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Modulation of Amniotic Fluid Activin-A and Inhibin-A in Women With Preterm Premature Rupture of the Membranes and Infection-Induced Preterm Birth
Journal article   Peer reviewed

Modulation of Amniotic Fluid Activin-A and Inhibin-A in Women With Preterm Premature Rupture of the Membranes and Infection-Induced Preterm Birth

Victor A. Rosenberg, Irina A. Buhimschi, Antonette T. Dulay, Sonya S. Abdel-Razeq, Emily A. Oliver, Christina M. Duzyj, Heather Lipkind, Christian M. Pettker and Catalin S. Buhimschi
American journal of reproductive immunology (1989), Vol.67(2), pp.122-131
02/2012
DOI: 10.1111/j.1600-0897.2011.01074.x
PMID: 21992678

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Abstract

Problem Activins and inhibins are important modulators of inflammatory processes. We explored activation of amniotic fluid (AF) activin-A and inhibin-A system in women with intra-amniotic infection and preterm premature rupture of the membranes (PPROM). Method of study We analyzed 78 AF samples: '2nd trimester-control' (n = 12), '3rd trimester-control' (n = 14), preterm labor with intact membranes [positive-AF-cultures (n = 13), negative-AF-cultures (n = 13)], and PPROM [positive-AF-cultures (n = 13), negative-AF-cultures (n = 13)]. Activin-A levels were evaluated ex-vivo following incubation of amniochorion and placental villous explants with Gram-negative lipopolysaccharide (LPS) or Gram-positive (Pam3Cys) bacterial mimics. Ability of recombinant activin-A and inhibin-A to modulate inflammatory reactions in fetal membranes was explored through explants' IL-8 release. Results Activin-A and inhibin-A were present in human AF and were gestational age-regulated. Activin-A was significantly upregulated by infection. Lower inhibin-A levels were seen in PPROM. LPS elicited release of activin-A from amniochorion, but not from villous explants. Recombinant activin-A stimulated IL-8 release from amniochorion, an effect that was not reversed by inhibin-A. Conclusion Human AF activin-A and inhibin-A are involved in biological processes linked to intra-amniotic infection / inflammation-induced preterm birth.
Immunology Life Sciences & Biomedicine Reproductive Biology Science & Technology

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