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Updated: Aug 30, 2026

A Murine Model of Fetal Exposure to Maternal Inflammation to Study the Effects of Acute Chorioamnionitis on Newborn Intestinal Development
Published on: June 24, 2020
Placental infection with Chlamydia pneumoniae and intrauterine growth restriction
Christina Baboonian1, David A Smith, David Shapland
1Department of Cardiological Sciences, St. George's Hospital Medical School, Cranmer Terrace, London, SW17 0RE, UK.
Insights
Chlamydia pneumoniae DNA was found in placental tissue, but its presence did not correlate with intrauterine growth restriction (IUGR) or low birth weight. This suggests C. pneumoniae infection is unlikely to cause IUGR.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Cardiovascular Health
Background:
- Low birth weight infants have an increased risk of adult coronary artery disease (CAD).
- Chlamydia pneumoniae (C. pneumoniae) is implicated in CAD.
- The association between C. pneumoniae and intrauterine growth restriction (IUGR) has not been studied.
Purpose of the Study:
- To determine if C. pneumoniae DNA is present in placental tissue.
- To investigate the association between C. pneumoniae detection and IUGR.
Main Methods:
- Nested polymerase chain reaction (PCR) was used to detect C. pneumoniae DNA in placental tissue from 59 pregnant women (32 controls, 27 with IUGR).
- Maternal blood samples were tested for C. pneumoniae IgG antibodies using microimmunofluorescence.
- IUGR was defined as a fetal abdominal circumference less than 2 standard deviations from the mean.
Main Results:
- C. pneumoniae DNA was detected in 44% of placental tissues.
- No significant difference in C. pneumoniae DNA prevalence was found between control and IUGR groups (P=0.58).
- Maternal C. pneumoniae seropositivity rates were similar in both groups (78% vs. 70%, P=0.44).
Conclusions:
- C. pneumoniae DNA is present in placental tissue.
- The presence of C. pneumoniae in placental tissue does not correlate with IUGR.
- Maternal C. pneumoniae seropositivity is not linked to low birth weight, suggesting it's not a primary cause of IUGR.
Background:
The concept that low birth weight infants are more predisposed to coronary artery disease (CAD) in adulthood has been studied extensively. Although many infectious agents have been associated with intrauterine growth restriction (IUGR), Chlamydia pneumoniae an organism implicated in CAD has not been investigated. It was our aim to assess whether C. pneumoniae DNA is present in placental tissue and whether its detection is associated with IUGR.
Methods:
Fifty-nine pregnant women were studied: 32 women had an uncomplicated pregnancy with no antenatal or post-natal evidence of IUGR. Twenty-seven women had pregnancies with ultrasonographically demonstrated IUGR, defined as foetal abdominal circumference measuring less than 2 S.D.s from the mean for gestational age. At the time of delivery, maternal blood and placental tissue samples were obtained. Placental samples were taken from four sites centrally and peripherally on the maternal and foetal side of the placentas and tested by nested polymerase chain reaction for C. pneumoniae DNA. IgG antibodies to C. pneumoniae were measured using microimmunfluorescence.
Results:
C. pneumoniae DNA was detected in 44% of the placental tissue but there was no difference in the prevalence of bacterial DNA between the control and the low birth weight group (P=0.58). Additionally C. pneumoniae seropositivity did not differ between the index and control groups (78 vs. 70%, P=0.44).
Conclusions:
C. pneumoniae is present in placental tissue. Its presence however does not correlate with IUGR. Similarly, maternal C. pneumoniae seropositivity is not related to low birth weight. Thus C. pneumoniae infection is unlikely to play a role in the pathogenesis of IUGR.
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