Preterm labor and chorioamnionitis are associated with neonatal T cell activation.

Preterm labor and chorioamnionitis are associated with neonatal T cell activation.
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DOI:
10.1371/journal.pone.0016698
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发表时间:
2011-02-08
期刊:
影响因子:
3.7
通讯作者:
Bernstein HB
Bernstein HB
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Luciano AA;Yu H;Jackson LW;Wolfe LA;Bernstein HB

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Preterm parturition is characterized by innate immune activation and increased proinflammatory cytokine levels. This well established association leads us to hypothesize that preterm delivery is also associated with neonatal T lymphocyte activation and maturation. Cord blood samples were obtained following term, preterm, and deliveries complicated by clinical chorioamnionitis. Activation marker expression was quantitated by flow cytometric analysis. Infants born following preterm delivery demonstrated enhanced CD4+ T lymphocyte activation, as determined by CD25 (Term 9.72% vs. Preterm 17.67%, p = 0.0001), HLA-DR (Term 0.91% vs. Preterm 1.92%, p = 0.0012), and CD69 expression (Term 0.38% vs. Preterm 1.20%, p = 0.0003). Neonates delivered following clinical chorioamnionitis also demonstrated increased T cell activation. Preterm neonates had an increased frequency of CD45RO+ T cells. Preterm parturition is associated with neonatal CD4+ T cell activation, and an increased frequency of CD45RO+ T cells. These findings support the concept that activation of the fetal adaptive immune system in utero is closely associated with preterm labor.
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