Characterization of an Adapted Murine Model of Intrauterine Inflammation-Induced Preterm Birth

Hannah C Zierden1, Jairo I Ortiz Ortiz2, Peter Dimitrion3

  • 1The Center for Nanomedicine, The Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Chemical and Biomolecular Engineering, Johns Hopkins University, Baltimore, Maryland.

Insights

A new double distal injection (DDI) method using lipopolysaccharide (LPS) improves preterm birth (PTB) model reproducibility. This enhanced model provides more uniform uterine exposure, aiding research into inflammation-induced PTB causes and treatments.

Area of Science:

  • Reproductive Biology
  • Immunology
  • Animal Models

Background:

  • Preterm birth (PTB) affects millions of infants annually, with infection/inflammation causing over 25% of cases.
  • Existing animal models using lipopolysaccharide (LPS) for intrauterine inflammation have limitations in reproducibility and potency.
  • Understanding inflammation-induced PTB mechanisms is crucial for developing preventative therapies.

Purpose of the Study:

  • To develop an improved mouse model for studying inflammation-induced preterm birth.
  • To enhance the reproducibility and potency of LPS-induced intrauterine inflammation.
  • To investigate the distribution and effects of LPS using different administration methods.

Main Methods:

  • A novel double distal injection (DDI) technique was developed for LPS administration, contrasting with the traditional single proximal injection (SPI).
  • In vivo imaging with Evans Blue Dye assessed the distribution uniformity of LPS.
  • Endotoxin levels in vaginal lavage fluid and gene expression in myometrial tissue were analyzed.

Main Results:

  • The DDI method demonstrated more uniform distribution of inflammatory stimulus compared to SPI.
  • DDI resulted in a more consistent induction of PTB and a linear dose-response relationship.
  • SPI led to higher endotoxin concentrations in vaginal lavage and significant overexpression of cervical remodeling genes, suggesting localized effects.

Conclusions:

  • The DDI model offers improved reproducibility and uniform uterine exposure for studying inflammation-induced PTB.
  • This enhanced model is valuable for investigating fetal outcomes and therapeutic interventions for PTB.
  • The findings highlight the importance of administration technique in LPS-induced PTB models.

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