Lipopolysaccharide-binding protein in microbial invasion of the amniotic cavity and human parturition

Objective: Lipopolysaccharide-binding protein (LBP) is an acute-phase protein of predominantly hepatic origin, capable of binding the lipid A fraction of bacterial lipopolysaccharide (LPS). The complex LBP-LPS binds to CD14, and has been implicated in the host response to Gram-negative infection. Th...

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Veröffentlicht in:The journal of maternal-fetal & neonatal medicine 2002-11, Vol.12 (5), p.313-321
Hauptverfasser: Espinoza, J., Romero, R., Chaiworapongsa, T., Kim, J. C., Yoshimatsu, J., Edwin, S., Rathnasabapathy, C., Tolosa, J., Donnenfeld, A., Craparo, F., Gomez, R., Bujold, E.
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container_issue 5
container_start_page 313
container_title The journal of maternal-fetal & neonatal medicine
container_volume 12
creator Espinoza, J.
Romero, R.
Chaiworapongsa, T.
Kim, J. C.
Yoshimatsu, J.
Edwin, S.
Rathnasabapathy, C.
Tolosa, J.
Donnenfeld, A.
Craparo, F.
Gomez, R.
Bujold, E.
description Objective: Lipopolysaccharide-binding protein (LBP) is an acute-phase protein of predominantly hepatic origin, capable of binding the lipid A fraction of bacterial lipopolysaccharide (LPS). The complex LBP-LPS binds to CD14, and has been implicated in the host response to Gram-negative infection. The purpose of this study was to determine whether microbial invasion of the amniotic cavity (MIAC) and parturition (term and preterm) are associated with changes in the amniotic fluid concentration of LBP. Study design: Amniotic fluid was retrieved by amniocentesis from 343 patients in the following groups: (1) those in mid-trimester with a subsequent normal pregnancy outcome (n = 84); (2) those in mid-trimester with a fetal loss after the procedure (n = 10); (3) those with preterm labor and intact membranes without MIAC who delivered at term (n = 36) or prematurely (n = 52), and those with preterm labor with MIAC (n = 26); (4) those with preterm premature rupture of membranes (PROM) with (n = 26) and without (n = 26) MIAC; and (5) those delivering at term with intact membranes in the absence of MIAC, in labor (n = 52) and not in labor (n = 31). The concentration of LBP in amniotic fluid was determined with a specific and sensitive immunoassay. Non-parametric statistics were used. A p value of < 0.05 was considered significant. Results: LBP was detected in 98% (335/343) of the amniotic fluid samples. MIAC was associated with a significant increase in amniotic fluid concentration of LBP in women with preterm labor and intact membranes, but not in preterm PROM. Spontaneous preterm parturition was associated with a significant increase in amniotic fluid concentration of LBP. Patients who had a spontaneous fetal loss after a mid-trimester amniocentesis had a significantly higher median amniotic fluid LBP concentration than those who had a mid-trimester amniocentesis and a normal perinatal outcome. Conclusion: Preterm labor with MIAC and preterm parturition are associated with higher amniotic fluid concentrations of LBP than those with sterile amniotic fluid.
doi_str_mv 10.1080/jmf.12.5.313.321
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C. ; Yoshimatsu, J. ; Edwin, S. ; Rathnasabapathy, C. ; Tolosa, J. ; Donnenfeld, A. ; Craparo, F. ; Gomez, R. ; Bujold, E.</creator><creatorcontrib>Espinoza, J. ; Romero, R. ; Chaiworapongsa, T. ; Kim, J. C. ; Yoshimatsu, J. ; Edwin, S. ; Rathnasabapathy, C. ; Tolosa, J. ; Donnenfeld, A. ; Craparo, F. ; Gomez, R. ; Bujold, E.</creatorcontrib><description>Objective: Lipopolysaccharide-binding protein (LBP) is an acute-phase protein of predominantly hepatic origin, capable of binding the lipid A fraction of bacterial lipopolysaccharide (LPS). The complex LBP-LPS binds to CD14, and has been implicated in the host response to Gram-negative infection. The purpose of this study was to determine whether microbial invasion of the amniotic cavity (MIAC) and parturition (term and preterm) are associated with changes in the amniotic fluid concentration of LBP. Study design: Amniotic fluid was retrieved by amniocentesis from 343 patients in the following groups: (1) those in mid-trimester with a subsequent normal pregnancy outcome (n = 84); (2) those in mid-trimester with a fetal loss after the procedure (n = 10); (3) those with preterm labor and intact membranes without MIAC who delivered at term (n = 36) or prematurely (n = 52), and those with preterm labor with MIAC (n = 26); (4) those with preterm premature rupture of membranes (PROM) with (n = 26) and without (n = 26) MIAC; and (5) those delivering at term with intact membranes in the absence of MIAC, in labor (n = 52) and not in labor (n = 31). The concentration of LBP in amniotic fluid was determined with a specific and sensitive immunoassay. Non-parametric statistics were used. A p value of &lt; 0.05 was considered significant. Results: LBP was detected in 98% (335/343) of the amniotic fluid samples. MIAC was associated with a significant increase in amniotic fluid concentration of LBP in women with preterm labor and intact membranes, but not in preterm PROM. Spontaneous preterm parturition was associated with a significant increase in amniotic fluid concentration of LBP. Patients who had a spontaneous fetal loss after a mid-trimester amniocentesis had a significantly higher median amniotic fluid LBP concentration than those who had a mid-trimester amniocentesis and a normal perinatal outcome. Conclusion: Preterm labor with MIAC and preterm parturition are associated with higher amniotic fluid concentrations of LBP than those with sterile amniotic fluid.