Skip to main content
Log in

Inflammatory Cytokine mRNA in Human Gestational Tissues: Implications for Term and Preterm Labor

  • Original Article
  • Published:
The Journal of the Society for Gynecologic Investigation: JSGI Aims and scope Submit manuscript

Abstract

Objective

To determine if inflammatory cytokine mRNA in gestational tissues is present only in the setting of infection-associated preterm labor or under several other clinical conditions.

Methods

Human gestational tissues were collected from 51 women experiencing 1) term cesarean delivery without labor, 2) normal term vaginal delivery, 3) preterm cesarean delivery without labor, 4) preterm vaginal delivery without chorioamnionitis, and 5) preterm vaginal delivery with concomitant chorioamnionitis. Decidua, chorion, and amnion were isolated, total RNA from each tissue was extracted, and the presence of inflammatory cytokine mRNA was determined by polymerase chain reaction. Intcrleukin (IL)-1β, IL-6, IL-8, and tumor necrosis factor-α mRNA was detected using specific oligonucleotide primers.

Results

Interleukin-1β mRNA was rarely found in tissues preterm without labor but was readily detected in both maternal and fetal tissues after labor, regardless of gestational age. Interleukin-6 mRNA was rare in tissues from the nonlaboring patient but was found in almost all tissues after labor. Interleukin-8 mRNA was detected in all tissues at term, both in nonlaboring and laboring patients. Tumor necrosis factor-α mRNA was detected in only 20–50% of tissues after labor, and was rarely detected in the absence of labor.

Conclusions

Inflammatory cytokine mRNA is commonly expressed in human gestational tissues after normal labor and preterm labor with or without associated intrauterine infection. There was no difference in the pattern of expression of mRNA inflammatory cytokine in women who did or did not have clinically evident intrauterine infection.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Romero R, Mazor M, Wu YK, et al. Infection in the pathogenesis of preterm labor. Semin Perinatol 1988;12:262–79.

    CAS  PubMed  Google Scholar 

  2. Romero R, Brody DT, Oyarzun E, et al. Infection and labor. III. Interleukin-1: A signal for the onset of parturition. Am J Obstet Gynecol 1989;160:1117–23.

    Article  CAS  Google Scholar 

  3. Romero R, Manogue KR, Mitchell MD, et al. Infection and labor. IV. Cachectin-tumor necrosis factor in the amniotic fluid of women with intraamniotic infection and preterm labor. Am J Obstet Gynecol 1989;161:336–41.

    Article  CAS  Google Scholar 

  4. Romero R, Avila C, Santhanam U, Sehgal P. Amniotic fluid interleukin-6 in preterm labor. J Clin Invest 1990;85:1392–400.

    Article  CAS  Google Scholar 

  5. Romero R, Ceska M, Avila C, Mazor M, Behnke E, Lmdley I. Neutrophil attractant/activating peptide-1/interleukin-8 in term and preterm parturition. AmJ Obstet Gynecol 1991;165:813–20.

    Article  CAS  Google Scholar 

  6. Dudley DJ, Hunter C, Mitchell MD, Varner MW. Clinical value of amniotic fluid interleukin-6 determinations in the management of preterm labor. Br J Obstet Gynecol 1994;101:592–7.

    Article  CAS  Google Scholar 

  7. Romero R, Yoon BY, Mazor M, et al. The diagnostic and prognostic value of amniotic fluid white blood cell count, glucose, interleukin-6, and Gram stain in patients in preterm labor with intact membranes. Am J Obstet Gynecol 1993;169:805–16.

    Article  CAS  Google Scholar 

  8. Grieg PC, Ernest JM, Teot L, Enkson M, Talley R. Amniotic fluid interleukin-6 levels correlate with histologic chorioamni-onitis and amniotic fluid cultures in patients in premature labor and with intact membranes. Am J Obstet Gynecol 1993;169:1035–44.

    Article  Google Scholar 

  9. Dudley DJ, Trautman MS, Araneo BA, Edwin SS, Mitchell MD. Decidual cell biosyntheses of interleukin-6: Regulation by inflammatory cytokines. J Clin Endocrinol Metabol 1991;74:884–9.

    Article  Google Scholar 

  10. Dudley DJ, Lundin-Schiller S, Edwin SS, Trautman MS, Mitchell MD. Biosynthesis of interleukin-6 by cultured human chorion laeve cells: Regulation by cytokines. J Clin Endocrinol Metabol 1992;75:1081–6.

    CAS  Google Scholar 

  11. Dudley DJ, Trautman MS, Mitchell MD. Inflammatory mediators regulate interleukin-8 production by cultured gestational tissues: Evidence for a cytokine network at the chorio-decidual interface. J Clin Endocrinol Metabol 1993;76:404–10.

    CAS  Google Scholar 

  12. Matsuzaki N, Taniguchi T, Shimoya K, et al. Placental interleukin-6 production is enhanced in intrauterine infection but not in labor. Am J Obstet Gynecol 1993;168:94–7.

    Article  CAS  Google Scholar 

  13. Shimoya K, Matsuzaki N, Taniguchi T, et al. Human placenta constitutively produces interleukin-8 during pregnancy and enhances its production in intrauterine infection. Biol Reprod 1992;47:220–26.

    Article  CAS  Google Scholar 

  14. Trautman SM, Dudley DJ, Edwin SS, et al. Amnion cell biosynthesis of interleukin-8: Regulation by inflammatory cytokines. J Cell Physiol 1992;153:38–43.

