da Silva Sara Maria Santos Dias, Nogueira Marcelo Saito, Rizzato Jaqueline Maria Brandão, de Lima Silva Simone, Cortelli Sheila Cavalca, Borges Roger, da Silva Martinho Herculano, Silva Rodrigo Augusto, das Chagas E Silva de Carvalho Luis Felipe
Departamento de Odontologia, Rua Dos Operários, Universidade de Taubaté, N° 9, Centro, Taubaté, SP, 12020-340, Brazil.
Tyndall National Institute, Dyke Parade, Cork, Lee Maltings Complex, T12R5CP, Ireland.
BMC Pregnancy Childbirth. 2025 Mar 27;25(1):358. doi: 10.1186/s12884-024-06941-x.
Biochemical changes in the cervix during labor are not well understood. This gap in knowledge is significant, as understanding the precise biochemical processes can provide critical insights into the mechanisms of labor and potentially inform better clinical practices for monitoring and managing pregnancy and childbirth. Fourier-transform infrared (FT-IR) spectroscopy as a non-invasive optical technique, it has the potential sensibility to detect biochemical components. This technology operates by meansuring the vibrational energy of molecular composition and structural changes occurring in the tissue. A total of 30 pregnant participants undergoing either spontaneous or induced labor were recruited. We detected several biochemical changes during labor, including a significant decrease in FT-IR spectral features associated with collagen and other extracellular matrix (ECM) proteins, attributed to collagen dispersion. Specifically, the amide I and amide II bands, which are indicative of protein secondary structure, showed marked reductions. Our results have demonstrated that FT-IR spectroscopy is sensitive to multiple biochemical remodeling changes in the cervix during labor. Traditional methods have limitations, either due to their invasiveness or insufficient sensitivity to detect subtle biochemical alterations, therefore, FT-IR spectroscopy may be a valuable noninvasive tool for objective cervical assessment to potentially guide clinical labor management.
分娩期间子宫颈的生化变化尚未得到充分了解。这一知识空白意义重大,因为了解精确的生化过程可以为分娩机制提供关键见解,并有可能为监测和管理妊娠及分娩提供更好的临床实践依据。傅里叶变换红外(FT-IR)光谱作为一种非侵入性光学技术,具有检测生化成分的潜在敏感性。该技术通过测量组织中分子组成的振动能量和结构变化来运行。总共招募了30名接受自然分娩或引产的孕妇参与者。我们在分娩期间检测到了几种生化变化,包括与胶原蛋白和其他细胞外基质(ECM)蛋白相关的FT-IR光谱特征显著下降,这归因于胶原蛋白的分散。具体而言,指示蛋白质二级结构的酰胺I和酰胺II带显示出明显降低。我们的结果表明,FT-IR光谱对分娩期间子宫颈的多种生化重塑变化敏感。传统方法存在局限性,要么因其具有侵入性,要么对检测细微生化改变的敏感性不足,因此,FT-IR光谱可能是一种有价值的非侵入性工具,用于客观的宫颈评估,以潜在地指导临床分娩管理。