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Lipopolysaccharide-induced maternal inflammation induces direct placental injury without alteration in placental blood flow and induces a secondary fetal intestinal injury that persists into adulthood
Journal article   Open access   Peer reviewed

Lipopolysaccharide-induced maternal inflammation induces direct placental injury without alteration in placental blood flow and induces a secondary fetal intestinal injury that persists into adulthood

Erin M Fricke, Timothy G Elgin, Huiyu Gong, Jeff Reese, Katherine N Gibson-Corley, Robert M Weiss, Kathy Zimmerman, Noelle C Bowdler, Karen M Kalantera, David A Mills, …
American journal of reproductive immunology (1989), Vol.79(5), pp.e12816-n/a
05/2018
DOI: 10.1111/aji.12816
PMCID: PMC5908742
PMID: 29369434
url
https://www.ncbi.nlm.nih.gov/pmc/articles/5908742View
Open Access

Abstract

Premature birth complicates 10%-12% of deliveries. Infection and inflammation are the most common etiologies and are associated with increased offspring morbidity and mortality. We hypothesize that lipopolysaccharide (LPS)-induced maternal inflammation causes direct placenta injury and subsequent injury to the fetal intestine. Pregnant C57Bl6 mice were injected intraperitoneally on day 15.5 with 100 μg/kg LPS or saline. Maternal serum, amniotic fluid, placental samples, and ileal samples of offspring were obtained assessed for inflammation and/or injury. Maternal placental ultrasounds were performed. Placental DNA was isolated for microbiome analysis. Maternal injection with LPS caused elevated IL-1β, IL-10, IL-6, KC-GRO, and TNF. Placental tissue showed increased IL-1β, IL-6, and KC-GRO and decreased IL-10, but no changes were observed in amniotic fluid. Placental histology demonstrated LPS-induced increases in mineralization and necrosis, but no difference in placental blood flow. Most placentas had no detectable microbiome. Exposure to maternal LPS induced significant injury to the ilea of the offspring. Lipopolysaccharide causes a maternal inflammatory response that is mirrored in the placenta. Placental histology demonstrates structural changes; however, placental blood flow is preserved. LPS also induces an indirect intestinal injury in the offspring that lasts beyond the neonatal period.
Pregnancy Inflammation - chemically induced Inflammation - pathology Pregnancy Complications - pathology Placental Insufficiency - metabolism Necrosis - pathology Interleukins - metabolism Inflammation - complications Inflammation - metabolism Amniotic Fluid - metabolism Female Digestive System Diseases - etiology Pregnancy Complications - metabolism Fetal Diseases - metabolism Disease Models, Animal Pregnancy Complications - etiology Fetal Diseases - etiology Placental Insufficiency - pathology Mice, Inbred C57BL Necrosis - metabolism Placenta - metabolism Placenta - blood supply Animals Digestive System Diseases - metabolism Fetal Diseases - pathology Lipopolysaccharides - pharmacology Placenta - pathology Mice Regional Blood Flow - physiology Digestive System Diseases - pathology Placental Insufficiency - etiology

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