Cell subpopulation composition and cytokine content in peripheral blood before spontaneous and induced labor

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Resumo

According to current concepts, immunological mechanisms play a fundamental role in the initiation of labor. The current literature lacks information related to the plasma cytokine content of pregnant women prior to spontaneous and induced labor. Studying the cytokine profile may contribute to the identification of its imbalance and determine prognostic criteria for failed labor preinduction. Objective: To investigate cell subpopulation composition and cytokine content in peripheral blood before spontaneous and induced labor. Materials and methods: A prospective pilot study included 30 healthy primiparous women who were divided into 3 groups. Control group (n=8) included women with early signs of labor; patients in group 1 (n=14) required one stage of labor preparation to develop labor activity; patients in group 2 (n=8) required two stages of preparation. Results: Women who required longer labor preparation had significantly higher TNF-a levels [2.9 (2.0;3.1) vs 2.9 (2.0;3.7) vs 5.4 (4.3;6.1) pg/ml in the control group, group 1 and group 2, respectively, p=0.025]. Conclusion: The highest level of TNF-a in women who required the second stage of labor preparation probably reflects slower cervical ripening.

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Sobre autores

Oleg Tysyachnyi

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of the Russian Federation

Email: o_tysyachny@oparina4.ru
Ph.D., Researcher at the lst Maternity Department

Evgeniya Inviyaeva

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of the Russian Federation

Email: e_inviyaeva@oparina4.ru
PhD (Bio), Senior Researcher at the Laboratory of Clinical Immunology

Valentina Vtorushina

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of the Russian Federation

Email: v_vtorushina@oparina4.ru
Ph.D., doctor of laboratory and clinical diagnostics at the Laboratory of Clinical Immunology

Lubov Krechetova

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of the Russian Federation

Email: k_l_v_@mail.ru
Dr. Med. Sci., Head of the Laboratory of Clinical Immunology

Oleg Baev

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of the Russian Federation

Email: o_baev@oparina4.ru
Dr. Med. Sci., Professor, Head of the 1st Maternity Department; Professor at the Department of Obstetrics, Gynecology, Perinatology and Reproductology

Bibliografia

  1. Левкович М.А. Современные представления о роли цитокинов в генезе физиологического и патологического течения беременности. Российский вестник акушера-гинеколога. 2008; 8(3): 37-40.
  2. Тысячный О.В., Павлова О.А., Вторушина В.В., Кречетова Л.В. Баев О.Р. Содержание цитокинов в периферической крови женщин в зависимости от фазы первого периода родов. Акушерство и гинекология. 2019; 2: 86-92. https://dx.doi.org/10.18565/aig.2019.2.86-92.
  3. Сельков С.А., Павлов О.В., Лалаян Д.В. Цитокиновая сеть плаценты. Возможная роль в инициации родовой деятельности. Медицинская иммунология. 2003; 5(3-4): 341.
  4. Thornton C.A. Immunology of pregnancy. Proc. Nutr. Soc. 2010; 69(3): 357-65. https://dx.doi.org/10.1017/S0029665110001886.
  5. Воскресенский C.Л., Федорков А.Ч., Мосько П.Л., Иванчик Г.И., Мельник Е.В. Содержание цитокинов в цервикальной слизи у беременных женщин накануне родов. Репродуктивное здоровье. Восточная Европа. 2012; 2: 19-26.
  6. Тесаков а М.Л., Небышинец Л.М., Малолеткина О.Л., Мельник Е.В., Иванчик Г.И. Прогнозирование исхода индукции родов по уровням цитокинов в плазме крови. Репродуктивное здоровье. Восточная Европа. 2014; 1: 36-42.
  7. Desta M., Duguma A. The magnitude of failed induction of labor and associated factors among women delivered at public hospitals of Arsi zone, Southeast Ethiopia, 2020: A cross-sectional study. Int. J. Gen. Med. 2021; 14: 6021-33. https://dx.doi.org/10.2147/IJGM.S318441.
  8. Российское общество акушеров-гинекологов. Клинические рекомендации "Неудачная попытка стимуляции родов (подготовка шейки матки к родам и родовозбуждение)" 2021. https://roag-portal.ru/recommendations_ obstetrics.
  9. Keelan J.A., Blumenstein M., Hettiwett R.J.A., Sato T.A., Marvin K.W., Mitchell M.D. Cytokines, prostaglandins and parturition - a review. Placenta. 2003; 24(Suppl. 3): S33-46. https://dx.doi.org/10.1053/plac.2002.0948.
  10. Lim R., Barker G., Lappas M. TRADD, TRAF2, RIP1 and TAK1 are required for TNF-a-induced pro-labour mediators in human primary myometrial cells. Am. J. Reprod. Immunol. 2017; 78(1): e12664. https://dx.doi.org/10.1111/aji.12664.
  11. Winkler M. Role of cytokines and other inflammatory mediators. BJOG. 2003; 110(Suppl. 20): 118-23. https://dx.doi.org/10.1016/s1470-0328(03)00062-4.
  12. Li T., Yi T., Zhao J., Zhao X., He X. Combined proinflammatory biomarkers have better predictive value for term labor than single markers. Med. Sci. Monit. 2019; 25: 4513-20. https://dx.doi.org/10.12659/MSM.917298.
  13. Spence T., Allsopp P.J., Yeates A.J., Mulhern M.S., Strain J.J., McSorley E.M. Maternal serum cytokine concentrations in healthy pregnancy and preeclampsia. J. Pregnancy. 2021; 2021: 6649608. https://dx.doi.org/10.1155/2021/6649608.
  14. Румянцева В.П., Стрижаков А.Н., Баев О.Р., Донников А.Е., Рыбин М.В. Сухих Г.Т. Полиморфизм генов цитокинов при своевременных родах и перенашивании беременности. Акушерство и гинекология. 2013; 6: 34-40.
  15. Cierny J.T., Unal E.R., Flood P., Rhee K.Y., Praktish A., Olson T.H. et al. Maternal inflammatory markers and term labor performance. Am. J. Obstet. Gynecol. 2014; 210(5): 447.e1-447.e6. https://dx.doi.org/10.1016/j.ajog.2013.11.038.
  16. Тесакова М.Л., Мельник Е.В., Малолеткина О.Л. Соотношение уровней цитокинов в слизи к их уровню в крови как прогностический критерий исхода индукции родов. Охрана материнства и детства. 2014; 1: 41-5.

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