期刊
IMMUNOLOGICAL REVIEWS
卷 308, 期 1, 页码 149-167出版社
WILEY
DOI: 10.1111/imr.13075
关键词
aging; amniochorion; choriodecidua; EMT; exosomes; inflammation; premature rupture of the membranes; preterm birth; senescence; signaling
类别
资金
- NIH/NICHD [1R01HD100729]
This review discusses the disturbances of fetal membrane cells in response to endogenous and exogenous factors during labor and preterm birth, and the generation of inflammatory signals and immune imbalances. Additionally, the fetal inflammatory response is highlighted as an additional mediator of parturition.
Human parturition at term and preterm is an inflammatory process synchronously executed by both fetomaternal tissues to transition them from a quiescent state t an active state of labor to ensure delivery. The initiators of the inflammatory signaling mechanism can be both maternal and fetal. The placental (fetal)-maternal immune and endocrine mediated homeostatic imbalances and inflammation are well reported. However, the fetal inflammatory response (FIR) theories initiated by the fetal membranes (amniochorion) at the choriodecidual interface are not well established. Although immune cell migration, activation, and production of proparturition cytokines to the fetal membranes are reported, cellular level events that can generate a unique set of inflammation are not well discussed. This review discusses derangements to fetal membrane cells (physiologically and pathologically at term and preterm, respectively) in response to both endogenous and exogenous factors to generate inflammatory signals. In addition, the mechanisms of inflammatory signal propagation (fetal signaling of parturition) and how these signals cause immune imbalances at the choriodecidual interface are discussed. In addition to maternal inflammation, this review projects FIR as an additional mediator of inflammatory overload required to promote parturition.
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