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N,N-二甲基乙酰胺可阻止炎症诱导的早产,并改善母体全身免疫反应。

N,N-dimethylacetamide blocks inflammation-induced preterm birth and remediates maternal systemic immune responses.

作者信息

Reznik Sandra E, Kashou Alexander, Ward Daylan, Yellon Steve M

机构信息

Department of Pharmaceutical Sciences, College of Pharmacy and Health Sciences, St. John's University, 8000 Utopia Parkway, Queens, NY 11439.

Departments of Pathology and Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine, Bronx, NY 10461.

出版信息

bioRxiv. 2025 Jan 20:2025.01.16.633350. doi: 10.1101/2025.01.16.633350.

Abstract

The common excipient, N,N-dimethylacetamide (DMA), prevents imminent endotoxin-induced preterm birth in mice. The present study hypothesized that DMA forestalls preterm birth to term (defined as day 18.5 or later) by attenuating bacterial endotoxin lipopolysaccharide (LPS)-induced maternal systemic inflammatory responses and cervix remodeling. Accordingly, LPS (i.p.) on day 15 postbreeding stimulated preterm delivery within 24 h while mice treated with DMA 2 h preceding and 9 h following LPS administration remained pregnant, comparable to saline and DMA controls, to deliver viable pups at term. Irrespective of LPS or DMA+LPS treatment, maternal plasma pro- and anti-inflammatory cytokines on day 15.5 (12 h post-LPS) increased 10-fold compared to baseline concentrations in controls. On day 16 of pregnancy, plasma concentrations of G-CSF and TNFα were reduced in the prepartum LPS+DMA group compared to those in postpartum mice given LPS. By day 18 of pregnancy, all cytokines returned to baseline - equivalent to low systemic levels throughout the study in saline and DMA controls that gave birth at term. In addition, maternal plasma progesterone declined within 12 h in prepartum LPS-treated mice to postpartum concentrations on day 16. Although a similar transient decrease occurred by 12 h in DMA+LPS mice, plasma progesterone returned to baseline concentrations in controls. Contemporaneously, the progression of prepartum cervix remodeling leading to preterm delivery was acutely forestalled by DMA without impeding birth at term. These findings support the hypothesis that DMA not only prevents inflammation-driven preterm birth, but rescues pregnancy for birth to occur at term. The results raise the possibility that maternal signals can forecast risk of preterm birth while selective suppression of systemic inflammation can mitigate adverse pregnancy outcomes.

摘要

常见辅料N,N-二甲基乙酰胺(DMA)可预防小鼠因内毒素诱导的早产。本研究假设,DMA通过减轻细菌内毒素脂多糖(LPS)诱导的母体全身炎症反应和宫颈重塑,将早产推迟至足月(定义为第18.5天或更晚)。因此,在交配后第15天腹腔注射LPS可在24小时内刺激早产,而在LPS给药前2小时和给药后9小时用DMA治疗的小鼠仍保持怀孕状态,与生理盐水和DMA对照组相似,可足月分娩出存活的幼崽。无论LPS或DMA + LPS治疗如何,与对照组的基线浓度相比,第15.5天(LPS注射后12小时)母体血浆中的促炎和抗炎细胞因子增加了10倍。在妊娠第16天,与产后给予LPS的小鼠相比,产前LPS + DMA组的血浆G-CSF和TNFα浓度降低。到妊娠第18天,所有细胞因子均恢复到基线水平——相当于整个研究期间生理盐水和DMA对照组足月分娩时的低全身水平。此外,产前LPS处理的小鼠母体血浆孕酮在12小时内降至产后第16天的浓度。尽管DMA + LPS小鼠在12小时时也出现了类似的短暂下降,但血浆孕酮在对照组中恢复到基线浓度。同时,DMA可急性阻止导致早产的产前宫颈重塑进程,而不会妨碍足月分娩。这些发现支持了以下假设:DMA不仅可预防炎症驱动的早产,还可挽救妊娠直至足月分娩。结果提示,母体信号可能预测早产风险,而选择性抑制全身炎症可减轻不良妊娠结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d078/11785055/6779d847853c/nihpp-2025.01.16.633350v1-f0001.jpg

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