstet Gynecol 1997;177:731–41. https://doi.org/10.1016/s0002-9378(97)70260-6.Search in Google Scholar

14. Athayde, N, Edwin, SS, Romero, R, Gomez, R, Maymon, E, Pacora, P, et al.. A role for matrix metalloproteinase-9 in spontaneous rupture of the fetal membranes. Am J Obstet Gynecol 1998;179:1248–53. https://doi.org/10.1016/s0002-9378(98)70141-3.Search in Google Scholar

15. Lee, SY, Buhimschi, IA, Dulay, AT, Ali, UA, Zhao, G, Abdel-Razeq, SS, et al.. IL-6 trans-signaling system in intra-amniotic inflammation, preterm birth, and preterm premature rupture of the membranes. J Immunol 2011;186:3226–36. https://doi.org/10.4049/jimmunol.1003587.Search in Google Scholar

16. Saji, F, Samejima, Y, Kamiura, S, Sawai, K, Shimoya, K, Kimura, T. Cytokine production in chorioamnionitis. J Reprod Immunol 2000;47:185–96. https://doi.org/10.1016/s0165-0378(00)00064-4.Search in Google Scholar

17. Redline, RW. Inflammatory response in acute chorioamnionitis. Semin Fetal Neonatal Med 2012;17:20–5. https://doi.org/10.1016/j.siny.2011.08.003.Search in Google Scholar

18. Benzon, Z, Benzon, S, Tomaš, SZ, Prusac, IK, Vulić, L, Vulić, M, et al.. Immunohistochemical demonstration of RECK protein and interleukin-6 in fetal membranes from singleton pregnancies with late preterm delivery. Biotech Histochem 2018;93:575–80. https://doi.org/10.1080/10520295.2018.1511061.Search in Google Scholar

19. Myntti, T, Rahkonen, L, Nupponen, I, Pätäri-Sampo, A, Tikkanen, M, Sorsa, T, et al.. Amniotic fluid infection in preterm pregnancies with intact membranes. Dis Markers 2017;2017:1–9. https://doi.org/10.1155/2017/8167276.Search in Google Scholar

20. Tanaka, T, Narazaki, M, Kishimoto, T. IL-6 in inflammation, immunity, and disease. Cold Spring Harb Perspect Biol 2014;6:a016295. https://doi.org/10.1101/cshperspect.a016295.Search in Google Scholar

21. Menon, R, Peltier, MR, Eckardt, J, Fortunato, SJ. Diversity in cytokine response to bacteria associated with preterm birth by fetal membranes. Am J Obstet Gynecol 2009;201:306.e1–6. https://doi.org/10.1016/j.ajog.2009.06.027.Search in Google Scholar

22. Mitazaki, S, Hashimoto, M, Matsuhashi, Y, Honma, S, Suto, M, Kato, N, et al.. Interleukin-6 modulates oxidative stress produced during the development of cisplatin nephrotoxicity. Life Sci 2013;92:694–700. https://doi.org/10.1016/j.lfs.2013.01.026.Search in Google Scholar

23. Schett, G. Physiological effects of modulating the interleukin-6 axis. Rheumatology 2018;57(2 Suppl):ii43–50. https://doi.org/10.1093/rheumatology/kex513.Search in Google Scholar

24. Matthews, V, Schuster, B, Schütze, S, Bussmeyer, I, Ludwig, A, Hundhausen, C, et al.. Cellular cholesterol depletion triggers shedding of the human interleukin-6 receptor by ADAM10 and ADAM17 (TACE). J Biol Chem 2003;278:38829–39. https://doi.org/10.1074/jbc.M210584200.Search in Google Scholar

25. Heinrich, PC, Castell, JV, Andus, T. Interleukin-6 and the acute phase response. Biochem J 1990;265:621–36. https://doi.org/10.1042/bj2650621.Search in Google Scholar

26. Lockwood, CJ, Murk, WK, Kayisli, UA, Buchwalder, LF, Huang, SJ, Arcuri, F, et al.. Regulation of interleukin-6 expression in human decidual cells and its potential role in chorioamnionitis. Am J Pathol 2010;177:1755–64. https://doi.org/10.2353/ajpath.2010.090781.Search in Google Scholar

27. Turkay, E, Ozmen, A, Unek, G, Mendilcioglu, I. The effects of glucocorticoids on fetal and placental development. In: Qian, X, editor. Glucocorticoids – new recognition of our familiar friend. InTech; 2012. Available from: http://www.intechopen.com/books/glucocorticoids-new-recognition-of-our-familiar-friend/the-effects-of-glucocorticoids-on-fetal-and-placental-development [Cited 28 Jul 2021].10.5772/50103Search in Google Scholar

28. Hantoushzadeh, S, Anvari Aliabad, R, Norooznezhad, AH. Antibiotics, inflammation, and preterm labor: a missed conclusion. J Inflamm Res 2020;13:245–54. https://doi.org/10.2147/JIR.S248382.Search in Google Scholar

29. Sugimoto, J, Romani, AM, Valentin-Torres, AM, Luciano, AA, Ramirez Kitchen, CM, Funderburg, N, et al.. Magnesium decreases inflammatory cytokine production: a novel innate immunomodulatory mechanism. J Immunol 2012;188:6338–46. https://doi.org/10.4049/jimmunol.1101765.Search in Google Scholar

30. Sayed Ahmed, WA, Ahmed, MR, Mohamed, ML, Hamdy, MA, Kamel, Z, Elnahas, KM. Maternal serum interleukin-6 in the management of patients with preterm premature rupture of membranes. J Matern Fetal Neonatal Med 2016;29:3162–6. https://doi.org/10.3109/14767058.2015.1118036.Search in Google Scholar

Received: 2021-10-19
Accepted: 2021-11-28
Published Online: 2021-12-13
Published in Print: 2022-05-25

© 2021 Walter de Gruyter GmbH, Berlin/Boston

Downloaded on 13.6.2024 from https://www.degruyter.com/document/doi/10.1515/jpm-2021-0542/html
Scroll to top button