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Published on: October 10, 2025
Association of interleukin-13/-4 and toll-like receptor 10 with preterm births
Andrea Heinzmann1, Beena Mailaparambil, Nadja Mingirulli
1Centre for Pediatrics and Adolescent Medicine, University of Freiburg, Freiburg, Germany. andrea.heinzmann@uniklinik-freiburg.de
Insights
Genetic factors like interleukin (IL)-13/IL-4 and Toll-like receptor (TLR)-10 haplotypes may predispose to preterm birth (PTB). Further research into these genetic links could reveal new prevention strategies for PTB.
Area of Science:
- Genetics
- Neonatal Medicine
- Immunology
Background:
- Preterm birth (PTB) is a significant cause of neonatal morbidity.
- The etiology of PTB is multifactorial, involving complex interactions between maternal and fetal genetic and environmental factors.
- Identifying genetic predispositions is crucial for understanding PTB risk.
Purpose of the Study:
- To identify fetal genes associated with an increased risk of preterm birth (PTB) in the German population.
- To investigate the role of specific genetic polymorphisms and haplotypes in PTB susceptibility.
- To explore potential genetic targets for PTB prevention.
Main Methods:
- Screening of 31 polymorphisms in 15 genes among 121 preterm infants and 270 controls.
- Genotyping using restriction fragment length polymorphism (RFLP).
- Statistical analysis employing Armitage's trend test and haplotype analysis with FAMHAP.
Main Results:
- No single polymorphism was significantly associated with PTB.
- Haplotypes of interleukin (IL)-13/IL-4 and Toll-like receptor (TLR)-10 showed significant association with PTB (p = 0.0001 and p = 0.0011, respectively).
- Association findings were confirmed in an extended cohort, and a weak association for one IL-13 polymorphism was observed (p = 0.031).
Conclusions:
- Interleukin (IL)-13/IL-4 and Toll-like receptor (TLR)-10 genetic variants may play a role in the pathophysiology of preterm birth (PTB).
- Dissecting the genetic underpinnings of PTB is essential for a comprehensive understanding of its development.
- Identifying genetic factors could lead to novel therapeutic targets for PTB prevention.
Background:
Preterm birth (PTB) is accompanied by an increased neonatal morbidity. The cause of PTB is multifactorial and the interplay between environmental and genetic factors - of mothers and newborns - determines the risk.
Objectives:
We were interested to identify fetal genes predisposing to PTB in the German population.
Methods:
We started our study by screening 31 polymorphisms within 15 genes of 121 preterm infants born below 32 gestational weeks and 270 healthy controls. Genotyping was performed by restriction fragment length polymorphism. Statistical analyses used Armitage's trend test for single polymorphisms and FAMHAP for calculation of haplotypes.
Results:
No single polymorphism showed association with PTB; however, haplotypes of interleukin (IL)-13/IL-4 and Toll-like receptor (TLR)-10 were associated (p = 0.0001 and p = 0.0011, respectively). The association was further confirmed in an extended population of a total of 164 preterm infants. Furthermore, one polymorphism in IL-13 showed a weak association with PTB in this population (p = 0.031). Finally, we analyzed whether the cause of PTB, i.e. medically indicated cesarean section versus spontaneous PTB, affects association results and found evidence in favor of a separate analysis of both groups.
Conclusions:
IL-13/IL-4 and TLR-10 might be involved in the genetics of PTB. The dissection of the genetic background may provide a deeper understanding of the pathophysiology of PTB and help to identify new drug targets for its prevention.
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