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Expression of Toll-Like Receptor-2 and -4 in Amniochorion Membranes of Preterm Delivery in the Presence of Histologic Chorioamnionitis

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Open Journal of Obstetrics and Gynecology 2014年第14期4卷 857-863页

作者： Natália Prearo Moco Laura Fernandes Martin jossimara polettini Ana Carolina Pereira José Carlos Peracoli Márcia Guimaraes da Silva Department of Pathology Botucatu Medical School (FMB) Sao Paulo State University (UNESP) Botucatu Brazil Department of Gynecology and Obstetrics Botucatu Medical School (FMB) Sao Paulo State University (UNESP) Botucatu Brazil

Expression of Toll-like receptors at the maternal-fetal interface during normal and complicated pregnancies has aroused interest in the last few years. However, despite the importance of TLR-2 and TLR-4, which recognizes most microorganisms presenting in the amniotic cavity infections associated with prematurity, comparison of the expressions of these receptors is rare in the literature. Thus, the purpose of this study was to compare the gene expression between TLR-2 and TLR-4 in amniochorion membranes of pregnant women with preterm delivery in the presence of histologic chorioamnionitis (HCA). Amniochorion membranes were collected from 40 pregnant women with preterm delivery;20 presented HCA and 20 did not. Fragments of the membranes were submitted to total RNA extraction, followed by cDNA production by reverse transcription. Real time quantitative PCR was used to quantify the gene expression of the TLRs. mRNA concentrations between TLR-2 and TLR-4 were compared using the nonparametric Mann-Whitney test. TLR-2 expression was higher than TLR-4 expression in the presence of HCA. No difference was observed between TLR-2 and TLR-4 expression in membranes in the absence of inflammatory infiltrate. In conclusion, amniochorion membranes express TLR-2 and TLR-4 and higher TLR-2 expression in the presence of histologic chorioamnionitis suggests that microorganisms recognizable by TLR-2 play an important role in the physiopathology of preterm labor.

关键词： Preterm Labor Pregnancy Complications Innate Immunology TLR-2 TLR-4

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Human Beta Defensins 1,2 and 3 Produced by Amniochorion Membranes Is Similar in Term and Preterm Delivery

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Open Journal of Obstetrics and Gynecology 2017年第8期7卷 846-857页

作者： Nathália Mayumi Noda-Nicolau jossimara polettini Camila Marconi José Carlos Peracoli Hélio Amante Miot Márcia Guimaraes da Silva Department of Pathology Botucatu Medical School UNESP—Universidade Estadual Paulista Sao Paulo Brazil The University of Western Sao Paulo (UNOESTE) Presidente Prudente Brazil Department of Basic Pathology Setor de Ciências Biológicas UFPR—Universidade Federal do Paraná Curitiba Brazil Department of Gynecology and Obstetrics Botucatu Medical School UNESP—Universidade Estadual Paulista Sao Paulo Brazil Department of Dermatology Botucatu Medical School UNESP—Universidade Estadual Paulista Sao Paulo Brazil

Amniochorion membranes were collected from 25 pregnant women at preterm labor, in the presence or not of Preterm Premature Rupture of Membranes (PPROM) and 27 pregnant women at term in the presence at labor, in order to quantify the expression and to evaluate the immunoreactivity of human beta defensins (HBD)1, HBD2, HBD3 and HBD4 in amniochorion membranes from pregnancies complicated by spontaneous prematurity. The HBDs were evaluated by immunohistochemistry, real time quantitative PCR and ELISA. Statistical analyses were performed using Chi-squared and Mann Whitney tests. There was no significant difference in HBDs expression between study and control groups: HBD1 (Md = 0.62 (0.0 - 105.0) vs Md = 0.80 (0.02 - 25.0);p = 0.85), HBD2 (Md = 0.17 (0.0 - 5.2) vs Md = 0.0 (0.0 - 43.2);p = 0.16), HBD3 (Md = 0.11 (0.0 - 140.5) vs Md = 0.06 (0.0 - 972.1);p = 0.91). Also, HBD1, HBD2 and HBD3 protein expression was not significant different between the groups: HBD1 (1.32 pg/mL (0.0 - 1.85) vs 1.08 pg/mL (0.04 - 2.22);p = 0.67), HBD2 (0.00 pg/mL (0.0 - 1.74) vs 0.02 pg/mL (0.0 - 1.24);p = 0.69), HBD3 (0.04 pg/mL (0.0 - 1.05) vs 0.09 pg/mL (0.0 - 1.05);p = 0.63). The immunoreactivity of HBD1, HBD2 and HBD3 was observed in amnion, chorion and decidua cells from preterm and term pregnancies. Amniochorion membranes are sources of HBD1, HBD2 and HBD3 and their expressions are similar in term and preterm pregnancies.

