2004, Number 3
<< Back Next >>
Perinatol Reprod Hum 2004; 18 (3)
Desarrollo de un modelo experimental para la caracterización de la respuesta funcional del corioamnios humano
Zaga-Clavellina CV, López-Vancell R, Maida-Claros R, Beltrán-Montoya J, Vadillo-Ortega F
Language: Spanish
References: 22
Page: 162-171
PDF size: 312.37 Kb.
ABSTRACT
Objective: This study was designed to validate and characterize a culture model of human choriamniotic membranes (HCM) that keeps their viability, integrity and capacity to reproduce a response to several stimulus associated to an infectious process, as the tissue that separates the fetal and maternal compartment.
Material and methods: We use HCM obtained after delivery by elective cesarean section. Women with 37-40 weeks of gestation without evidence of active labor or presence of clinical an microbiological signs of intrauterine/vaginal infection. The membranes were mounted in transwell devices, allowing testing two independent compartments (chorion and amnion) by physically separating the upper and lower chambers. 500 ng/mL of lipopolysaccharide was added to amniotic or chorionic surface and secretions of TNFα was measured in both compartments by specific enzyme-linked immunosorbent assays and Metalloproteinase-9 (MMP-9) secretions after stimulation with 5 ng/mL of IL-1β.
Results: The viability test showed that the different cellular populations of the HCM keep their metabolic viability along 96 h of culture. The integrity parameters showed that the stay without morphologic and structural changes. Functional markers showed that membranes responded differentially to IL-1β stimulus; production of MMP-9 in chorion reached its maximum value at 4 h, while amnion reached it at 24 h. The selective stimulation of chorioamnion with lipopolysaccharide induced a differential synthesis of TNFα; the chorion was the principal producer with approximately 60% of total TNFα.
Conclusions: The experimental model allows to study qualitatively and quantitatively the contribution of different cellular regions of the HCM, and its response to differential stimulation with immunologic agents.
REFERENCES
Parry S, Strauss JF. Premature rupture of the fetal membranes. N Engl J Med 1998; 338: 663-8.
Bryant-Greenwood Gd. The extracellular matrix of the human fetal membranes: Structure and function. Placenta 1998; 19: 1-11.
Narcio-Reyes ML, Polo E, Tejero E, López S, Casanueva E. Etiología y sintomatología de la infección cervicovaginal en pacientes embarazadas y su relación con la incidencia de la ruptura prematura de membranas. Perinatol Reprod Hum 1994; 8: 207-11.
Shubert PJ, Diss E, Iams JD. Etiology of preterm premature rupture of membranes. Obstet Gynecol Clin North Am 1992; 19: 251-63.
Keelan JA, Coleman M, Mitchel MD. The molecular mechanisms of term and preterm labor: recent progress and clinical implications. Clin Obstet Gynecol 1997; 40: 460-78.
Mercer BM. Preterm premature rupture of the membranes: etiology and implications for treatment. Prenat Neonat Med 1998; 3: 91-7.
Woods JR. Reactive oxygen species and preterm premature rupture of membranes. A Review. Placenta 2001; 15(Suppl A): S38-S34.
Asrat T. Intra-amniotic infection in patients with preterm prelabor rupture of membranes. Pathophysiology, detection, and management. Clinic Perinatol 2001; 28: 735-51.
Romero R, Mazor M, Wu YK, Sirtori M, Oyarzun E, Mitchell MD, Hobbins JC. Infection in the pathogenesis of preterm labor. Sem Perinatol 1988; 12: 262-79.
Mitchel MD, Branch DW, Lundin-Schiller S, Romero RJ, Dynes RA, Dudley DJ. Immunologic aspects of preterm labor. Sem Perinat 1991; 15: 210-24.
Goldenberg RL, Andrews WW, Hauth JC. Markers of preterm birth. Prenat Neonat Med 1998; 3: 43-6.
Fortunato SJ, Menon R, Lombardi SJ. Collagenolytic encimes (gelatinases) and their inhibitors in human amniochorionic membrane. Am J Obstet Gynecol 1997; 177: 731-41.
Maymon E, Romero R, Pacora P, Gervasi MT, Gomez R, Edwin SS, Yoon BH. Evidence of in vivo differential bioavailability of the active forms of matrix metalloproteinases 9 and 2 in parturition, spontaneous rupture of membranes, and intra-amniotic infection. Am J Obstet Gynecol 2000; 183: 887-94.
Gerlier D, Thomasset N. Use of MTT colorimetric assay to measure cell activation. J Immunol Methods 1986; 94: 57-63.
López-Vancell R, Montfort I, Pérez-Tamayo R. Galactose-specific adhesin and cytotoxycity of Entamoeba histolytica. Parasito Res 2000; 86: 226-31.
Mitchell DM, Trautman MS, Dudley DJ. Cytokine networking in the placenta. Placenta 1993; 14: 249-75.
Menon R, Swan KF, Lyden TW, Rote NS, Fortunato SJ. Expression of inflammatory cytokines (interleukin-1β and interleukin 6) in amniochorionic membranes. Am J Obstet Gynecol 1995; 172: 493-500.
Dudlye DJ, Edwin SS, Dangerfield A, Van Waggoner J, Mitchell MD. Regulation of cultured human chorion cell chemokine production by group B streptococci and purified bacterial products. Am J Reprod Immunol 1996; 36: 264-8.
Reisenberger K, Egarter C, Knöfler M, Schiebel I, Gregor H, Hirschl AM, Heinza G, Husslein P. Cytokine and prostaglandin production by amnion cells in response to the addition of different bacteria. Am J Obstet Gynecol 1998; 178: 50-3.
Kent ASH, Sullivan MHF, Elder MG. Transfer of cytokines through human fetal membranes. J Reprod Fertil 1994; 110: 81-4.
Steimer B, Elder MG, Visón S, Opri F, Weitzel HK, Sullivan MHF. Transfer of interleukin-8 through human fetal membranes in vitro. Med Sci Res 1998; 26: 63-6.
Rajasingam D, Bennett R, Alvi SA, Elder MG, Sullivan MHF. Stimulation of prostaglandin production from intact human fetal membranes by bacteria and bacterial products. Placenta 1998; 19: 301-6.