母体内毒素诱导的小鼠早产:Toll样受体、凝集素和细胞因子中的胎儿反应
Maternal endotoxin-induced preterm birth in mice: fetal responses in toll-like receptors, collectins, and cytokines.
作者信息
Salminen Annamari, Paananen Reija, Vuolteenaho Reetta, Metsola Juhani, Ojaniemi Marja, Autio-Harmainen Helena, Hallman Mikko
机构信息
Department of Pediatrics, University of Oulu, Oulu, FIN-90014, Finland.
出版信息
Pediatr Res. 2008 Mar;63(3):280-6. doi: 10.1203/PDR.0b013e318163a8b2.
Major cause of prematurity is spontaneous preterm birth (PTB) associated with intrauterine inflammation. Our aim was to establish a model of endotoxin Lipopolysaccharide-induced PTB of live-born pups and to study early immune activation in fetal and maternal compartments. Expression of several proteins that bind microbes (Toll-like receptors TLR4, TLR2; surfactant proteins SP-A, SP-D) was analyzed. At 16 or 17 d of gestation, C57BL/6 dams received a single dose of intraperitoneal LPS, leading to PTB within 17 h. Cytokine levels increased in maternal serum, followed by a modest increase in fetal serum and in amniotic fluid. In uterus, placenta, and fetal membranes, LPS mostly increased the expressions of TLR, SPs, and cytokines. The number of TLR2-positive macrophages increased in labyrinthine placenta. In fetal lung, intestine, liver, and brain there were modest changes in cytokine expressions. In fetal lung, SP and TLR mRNAs decreased and TLR2-positive macrophages redistributed around vessels. LPS-induced fetal deaths associated with early age (16 d gestation) rather than with proinflammatory activation. Here we propose that maternal LPS response leads to PTB and acute decrease of immune proteins in epithelial lining of fetal lung. Instead, acceleration of lung maturity has been previously observed in intraamniotic inflammation.
早产的主要原因是与宫内炎症相关的自发性早产(PTB)。我们的目的是建立一种脂多糖内毒素诱导活产幼崽PTB的模型,并研究胎儿和母体部分的早期免疫激活。分析了几种结合微生物的蛋白质(Toll样受体TLR4、TLR2;表面活性蛋白SP-A、SP-D)的表达。在妊娠第16或17天,C57BL/6母鼠接受单次腹腔注射LPS,导致在17小时内发生PTB。母鼠血清中的细胞因子水平升高,随后胎儿血清和羊水中的细胞因子水平适度升高。在子宫、胎盘和胎膜中,LPS主要增加了TLR、SP和细胞因子的表达。迷路胎盘内TLR2阳性巨噬细胞的数量增加。在胎儿的肺、肠、肝和脑中,细胞因子表达有适度变化。在胎儿肺中,SP和TLR mRNA减少,TLR2阳性巨噬细胞在血管周围重新分布。LPS诱导的胎儿死亡与早期(妊娠16天)有关,而不是与促炎激活有关。在这里,我们提出母体LPS反应导致PTB和胎儿肺上皮衬里免疫蛋白的急性减少。相反,先前在羊膜内炎症中观察到肺成熟加速。