关键词： Preterm Birth Amniochorion Membranes Human Beta Defensins

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Trichomonas vaginalis and Chlamydia trachomatis Prevalence,Incidence and Associated Factors in Pregnant Adolescents from Belém City,in the Brazilian Amazon

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Open Journal of Obstetrics and Gynecology 2015年第12期5卷 677-687页

作者： Camila Marconi Marli Teresinha Cassamassimo Duarte Márcia Guimaraes da Silva Larissa Doddi Marcolino jossimara polettini Ana Paula Goncalves Adriano Dias Marilza Vieira Cunha Rudge Basic Pathology Department UFPR—Universidade Federal do Paraná Parana Brazil UNOESTE The University of Western Sao Paulo Sao Paulo Brazil Department of Pathology Botucatu Medical School UNESP—Universidade Estadual Paulista Sao Paulo Brazil Department of Nursing Botucatu Medical School UNESP—Universidade Estadual Paulista Sao Paulo Brazil Department of Nursing Institute of Health Sciences UFPA—Universidade Federal do Pará Belém Brazil Department of Public Health Botucatu Medical School UNESP—Universidade Estadual Paulista Sao Paulo Brazil Department of Gynecology and Obstetrics Botucatu Medical School UNESP—Universidade Estadual Paulista Sao Paulo Brazil

Background: Adolescents are disproportionally affected by sexually transmitted infections (STI). Chlamydia trachomatis (CT) and Trichomonas vaginalis (TV) are the most frequent curable STI in adolescents, causing serious consequences for their reproductive health. Therefore, we aimed to determine the prevalence and incidence of CT and TV, as well as their risk factors in pregnant adolescents from Belém, northern Brazilian Amazon. Methods: This prospective study enrolled 199 adolescents up to 20 weeks of pregnancy. They were scheduled for follow-up visit between 28 and 29 weeks of pregnancy. Sociodemographic and behavioral data were obtained by interview. Cervicovaginal samples were taken to test for TV, CT, Neisseria gonorrhoeae and bacterial vaginosis. Univariate and multivariate analyses were performed to test the association of prevalent/incident CT and TV with the variables. Results: Prevalence of cervical CT infection was 33.7% (n = 67/ 199), and for trichomoniasis it was 4.0% (n = 8/199). Cervical ectopy increased the risk for prevalent CT (OR, 1.93;95% CI, 1.01 - 3.70), while having treated vaginal discharge in the past (OR, 0.51;95% CI, 0.26 - 0.98) and being married (OR, 0.10;95% CI, 0.01 - 0.83) were protective against current CT and TV, respectively. Among the 95 (47.7%) adolescents who completed follow-up, 15 cases of incident CT were identified. Incident CT was associated with having a formal or informal job (OR, 28.4;95% CI, 2.1 - 391.6) and bacterial vaginosis treatment at the baseline (OR, 0.08;95% CI, 0.01 - 0.69). Conclusion: Prevalence and incidence rates of TV and CT are high in this population devoid of STI routine screening. Treatment of bacterial vaginosis may benefit this population by reducing risk for CT acquisition.

关键词： Adolescence Pregnancy Sexually Transmitted Infection Chlamydia trachomatis Trichomonas vaginalis

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