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.

Clinics in Perinatology
|September 6, 2011
PubMed

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.

Related Concept Videos

Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
Bacterial Meningitis II: Pathophysiology01:26

Bacterial Meningitis II: Pathophysiology

Bacterial meningitis typically begins when pathogens such as Neisseria meningitidis and Streptococcus pneumoniae colonize the nasopharynx and invade the bloodstream. This process is facilitated by bacterial virulence factors, such as polysaccharide capsules, which resist phagocytosis and complement-mediated killing. Less commonly, bacteria reach the central nervous system via contiguous spread from infections like otitis media or sinusitis, through congenital or acquired dural defects, or...
Infection01:20

Infection

When a pathogen enters the body and reproduces, it can cause an infection, damage body cells, and cause illness symptoms that eventually lead to disease. Therefore, its prevention requires breaking the chain of infection.
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
Acute Inflammation III: Local and Systemic Effects01:25

Acute Inflammation III: Local and Systemic Effects

Acute inflammation produces a coordinated set of local and systemic changes that limit injury, eliminate pathogens, and initiate repair. These responses arise within minutes of infection, trauma, or chemical insult and are driven by vascular alterations and leukocyte-derived mediators. When the stimulus resolves, the reaction typically abates within days.Local EffectsAt the site of injury, arteriolar vasodilation increases blood flow, resulting in redness and warmth. Simultaneously, increased...
Inflammation: Introduction01:28

Inflammation: Introduction

Inflammation is a fundamental, protective biological response of vascularized tissues to cellular injury, infection, or harmful stimuli. Its primary function is to eliminate the initial cause of injury, clear necrotic cells and damaged tissue, and initiate the necessary repair processes.Cardinal SignsAcute inflammation presents with classic signs. Redness results from vasodilation and increased blood flow. Heat is due to increased metabolism and circulation. Swelling results from the...
Inflammatory Response I: Vascular and Cellular01:30

Inflammatory Response I: Vascular and Cellular

The inflammatory response is the body's defense against infection, injury, or irritation from bacteria, trauma, toxins, or heat. Inflammation helps locate and destroy pathogens and remove damaged tissue elements to heal the body. During this initial phase, fluid, blood products, and nutrients migrate to the injured area, resulting in redness, heat, swelling, ache, and loss of function. Moreover, signs of systemic inflammation include fever, increased WBC count, malaise, anorexia, nausea,...