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1 January 2006 Proinflammatory Cytokines Found in Amniotic Fluid Induce Collagen Remodeling, Apoptosis, and Biophysical Weakening of Cultured Human Fetal Membranes
Deepak Kumar, Willa Fung, Robert M. Moore, Vishal Pandey, Jennifer Fox, Bradley Stetzer, Joseph M. Mansour, Brian M. Mercer, Raymond W. Redline, John J. Moore
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Abstract

The mechanisms by which fetal membranes (FM) rupture during the birth process are unknown. We have recently reported that FM weaken, at least in part, because of a developmental process of extracellular matrix remodeling and apoptosis. We now hypothesize that cytokines that normally increase in amniotic fluid at term induce FM collagen remodeling and apoptosis with concomitant weakening. Full-thickness FM fragments were cultured with (0–100ng/ml) or without tumor necrosis factor (TNF) or interleukin 1, beta (IL1B). Physical properties were then examined with specially adapted industrial rupture strength testing equipment. Cultured FM were also evaluated for evidence of collagen remodeling and apoptosis. Cytokine-treated FM exhibited a dose-dependent decrease in strength and work to rupture. Compared with controls, the highest TNF dose caused maximal decrease in FM rupture strength (13.2 ± 1.2 N versus 3.8 ± 1.5 N; P = 0.0003) and work to rupture (0.035 ± 0.005 J versus 0.005 ± 0.002 J; P < 0.0001). The highest IL1B dose also decreased rupture strength (12.9 ± 3.2 versus 4.6 ± 1.1 N; P = 0.0027) and work to rupture (0.018 ± 0.005 J versus 0.005 ± 0.002 J; P < 0.01). Matrix metalloproteinase 9 (MMP9) protein increased, tissue inhibitor of matrix metalloproteinase 3 (TIMP3) protein decreased, and poly (ADP-ribose) polymerase (PARP1) cleavage increased with increasing TNF or IL1B doses (all P < 0.05), suggesting collagen remodeling and apoptosis. TNF and IL1B cause significant weakening of cultured FM. Both cytokines induce biochemical markers in the FM in a manner characteristic of the weak zone of FM overlying the cervix. TNF and or IL1B may be involved in the development of the weak zone of the FM.

Deepak Kumar, Willa Fung, Robert M. Moore, Vishal Pandey, Jennifer Fox, Bradley Stetzer, Joseph M. Mansour, Brian M. Mercer, Raymond W. Redline, and John J. Moore "Proinflammatory Cytokines Found in Amniotic Fluid Induce Collagen Remodeling, Apoptosis, and Biophysical Weakening of Cultured Human Fetal Membranes," Biology of Reproduction 74(1), 29-34, (1 January 2006). https://doi.org/10.1095/biolreprod.105.045328
Received: 7 July 2005; Accepted: 1 September 2005; Published: 1 January 2006
KEYWORDS
Apoptosis
cytokines
parturition
placenta
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