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Timing of Cervico-Vaginal Cytokine Collection during Pregnancy and Preterm Birth

A Comparative Analysis in the PRINCESA Cohort

Bibliographic Data

ID15499699
AuthorsMiatta A Buxton (0000-0002-3882-2566, University of Michigan, corresponding author), Noemí Meraz‐Cruz (0009-0003-8987-3376, National Institute of Genomic Medicine), Brisa N Sánchez (0000-0002-4824-7200, Drexel University), Betsy Foxman (0000-0001-6682-238X, University of Michigan), Marisol Castillo‐Castrejón (0000-0003-0396-4908, University of Oklahoma Health Sciences Center), Marie S O’neill (0000-0002-8301-7742, University of Michigan), Felipe Vadillo‐ortega (0000-0001-7137-4200, University of Michigan)
Year2021
Volume18
Issue7
Pages3436-3436
Publication date2021-03-26
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18073436
PMID33810264
OpenAlexW3138133449
LanguageEN
References cited2

Preterm birth (PTB), defined as birth before 37 completed weeks of gestation, is a major cause of infant morbidity and mortality. Inflammation is an important component in the physiopathologic pathway leading to PTB but results from cross-sectional studies on associations between inflammation, as measured by cytokines, and PTB are inconsistent. Timing of cytokine measurement during pregnancy varies between studies and may contribute to inconsistent findings. We investigated the effects of timing on associations between 16 cervico-vaginal cytokines (Eotaxin, IL-10, IL-12p40, IL-17, IL-1RA, sIL-2rα, IL-1a, IL-1β, IL-2, IL-6, IP-10, MCP-1, MIP-1α, MIP-1β, TNFα, and VEGF) and PTB among 90 women throughout pregnancy. We used logistic regression to compare associations between concentrations of cervico-vaginal cytokines from periods in pregnancy and PTB. Trimester 1 cytokines had the strongest positive associations with PTB; for example, OR = 1.76 (95% confidence interval: 1.28, 2.42) for IL-6. Second and third trimester associations were weaker but largely positive. IL-1α was the only cytokine with a negative association (trimesters 2, 3 and overall pregnancy). Strong first trimester associations between cytokines and PTB suggest that measuring cytokines early in pregnancy may hold promise for early identification of PTB risk. Variations in cytokine measurement during pregnancy may contribute to inconsistencies among studies

Biology · Cohort study · Cytokine · Gestation · Obstetrics · Pregnancy · Premature birth · Medicine · Pregnancy-related medical research · Preterm Birth and Chorioamnionitis · Reproductive System and Pregnancy · Immunology · Internal Medicine · Physiology

  • National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries

    Open Access•Hannah Blencowe, Simon Cousen et al.•The Lancet•2012

  • Controlling the False Discovery Rate

    Open Access•Yoav Benjamini, Yosef Hochberg•Journal of the Royal Statistical…•1995

Citation velocityhistorical
Highly citedNo

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