</description><identifier>ISSN: 1476-7058</identifier><identifier>EISSN: 1476-4954</identifier><identifier>DOI: 10.1080/jmf.12.5.313.321</identifier><identifier>PMID: 12607763</identifier><language>eng</language><publisher>England: Informa UK Ltd</publisher><subject>Acute-Phase Proteins ; Amniocentesis ; Amnion - immunology ; Amnion - microbiology ; AMNIOTIC FLUID ; Amniotic Fluid - chemistry ; Amniotic Fluid - immunology ; Carrier Proteins - analysis ; Carrier Proteins - immunology ; CHORIOAMNIONITIS ; Chorioamnionitis - immunology ; Chorioamnionitis - microbiology ; Cross-Sectional Studies ; ENDOTOXIN ; Female ; Fetal Death - immunology ; Fetal Membranes, Premature Rupture - immunology ; Humans ; LIPOPOLYSACCHARIDE-BINDING PROTEIN ; Membrane Glycoproteins ; Obstetric Labor, Premature - immunology ; Parturition - immunology ; Pregnancy ; Pregnancy Complications, Infectious - immunology ; PRETERM LABOR ; TOLL-LIKE RECEPTOR</subject><ispartof>The journal of maternal-fetal &amp; neonatal medicine, 2002-11, Vol.12 (5), p.313-321</ispartof><rights>2002 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c313t-9365307aa2b0835f34befca680a5390534bfe8d1ff673e3088402515e5a8569a3</citedby><cites>FETCH-LOGICAL-c313t-9365307aa2b0835f34befca680a5390534bfe8d1ff673e3088402515e5a8569a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/jmf.12.5.313.321$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/jmf.12.5.313.321$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,59646,60435,61220,61401</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12607763$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Espinoza, J.</creatorcontrib><creatorcontrib>Romero, R.</creatorcontrib><creatorcontrib>Chaiworapongsa, T.</creatorcontrib><creatorcontrib>Kim, J. C.</creatorcontrib><creatorcontrib>Yoshimatsu, J.</creatorcontrib><creatorcontrib>Edwin, S.</creatorcontrib><creatorcontrib>Rathnasabapathy, C.</creatorcontrib><creatorcontrib>Tolosa, J.</creatorcontrib><creatorcontrib>Donnenfeld, A.</creatorcontrib><creatorcontrib>Craparo, F.</creatorcontrib><creatorcontrib>Gomez, R.</creatorcontrib><creatorcontrib>Bujold, E.</creatorcontrib><title>Lipopolysaccharide-binding protein in microbial invasion of the amniotic cavity and human parturition</title><title>The journal of maternal-fetal &amp; neonatal medicine</title><addtitle>J Matern Fetal Neonatal Med</addtitle><description>Objective: Lipopolysaccharide-binding protein (LBP) is an acute-phase protein of predominantly hepatic origin, capable of binding the lipid A fraction of bacterial lipopolysaccharide (LPS). The complex LBP-LPS binds to CD14, and has been implicated in the host response to Gram-negative infection. The purpose of this study was to determine whether microbial invasion of the amniotic cavity (MIAC) and parturition (term and preterm) are associated with changes in the amniotic fluid concentration of LBP. Study design: Amniotic fluid was retrieved by amniocentesis from 343 patients in the following groups: (1) those in mid-trimester with a subsequent normal pregnancy outcome (n = 84); (2) those in mid-trimester with a fetal loss after the procedure (n = 10); (3) those with preterm labor and intact membranes without MIAC who delivered at term (n = 36) or prematurely (n = 52), and those with preterm labor with MIAC (n = 26); (4) those with preterm premature rupture of membranes (PROM) with (n = 26) and without (n = 26) MIAC; and (5) those delivering at term with intact membranes in the absence of MIAC, in labor (n = 52) and not in labor (n = 31). The concentration of LBP in amniotic fluid was determined with a specific and sensitive immunoassay. Non-parametric statistics were used. A p value of &lt; 0.05 was considered significant. Results: LBP was detected in 98% (335/343) of the amniotic fluid samples. MIAC was associated with a significant increase in amniotic fluid concentration of LBP in women with preterm labor and intact membranes, but not in preterm PROM. Spontaneous preterm parturition was associated with a significant increase in amniotic fluid concentration of LBP. Patients who had a spontaneous fetal loss after a mid-trimester amniocentesis had a significantly higher median amniotic fluid LBP concentration than those who had a mid-trimester amniocentesis and a normal perinatal outcome. 