Inflammation and Preterm Birth: A Systematic Review

Inflammatory mechanisms have a critical role in parturition, which results from a gathering of different stimuli that collectively initiate labour. In fact, a sophisticated interaction occurs between contractile and immuno-inflammatory pathways, whereby proinflammatory amplification is intensified b...

Full description

Bibliographic Details
Main Authors: Ana Luísa Areia, Anabela Mota-Pinto
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Reproductive Medicine
Subjects:
Online Access:https://www.mdpi.com/2673-3897/3/2/9
_version_ 1797482604080922624
author Ana Luísa Areia
Anabela Mota-Pinto
author_facet Ana Luísa Areia
Anabela Mota-Pinto
author_sort Ana Luísa Areia
collection DOAJ
description Inflammatory mechanisms have a critical role in parturition, which results from a gathering of different stimuli that collectively initiate labour. In fact, a sophisticated interaction occurs between contractile and immuno-inflammatory pathways, whereby proinflammatory amplification is intensified by collaborative connections between cells, ligands, and tissues. Preterm birth (PTB) is one of the major challenges of modern obstetrics and still lacks an efficient treatment. Therefore, the scientific research of modern therapies is warranted. This systematic review aims to provide an overview of recent research into inflammation and PTB. The main inclusion criterion was articles concerning birth and inflammation, and searches were performed in the electronic databases MEDLINE, Embase, Scopus, Web of Science and Cochrane Library, from 2017 to 2021. A literature search from all databases yielded 1989 results which, applying the specified eligibility criteria, resulted in the 16 articles included in this review. Delivery is the consequence of an inequity between maternal inflammation and hormonal-driven uterine quiescence. Studies show that the distinction between term and preterm labour could consist of a pre-existing disproportion of decidual inflammatory signalling, or an unusual stimulus eliciting inflammatory pathways, comparable to both. Thus, controlling inflammation could be hopeful for detaining PTB.
first_indexed 2024-03-09T22:34:47Z
format Article
id doaj.art-67e8d737e0d34a8e9d88b024e7bd255a
institution Directory Open Access Journal
issn 2673-3897
language English
last_indexed 2024-03-09T22:34:47Z
publishDate 2022-05-01
publisher MDPI AG
record_format Article
series Reproductive Medicine
spelling doaj.art-67e8d737e0d34a8e9d88b024e7bd255a2023-11-23T18:49:42ZengMDPI AGReproductive Medicine2673-38972022-05-013210111110.3390/reprodmed3020009Inflammation and Preterm Birth: A Systematic ReviewAna Luísa Areia0Anabela Mota-Pinto1Obstetrics Department, Faculty of Medicine, Centro Hospitalar e Universitário de Coimbra, 3000-076 Coimbra, PortugalFaculty of Medicine, Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra, 3004-504 Coimbra, PortugalInflammatory mechanisms have a critical role in parturition, which results from a gathering of different stimuli that collectively initiate labour. In fact, a sophisticated interaction occurs between contractile and immuno-inflammatory pathways, whereby proinflammatory amplification is intensified by collaborative connections between cells, ligands, and tissues. Preterm birth (PTB) is one of the major challenges of modern obstetrics and still lacks an efficient treatment. Therefore, the scientific research of modern therapies is warranted. This systematic review aims to provide an overview of recent research into inflammation and PTB. The main inclusion criterion was articles concerning birth and inflammation, and searches were performed in the electronic databases MEDLINE, Embase, Scopus, Web of Science and Cochrane Library, from 2017 to 2021. A literature search from all databases yielded 1989 results which, applying the specified eligibility criteria, resulted in the 16 articles included in this review. Delivery is the consequence of an inequity between maternal inflammation and hormonal-driven uterine quiescence. Studies show that the distinction between term and preterm labour could consist of a pre-existing disproportion of decidual inflammatory signalling, or an unusual stimulus eliciting inflammatory pathways, comparable to both. Thus, controlling inflammation could be hopeful for detaining PTB.https://www.mdpi.com/2673-3897/3/2/9inflammationpreterm birthpregnancylabourimmuno-inflammatory
spellingShingle Ana Luísa Areia
Anabela Mota-Pinto
Inflammation and Preterm Birth: A Systematic Review
Reproductive Medicine
inflammation
preterm birth
pregnancy
labour
immuno-inflammatory
title Inflammation and Preterm Birth: A Systematic Review
title_full Inflammation and Preterm Birth: A Systematic Review
title_fullStr Inflammation and Preterm Birth: A Systematic Review
title_full_unstemmed Inflammation and Preterm Birth: A Systematic Review
title_short Inflammation and Preterm Birth: A Systematic Review
title_sort inflammation and preterm birth a systematic review
topic inflammation
preterm birth
pregnancy
labour
immuno-inflammatory
url https://www.mdpi.com/2673-3897/3/2/9
work_keys_str_mv AT analuisaareia inflammationandpretermbirthasystematicreview
AT anabelamotapinto inflammationandpretermbirthasystematicreview