Maternal serum granulocyte-colony stimulating factor in preterm birth with subclinical chorioamnionitis.
Preterm birth has been linked with intrauterine infection and inflammation. Serum and amniotic fluid markers of inflammation, such as interleukin-1 (IL-1), IL-6, and granulocyte-colony stimulating factor (G-CSF), have been associated with clinical chorioamnionitis and preterm delivery. As G-CSF regulates the production and maturation of neutrophils, we sought to determine if maternal serum G-CSF levels are elevated in patients with preterm birth with subclinical histologic chorioamnionitis. Maternal serum G-CSF levels were significantly different among five groups of women studied (P < .001, Kruskall-Wallis test), and were highest in subjects with preterm labor who delivered preterm (P < .05, Mann-Whitney U test). Among women with preterm labor who delivered preterm, maternal serum G-CSF levels were significantly higher if histologic chorioamnionitis was present than when histologic evidence of infection was not present (P = 0.04, Mann-Whitney U test). Intrauterine infection may cause a local inflammatory process and initiate preterm labor. This inflammatory response may include production of G-CSF, which would enter the circulation and stimulate the migration of neutrophils to the site of infection. Our data support this concept, as maternal serum G-CSF is elevated with subclinical infection in association with preterm birth.
Boggess
K A
KA
Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC 27710, USA. bogge001@mc.duke.edu
Greig
P C
PC
Murtha
A P
AP
Jimmerson
C E
CE
Herbert
W N
WN
D002821:Chorioamnionitis / Q000097:blood* / Q000276:immunology*; D005260:Female; D016179:Granulocyte Colony-Stimulating Factor / Q000097:blood*; D006801:Humans; D008431:Maternal-Fetal Exchange / Q000276:immunology*; D007752:Obstetric Labor, Premature / Q000097:blood* / Q000276:immunology*; D011247:Pregnancy
D016179:Granulocyte Colony-Stimulating Factor