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C.</creator><creator>Yoshimatsu, J.</creator><creator>Edwin, S.</creator><creator>Rathnasabapathy, C.</creator><creator>Tolosa, J.</creator><creator>Donnenfeld, A.</creator><creator>Craparo, F.</creator><creator>Gomez, R.</creator><creator>Bujold, E.</creator><general>Informa UK Ltd</general><general>Taylor &amp; Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20021101</creationdate><title>Lipopolysaccharide-binding protein in microbial invasion of the amniotic cavity and human parturition</title><author>Espinoza, J. ; Romero, R. ; Chaiworapongsa, T. ; Kim, J. 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C.</creatorcontrib><creatorcontrib>Yoshimatsu, J.</creatorcontrib><creatorcontrib>Edwin, S.</creatorcontrib><creatorcontrib>Rathnasabapathy, C.</creatorcontrib><creatorcontrib>Tolosa, J.</creatorcontrib><creatorcontrib>Donnenfeld, A.</creatorcontrib><creatorcontrib>Craparo, F.</creatorcontrib><creatorcontrib>Gomez, R.</creatorcontrib><creatorcontrib>Bujold, E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of maternal-fetal &amp; neonatal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Espinoza, J.</au><au>Romero, R.</au><au>Chaiworapongsa, T.</au><au>Kim, J. C.</au><au>Yoshimatsu, J.</au><au>Edwin, S.</au><au>Rathnasabapathy, C.</au><au>Tolosa, J.</au><au>Donnenfeld, A.</au><au>Craparo, F.</au><au>Gomez, R.</au><au>Bujold, E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lipopolysaccharide-binding protein in microbial invasion of the amniotic cavity and human parturition</atitle><jtitle>The journal of maternal-fetal &amp; neonatal medicine</jtitle><addtitle>J Matern Fetal Neonatal Med</addtitle><date>2002-11-01</date><risdate>2002</risdate><volume>12</volume><issue>5</issue><spage>313</spage><epage>321</epage><pages>313-321</pages><issn>1476-7058</issn><eissn>1476-4954</eissn><abstract>Objective: Lipopolysaccharide-binding protein (LBP) is an acute-phase protein of predominantly hepatic origin, capable of binding the lipid A fraction of bacterial lipopolysaccharide (LPS). The complex LBP-LPS binds to CD14, and has been implicated in the host response to Gram-negative infection. The purpose of this study was to determine whether microbial invasion of the amniotic cavity (MIAC) and parturition (term and preterm) are associated with changes in the amniotic fluid concentration of LBP. Study design: Amniotic fluid was retrieved by amniocentesis from 343 patients in the following groups: (1) those in mid-trimester with a subsequent normal pregnancy outcome (n = 84); (2) those in mid-trimester with a fetal loss after the procedure (n = 10); (3) those with preterm labor and intact membranes without MIAC who delivered at term (n = 36) or prematurely (n = 52), and those with preterm labor with MIAC (n = 26); (4) those with preterm premature rupture of membranes (PROM) with (n = 26) and without (n = 26) MIAC; and (5) those delivering at term with intact membranes in the absence of MIAC, in labor (n = 52) and not in labor (n = 31). The concentration of LBP in amniotic fluid was determined with a specific and sensitive immunoassay. Non-parametric statistics were used. A p value of &lt; 0.05 was considered significant. Results: LBP was detected in 98% (335/343) of the amniotic fluid samples. MIAC was associated with a significant increase in amniotic fluid concentration of LBP in women with preterm labor and intact membranes, but not in preterm PROM. Spontaneous preterm parturition was associated with a significant increase in amniotic fluid concentration of LBP. Patients who had a spontaneous fetal loss after a mid-trimester amniocentesis had a significantly higher median amniotic fluid LBP concentration than those who had a mid-trimester amniocentesis and a normal perinatal outcome. Conclusion: Preterm labor with MIAC and preterm parturition are associated with higher amniotic fluid concentrations of LBP than those with sterile amniotic fluid.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>12607763</pmid><doi>10.1080/jmf.12.5.313.321</doi><tpages>9</tpages></addata></record>
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source MEDLINE; Taylor & Francis:Master (3349 titles)
subjects Acute-Phase Proteins
Amniocentesis
Amnion - immunology
Amnion - microbiology
AMNIOTIC FLUID
Amniotic Fluid - chemistry
Amniotic Fluid - immunology
Carrier Proteins - analysis
Carrier Proteins - immunology
CHORIOAMNIONITIS
Chorioamnionitis - immunology
Chorioamnionitis - microbiology
Cross-Sectional Studies
ENDOTOXIN
Female
Fetal Death - immunology
Fetal Membranes, Premature Rupture - immunology
Humans
LIPOPOLYSACCHARIDE-BINDING PROTEIN
Membrane Glycoproteins
Obstetric Labor, Premature - immunology
Parturition - immunology
Pregnancy
Pregnancy Complications, Infectious - immunology
PRETERM LABOR
TOLL-LIKE RECEPTOR
title Lipopolysaccharide-binding protein in microbial invasion of the amniotic cavity and human parturition
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