    Article  CAS  Google Scholar 

  15. Menon R, Swan KF, Lyden TW, Rote NS, Fortunato SJ. Expression of inflammatory cytokines (interleukin-1β and interleukin-6) in ammochorionic membranes. Am J Obstet Gynecol 1995;172:493–500.

    Article  CAS  Google Scholar 

  16. Gibbs RS, Duff P. Progress in pathogenesis and management of clinical intra-amniotic infection. Am J Obstet Gynecol 1991;164:1317–26.

    Article  CAS  Google Scholar 

  17. Chomczynski P, Sacchi N. Single-step method of RNA isolation by acid guanidinium thiocyanate-phenol-chloroform extraction. Annal Biochem 1987;162:156–9.

    Article  CAS  Google Scholar 

  18. Maniatis P, Fritsh EF, Sambrook J. Molecular cloning—a laboratory manual. Cold Spring Harbor, New York: Cold Spring Harbor Laboratory, 1982.

    Google Scholar 

  19. March CJ, Mosby B, Larsen A, et al. Cloning, sequence and expression of two distinct human interleukin-1 complementary DNAs. Nature 1985:315:641–7.

    Article  CAS  Google Scholar 

  20. May LT, Helfgott DC, Sehgal PB. Anti-beta-interferon antibodies inhibit the increased expression of HLA-B7 mRNA in tumor necrosis factor-treated human fibroblasts: Structural studies of the beta 2 interferon involved. Proc Natl Acad Sci USA 1986;83:8957–61.

    Article  CAS  Google Scholar 

  21. Matsushima K, Morishita K, Yoshnnura T, et al. Molecular cloning of a human monocyte derived neutrophil chemotactic factor (MDNCF) and the induction of MDNCF mRNA by interleukin 1 and tumor necrosis factor. J Exp Med 1988;167:1883–93.

    Article  CAS  Google Scholar 

  22. Wang AM, Creasey AA, Lader MB, et al. Molecular cloning of the complementary DN. for human tumor necrosis factor. Science 1985;228:149–54.

    CAS  PubMed  Google Scholar 

  23. Kanno H, Huang IY, Kau YW, Yoshida A. Structural genes on different chromosomes are required for encoding the major sub-unit of human red cell glucose-6-phosphate dehydrogenase. Cell 1989;58:595–606.

    Article  CAS  Google Scholar 

  24. Lundin-Schiller S, Mitchell MD. Prostaglandin production by human chorion laeve cells in response to inflammatory mediators. Placenta 1991;12:353–63.

    Article  CAS  Google Scholar 

  25. Mitchell MD, Edwin SS, Romero RJ. Prostaglandin biosynthesis by human decidual cells: Effects of inflammatory mediators. Prostaglandins Leukot Essent Fatty Acids 1990;41:35–8.

    Article  CAS  Google Scholar 

  26. Romero R, Durum S, Dmarello C, Oyarzun E, Hobbins JC, Mitchell MD. Interleukin-1 stimulates prostaglandin biosynthesis by human amnion. Prostaglandins 1989;37:13–22.

    Article  CAS  Google Scholar 

  27. Mitchell MD, Edwin SS, Lundin-Schiller S, Silver RM, Smotkin D, Trautman MS. Mechanism of interleukin-lp stimulation of human amnion prostaglandin biosynthesis: Mediation via a novel inducible cyclooxygenase. Placenta 1993;14:615–25.

    Article  CAS  Google Scholar 

  28. Mitchell MD, Dudley DJ, Edwin SS, Schiller SL. Interleukin-6 stimulates prostaglandin production by human amnion and decidual cells. Eur J Pharmacol 1991;192:189–91.

    Article  CAS  Google Scholar 

  29. Lundin-Schiller S, Mitchell MD. The role of prostaglandins in human parturition. Prostaglandins Leukot Essent Fatty Acids 1990;39:1–10.

    Article  CAS  Google Scholar 

  30. Mitchell MD, Trautman MS, Dudley DJ. Cytokine networking in the placenta. Placenta 1993;14:249–75.

    Article  CAS  Google Scholar 

  31. Baggiolini M, Dewald B, Moser B. Interleukin-8 and related chemotactic cytokines-CXC and CC chemokines. Adv Immunol 1994;55:97–179.

    Article  CAS  Google Scholar 

  32. Kanayama N, Terao T. The relationship between granulocyte elastase-like activity of cervical mucus and cervical maturation. Acta Obstet Gynecol Scand 1991;70:29–34.

    Article  CAS  Google Scholar 

  33. Osmers RGW, Blaser J, Kuhn W, Tschesch H. Interleukin-8 synthesis and the onset of labor. Obstet Gynecol 1995;86:223–9.

    Article  CAS  Google Scholar 

  34. MacDonald PC, Koga S, Casey ML. Decidual activation in parturition: Examination of amniotic fluid for mediators of the inflammatory response. Ann NY Acad Sci 1991;622:315–30.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Supported by National Institutes of Health grant K08-HD00964-03 (DJD).

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dudley, D.J., Collmer, D., Mitchell, M.D. et al. Inflammatory Cytokine mRNA in Human Gestational Tissues: Implications for Term and Preterm Labor. Reprod. Sci. 3, 328–335 (1996). https://doi.org/10.1016/S1071-5576(96)00042-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1016/S1071-5576(96)00042-1

Key words

Navigation