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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
The Human Ureaplasma Species as Causative Agents of Chorioamnionitis
Emma L Sweeney1, Samantha J Dando2, Suhas G Kallapur3
1Institute of Health and Biomedical Innovation, Faculty of Health, School of Biomedical Sciences, Queensland University of Technology, Brisbane, Queensland, Australia.
Abstract:
The human Ureaplasma species are the most frequently isolated microorganisms from the amniotic fluid and placentae of women who deliver preterm and are also associated with spontaneous abortions or miscarriages, neonatal respiratory diseases, and chorioamnionitis. Despite the fact that these microorganisms have been habitually found within placentae of pregnancies with chorioamnionitis, the role of Ureaplasma species as a causative agent has not been satisfactorily explained. There is also controversy surrounding their role in disease, particularly as not all women infected with Ureaplasma spp. develop chorioamnionitis. In this review, we provide evidence that Ureaplasma spp. are associated with diseases of pregnancy and discuss recent findings which demonstrate that Ureaplasma spp. are associated with chorioamnionitis, regardless of gestational age at the time of delivery. Here, we also discuss the proposed major virulence factors of Ureaplasma spp., with a focus on the multiple-banded antigen (MBA), which may facilitate modulation/alteration of the host immune response and potentially explain why only subpopulations of infected women experience adverse pregnancy outcomes. The information presented within this review confirms that Ureaplasma spp. are not simply "innocent bystanders" in disease and highlights that these microorganisms are an often underestimated pathogen of pregnancy.
Insights
Ureaplasma species, often found in pregnancy complications, are confirmed pathogens, not bystanders. Their virulence factors, like MBA, may explain why only some infected women experience adverse outcomes such such as preterm birth.
Area of Science:
- Obstetrics and Gynecology
- Microbiology
- Immunology
Background:
- Ureaplasma species are frequently isolated from amniotic fluid and placentae in preterm deliveries.
- Their causative role in pregnancy diseases like chorioamnionitis remains debated, as not all infected women develop complications.
Purpose of the Study:
- To review evidence associating Ureaplasma species with adverse pregnancy outcomes.
- To discuss Ureaplasma virulence factors, particularly the multiple-banded antigen (MBA), and their role in disease pathogenesis.
Main Methods:
- Literature review of studies on Ureaplasma species in pregnancy.
- Analysis of proposed virulence factors and their impact on host immune response.
Main Results:
- Ureaplasma species are consistently associated with chorioamnionitis across all gestational ages.
- The multiple-banded antigen (MBA) is a key factor potentially modulating host immunity.
Conclusions:
- Ureaplasma species are significant pathogens in pregnancy, not merely "innocent bystanders".
- Understanding virulence factors like MBA is crucial for explaining differential susceptibility to adverse pregnancy outcomes.
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