恒河猴早产的诱导取决于对宫内感染的免疫反应强度。
The induction of preterm labor in rhesus macaques is determined by the strength of immune response to intrauterine infection.
机构信息
Divisions of Neonatology and Developmental Biology, UCLA Mattel Children's Hospital, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California, United States of America.
Department of Molecular, Cell and Developmental Biology Medicine, University of California, Los Angeles, Los Angeles, California, United States of America.
出版信息
PLoS Biol. 2021 Sep 8;19(9):e3001385. doi: 10.1371/journal.pbio.3001385. eCollection 2021 Sep.
Intrauterine infection/inflammation (IUI) is a major contributor to preterm labor (PTL). However, IUI does not invariably cause PTL. We hypothesized that quantitative and qualitative differences in immune response exist in subjects with or without PTL. To define the triggers for PTL, we developed rhesus macaque models of IUI driven by lipopolysaccharide (LPS) or live Escherichia coli. PTL did not occur in LPS challenged rhesus macaques, while E. coli-infected animals frequently delivered preterm. Although LPS and live E. coli both caused immune cell infiltration, E. coli-infected animals showed higher levels of inflammatory mediators, particularly interleukin 6 (IL-6) and prostaglandins, in the chorioamnion-decidua and amniotic fluid (AF). Neutrophil infiltration in the chorio-decidua was a common feature to both LPS and E. coli. However, neutrophilic infiltration and IL6 and PTGS2 expression in the amnion was specifically induced by live E. coli. RNA sequencing (RNA-seq) analysis of fetal membranes revealed that specific pathways involved in augmentation of inflammation including type I interferon (IFN) response, chemotaxis, sumoylation, and iron homeostasis were up-regulated in the E. coli group compared to the LPS group. Our data suggest that the intensity of the host immune response to IUI may determine susceptibility to PTL.
宫内感染/炎症(IUI)是早产(PTL)的主要原因。然而,IUI 并不一定会导致 PTL。我们假设,在有或没有 PTL 的患者中,免疫反应存在数量和质量上的差异。为了确定 PTL 的触发因素,我们开发了由脂多糖(LPS)或活大肠杆菌驱动的恒河猴 IUI 模型。LPS 挑战的恒河猴不会发生 PTL,而感染大肠杆菌的动物经常早产。尽管 LPS 和活大肠杆菌都引起免疫细胞浸润,但大肠杆菌感染的动物在绒毛膜-蜕膜和羊水(AF)中显示出更高水平的炎症介质,特别是白细胞介素 6(IL-6)和前列腺素。LPS 和大肠杆菌都在绒毛膜-蜕膜中引起中性粒细胞浸润。然而,活大肠杆菌特异性诱导羊膜中的中性粒细胞浸润以及 IL6 和 PTGS2 表达。对胎儿膜的 RNA 测序(RNA-seq)分析表明,与 LPS 组相比,涉及炎症增强的特定途径,包括 I 型干扰素(IFN)反应、趋化作用、SUMO 化和铁稳态,在大肠杆菌组中上调。我们的数据表明,宿主对 IUI 的免疫反应强度可能决定 PTL 的易感性。
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