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The role of inflammation and infection in preterm birth
Jamie A Bastek1, Luis M Gómez, Michal A Elovitz
1Maternal and Child Health Research Program, Philadelphia, PA, USA.
Insights
Inflammation and infection are key causes of preterm birth. Further research into the pathogenesis of preterm birth and inflammation
Area of Science:
- Reproductive biology
- Neonatal health
- Immunology
Background:
- Inflammation and infection are increasingly recognized as primary drivers of preterm birth.
- Decades of research highlight their significant role in adverse pregnancy outcomes.
Purpose of the Study:
- To explore existing epidemiologic, clinical, and animal data supporting inflammation and infection as causes of preterm birth.
- To review proposed mechanisms for mitigating prematurity's adverse effects.
Main Methods:
- Review of epidemiologic data.
- Analysis of clinical findings.
- Examination of animal model studies.
Main Results:
- Data supports the paradigm of inflammation and infection as causal mechanisms for preterm birth.
- Proposed mitigation strategies are discussed.
Conclusions:
- Elucidating the full pathogenesis of preterm birth, including the role of inflammation in parturition and fetal/neonatal injury, is crucial.
- Successful interventions for prematurity depend on a complete understanding of these processes.
Abstract:
Much emphasis in recent decades has been devoted to inflammation and infection as a premier causal mechanism of preterm birth. This article explores the epidemiologic, clinical, and animal data that exist to support this conceptual paradigm as well as proposed mechanisms through which to potentially mitigate the adversity of prematurity. Truly successful interventions are not likely to occur until the pathogenesis of preterm birth and the role of inflammation in causing not only parturition but also fetal and neonatal injury is fully elucidated.
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