Fetal and maternal NLRP3 signaling is required for preterm labor and birth

Preterm birth is the leading cause of neonatal morbidity and mortality worldwide. One of every 4 preterm neonates is born to a mother with intra-amniotic inflammation driven by invading bacteria. However, the molecular mechanisms underlying this hostile immune response remain unclear. Here, we used...

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Main Authors: Kenichiro Motomura, Roberto Romero, Jose Galaz, Li Tao, Valeria Garcia-Flores, Yi Xu, Bogdan Done, Marcia Arenas-Hernandez, Derek Miller, Pedro Gutierrez-Contreras, Marcelo Farias-Jofre, Siddhesh Aras, Lawrence I. Grossman, Adi L. Tarca, Nardhy Gomez-Lopez
Format: Article
Language:English
Published: American Society for Clinical investigation 2022-08-01
Series:JCI Insight
Subjects:
Online Access:https://doi.org/10.1172/jci.insight.158238
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author Kenichiro Motomura
Roberto Romero
Jose Galaz
Li Tao
Valeria Garcia-Flores
Yi Xu
Bogdan Done
Marcia Arenas-Hernandez
Derek Miller
Pedro Gutierrez-Contreras
Marcelo Farias-Jofre
Siddhesh Aras
Lawrence I. Grossman
Adi L. Tarca
Nardhy Gomez-Lopez
author_facet Kenichiro Motomura
Roberto Romero
Jose Galaz
Li Tao
Valeria Garcia-Flores
Yi Xu
Bogdan Done
Marcia Arenas-Hernandez
Derek Miller
Pedro Gutierrez-Contreras
Marcelo Farias-Jofre
Siddhesh Aras
Lawrence I. Grossman
Adi L. Tarca
Nardhy Gomez-Lopez
author_sort Kenichiro Motomura
collection DOAJ
description Preterm birth is the leading cause of neonatal morbidity and mortality worldwide. One of every 4 preterm neonates is born to a mother with intra-amniotic inflammation driven by invading bacteria. However, the molecular mechanisms underlying this hostile immune response remain unclear. Here, we used a translationally relevant model of preterm birth in Nlrp3-deficient and -sufficient pregnant mice to identify what we believe is a previously unknown dual role for the NLRP3 pathway in the fetal and maternal signaling required for the premature onset of the labor cascade leading to fetal injury and neonatal death. Specifically, the NLRP3 sensor molecule and/or inflammasome is essential for triggering intra-amniotic and decidual inflammation, fetal membrane activation, uterine contractility, and cervical dilation. NLRP3 also regulates the functional status of neutrophils and macrophages in the uterus and decidua, without altering their influx, as well as maternal systemic inflammation. Finally, both embryo transfer experimentation and heterozygous mating systems provided mechanistic evidence showing that NLRP3 signaling in both the fetus and the mother is required for the premature activation of the labor cascade. These data provide insights into the mechanisms of fetal-maternal dialog in the syndrome of preterm labor and indicate that targeting the NLRP3 pathway could prevent adverse perinatal outcomes.
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spelling doaj.art-1adab97a357348e29510437ecaef7b912023-11-07T16:24:28ZengAmerican Society for Clinical investigationJCI Insight2379-37082022-08-01716Fetal and maternal NLRP3 signaling is required for preterm labor and birthKenichiro MotomuraRoberto RomeroJose GalazLi TaoValeria Garcia-FloresYi XuBogdan DoneMarcia Arenas-HernandezDerek MillerPedro Gutierrez-ContrerasMarcelo Farias-JofreSiddhesh ArasLawrence I. GrossmanAdi L. TarcaNardhy Gomez-LopezPreterm birth is the leading cause of neonatal morbidity and mortality worldwide. One of every 4 preterm neonates is born to a mother with intra-amniotic inflammation driven by invading bacteria. However, the molecular mechanisms underlying this hostile immune response remain unclear. Here, we used a translationally relevant model of preterm birth in Nlrp3-deficient and -sufficient pregnant mice to identify what we believe is a previously unknown dual role for the NLRP3 pathway in the fetal and maternal signaling required for the premature onset of the labor cascade leading to fetal injury and neonatal death. Specifically, the NLRP3 sensor molecule and/or inflammasome is essential for triggering intra-amniotic and decidual inflammation, fetal membrane activation, uterine contractility, and cervical dilation. NLRP3 also regulates the functional status of neutrophils and macrophages in the uterus and decidua, without altering their influx, as well as maternal systemic inflammation. Finally, both embryo transfer experimentation and heterozygous mating systems provided mechanistic evidence showing that NLRP3 signaling in both the fetus and the mother is required for the premature activation of the labor cascade. These data provide insights into the mechanisms of fetal-maternal dialog in the syndrome of preterm labor and indicate that targeting the NLRP3 pathway could prevent adverse perinatal outcomes.https://doi.org/10.1172/jci.insight.158238ImmunologyReproductive biology
spellingShingle Kenichiro Motomura
Roberto Romero
Jose Galaz
Li Tao
Valeria Garcia-Flores
Yi Xu
Bogdan Done
Marcia Arenas-Hernandez
Derek Miller
Pedro Gutierrez-Contreras
Marcelo Farias-Jofre
Siddhesh Aras
Lawrence I. Grossman
Adi L. Tarca
Nardhy Gomez-Lopez
Fetal and maternal NLRP3 signaling is required for preterm labor and birth
JCI Insight
Immunology
Reproductive biology
title Fetal and maternal NLRP3 signaling is required for preterm labor and birth
title_full Fetal and maternal NLRP3 signaling is required for preterm labor and birth
title_fullStr Fetal and maternal NLRP3 signaling is required for preterm labor and birth
title_full_unstemmed Fetal and maternal NLRP3 signaling is required for preterm labor and birth
title_short Fetal and maternal NLRP3 signaling is required for preterm labor and birth
title_sort fetal and maternal nlrp3 signaling is required for preterm labor and birth
topic Immunology
Reproductive biology
url https://doi.org/10.1172/jci.insight.158238
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