Reproductive Sciences

, Volume 19, Issue 1, pp 43–54 | Cite as

Myometrial Tumor Necrosis Factor-α Receptors Increase With Gestation and Labor and Modulate Gene Expression Through Mitogen-Activated Kinase and Nuclear Factor-κB

  • Helen A. Alexander
  • Suren R. Sooranna
  • Leslie Myatt
  • Mark R. JohnsonEmail author


Previously, we found that myometrial tumor necrosis factor-α (TNF-α) messenger RNA (mRNA) expression did not increase with preterm or term labor. To further investigate the role of TNF-α in human labor, we studied TNF-α receptor (TNFR1A and B) expression, regulation, and associated intracellular signaling pathways in human myometrial samples obtained both before and after the onset of labor and in primary cultures of uterine smooth muscle cells (USMCs). We found that the mRNA expression of both receptors increased with advancing gestation and labor and protein levels of TNFR1B were significantly higher in term laboring myometrial samples than in nonlabor controls. Tumor necrosis factor-ᾳ treatment of USMCs activated all mitogen-activated protein kinase (MAPK) subtypes and nuclear factor κ-B (NF-κB). The TNF-α induced increases in the expression of TNFR1B and prostaglandin H synthase type 2 were reduced by inhibitors of NF-κB and MAPKs, respectively. The TNF-α induced increase in interleukin 8 (IL-8) appeared to be independent of MAPK and NF-κB pathway. These data suggest that the uterus may become more sensitive to the action of TNF-α with advancing gestation and labor and that TNF-α acts via MAPK and NF-κB to promote labor-associated gene expression.


labor myometrium tumor necrosis factor-α inflammation pro-labor genes 


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Copyright information

© Society for Reproductive Investigation 2012

Authors and Affiliations

  • Helen A. Alexander
    • 1
  • Suren R. Sooranna
    • 1
  • Leslie Myatt
    • 2
  • Mark R. Johnson
    • 1
    • 3
    Email author
  1. 1.Imperial College Parturition Research Group, Academic Department of Obstetrics & GynaecologyImperial College School of Medicine, Chelsea and Westminster HospitalLondonUK
  2. 2.Center for Pregnancy and Newborn Research, Department of Obstetrics and GynecologyUniversity of Texas Health Science Center San AntonioSan AntonioUSA
  3. 3.Academic Department of Obstetrics & Gynaecology, Imperial College School of MedicineChelsea and Westminster HospitalLondonUK

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