*Division of Immunobiology, Cincinnati Children's Hospital Research Foundation, and the University of Cincinnati College of Medicine, Cincinnati, Ohio, USA; Unit of Clinical and Experimental Immunology, Humanitas Clinical and Research Center, Rozzano, Italy; and Department of Woman, Mother and Neonate, Buzzi Children's Hospital, Biomedical and Clinical Sciences School of Medicine, University of Milan, Italy.
*Division of Immunobiology, Cincinnati Children's Hospital Research Foundation, and the University of Cincinnati College of Medicine, Cincinnati, Ohio, USA; Unit of Clinical and Experimental Immunology, Humanitas Clinical and Research Center, Rozzano, Italy; and Department of Woman, Mother and Neonate, Buzzi Children's Hospital, Biomedical and Clinical Sciences School of Medicine, University of Milan, Italy
J Leukoc Biol. 2016 Jan;99(1):67-78. doi: 10.1189/jlb.3MR0615-272RR. Epub 2015 Nov 4.
Preterm birth is the leading cause of neonatal morbidity and mortality. Although the underlying causes of pregnancy-associated complication are numerous, it is well established that infection and inflammation represent a highly significant risk factor in preterm birth. However, despite the clinical and public health significance, infectious agents, molecular trigger(s), and immune pathways underlying the pathogenesis of preterm birth remain underdefined and represent a major gap in knowledge. Here, we provide an overview of recent clinical and animal model data focused on the interplay between infection-driven inflammation and induction of preterm birth. Furthermore, here, we highlight the critical gaps in knowledge that warrant future investigations into the interplay between immune responses and induction of preterm birth.
早产是新生儿发病率和死亡率的主要原因。虽然与妊娠相关的并发症有很多潜在原因,但感染和炎症是早产的一个非常重要的危险因素,这一点已得到充分证实。然而,尽管具有临床和公共卫生意义,但早产发病机制中的感染因子、分子触发因素和免疫途径仍未得到明确界定,这是知识的一个主要空白。在这里,我们提供了最近的临床和动物模型数据的概述,重点是感染驱动的炎症与早产诱导之间的相互作用。此外,在这里,我们强调了知识的关键空白,这需要对免疫反应与早产诱导之间的相互作用进行未来的研究。