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Updated: Jun 3, 2026

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
Intermediate Signaling Mechanisms Regulating Human Fetal Membrane Responses to Gram-Positive Bacterial Peptidoglycan
Hanah M Georges1, Abigail C Fischer1, Vikki M Abrahams1
1Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, Connecticut, USA.
Problem:
Chorioamnionitis and preterm birth are leading causes of neonatal morbidity and mortality. Despite ongoing research, the signaling pathways involved in the pathogenesis of chorioamnionitis-inflammation of the fetal membranes (FM)-are not well understood. Previously, we reported that FMs utilize miR-146a-3p as an endogenously produced danger signal to sequentially activate Toll-like receptor (TLR) 8 and subsequent inflammation following lipopolysaccharide stimulation of TLR4. In this current study, following stimulation of fetal membrane explants by the TLR2 agonist peptidoglycan (PDG), we investigated sequential microRNA-activation of TLR8, intermediate signaling pathways NFκB and MAPK (p38, ERK), and their effects on inflammation and mediators of membrane weakening.
Method Of Study:
Human FMs explants were treated with or without PDG in the presence or absence of inhibitors to TLR7, TLR8, p65 NFκB, p38 MAPK, or ERK. Culture supernatants were measured for secreted factors by ELISA, tissue RNA was measured for TLR7/8-activating miRs by RT-qPCR, and tissue protein was measured for phosphorylated proteins by Western blot.
Results:
PDG-treated FMs produced elevated levels of TLR8-activating miR-146a-3p in a p65 NFκB-dependent manner. PDG-treated FMs produced elevated levels of the pro-inflammatory cytokine IL-1β, the neutrophil recruiting chemokine IL-8, and membrane weakening MMP1, MMP9, and PGE2 in a TLR8-dependent manner. Except for MMP9, this inflammatory and membrane weakening response to PDG was dependent upon p65 NFκB, p38 MAPK, and ERK signaling.
Conclusions:
This study gives new insight into the molecular mechanisms involved in FM responses to Gram-positive bacteria and into the pathogenesis of chorioamnionitis.
Insights
Gram-positive bacteria trigger inflammation and membrane weakening in fetal membranes via TLR8 and miR-146a-3p signaling. This pathway involves NFκB and MAPK, contributing to chorioamnionitis pathogenesis.
Area of Science:
- Reproductive biology
- Immunology
- Molecular signaling
Background:
- Chorioamnionitis and preterm birth are major causes of neonatal complications.
- Understanding the molecular pathways in fetal membrane inflammation is crucial.
Purpose of the Study:
- Investigate the sequential microRNA activation of Toll-like receptor 8 (TLR8) signaling.
- Elucidate the role of NFκB and MAPK pathways in response to Gram-positive bacterial stimulation.
- Determine the impact on inflammation and fetal membrane weakening.
Main Methods:
- Human fetal membrane explants were stimulated with peptidoglycan (PDG), a TLR2 agonist.
- Inhibitors for TLR7, TLR8, NFκB, p38 MAPK, and ERK were used.
- Measurements included secreted factors (ELISA), microRNAs (RT-qPCR), and protein phosphorylation (Western blot).
Main Results:
- PDG induced miR-146a-3p and subsequent TLR8 activation in a NFκB-dependent manner.
- TLR8 activation led to increased IL-1β, IL-8, MMP1, MMP9, and PGE2.
- Inflammation and membrane weakening were dependent on NFκB, p38 MAPK, and ERK signaling (except for MMP9).
Conclusions:
- This study reveals novel molecular mechanisms in fetal membrane response to Gram-positive bacteria.
- The findings provide new insights into the pathogenesis of chorioamnionitis.
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