BIOREGULATORY AND IMMUNOLOGICAL FEATURES OF PREMATURE LABOR

Authors

  • M. O. Scherbina Kharkiv National Medical University
  • L. V. Potapova Kharkiv National Medical University
  • O. P. Lipko Kharkiv National Medical University
  • I. M. Scherbina Kharkiv National Medical University
  • O. V. Mertsalova Kharkiv National Medical University

DOI:

https://doi.org/10.11603/24116-4944.2022.1.13250

Keywords:

premature birth, relaxin, interleukin-6

Abstract

The aim of the study – to analyze the potential correlation between the level of the hormone relaxin in the mother’s serum and the increased risk of preterm birth, as well as to study the role of cytokines, including interleukin-6 (IL-6) in the development of this pathology.

Materials and Methods. A survey of 75 pregnant women was carried out, who were divided into 3 clinical groups. The main group consisted of 30 women with preterm labor at 35–37 weeks. The comparison group consisted of 35 pregnant women with the physiological course of the first stage of labor. The control group consisted of women with the physiological course of the third trimester of pregnancy. All pregnant women underwent anamnesis collection, complete clinical and laboratory examination, immunological studies, and studies of the level of relaxin were carried out by the method of enzyme-linked immunosorbent assay. Statistical processing of the obtained results was carried out on a personal computer using the STATISTICA-6 program.

Results and Discussion. A significant increase in the content of relaxin in pregnant women with preterm labor (p <0.05) and a significant increase in the level of IL-6 in pregnant women with preterm labor and especially in physiological term labor were found. The important biological role of the studied molecular biological parameters in the complex pathogenetic mechanism of the onset of labor has been determined.

Conclusions. The onset of preterm labor associated with an increase in the concentration of relaxin and pro-inflammatory myokines, in particular IL-6. The investigated factors can become reliable immunobiological markers of predictors of preterm labor.

Author Biographies

M. O. Scherbina, Kharkiv National Medical University

MD, PhD, DSc, Professor Kharkiv National Medical University, Head of Department of Obstetrics and Gynecology №1

L. V. Potapova, Kharkiv National Medical University

MD, PhD, DSc, Professor Kharkiv National Medical University, Department of Obstetrics and Gynecology №1

O. P. Lipko, Kharkiv National Medical University

MD, PhD, DSc, Professor Kharkiv National Medical University, Department of Obstetrics and Gynecology №1

I. M. Scherbina, Kharkiv National Medical University

MD, PhD, DSc, Professor Kharkiv National Medical University, Department of Obstetrics , Gynecology and Pediatric Gynecology

O. V. Mertsalova, Kharkiv National Medical University

MD, PhD, DSc, Professor, Kharkiv National Medical University, Department of Obstetrics and Gynecology №1

References

World Health Organization. Preterm birth. Retrieved from https://www.who.int/news-room/fact-sheets/detail/preterm-birth

Skripnichenko, Iu.P., Barano, I.I., & Tokova, Z. Z. (2014). Statistics of the preterm births. Russian Journal of Human Reproduction, 4, 11 14 [in Russian].

Ventskovskii, B.M., Kaminskii, V.V., & Tatarchuk, T.F. [et al.] (2006). Rannie poteri beremennosti – novoe ponimanie gormonalnykh narusheniy [Early pregnancy loss – a new understanding of hormonal disorders]. Zdorovya Ukraini – Health of Ukraine, 8, 20-25 [in Ukrainian].

Iliodromiti, Z., & Antonakopoulos, N., & Sifakis, S. (2012). Endocrine, paracrine, and autocrine placental mediators in labor. Hormones (Athens), 11, 397-409.

Bryant-Greenwood, G.D., Yamamoto S.Y., & Lowndes, K.M. (2005). Human decidual relaxin and preterm birth. Ann. NY Acad. Sci., 1041, 338-344.

Rocha, F.G., & Slavin, T.P., & Li, D. (2013). Genetic associations of relaxin: preterm birth and premature rupture of fetal membranes. Am. J. Obstet. Gynecol., 209, 258.

Fedin, A.N., & Chistiakova, O.V., & Shpakov, A.O. (2011). Ob uchastii adenilattsiklaznogo signalnogo mekhanizma v rasslabliaiushchem deystvii relaksina i insulina na myshtsy matki i trakhey krysy i na miometriĭ cheloveka [On the participation of the adenylate cyclase signaling mechanism in the relaxing effect of relaxin and insulin on the muscles of the uterus and rat trachea and on the human myometrium]. Rossiyskiy fiziologicheskiy zhurnal im. I. M. Sechenova – Russian Journal of Physiology named after I. M. Sechenov, 7, 863-871 [in Russian].

Goldsmith, L.T, Weiss, G., & Palejwala, S. (2004). Relaxin regulation of endometrial function in the rhesus monkey. Proc. Natl. Acad. Sci. USA, 101, 4685-4689.

Bell, R.J., Sutton, B., & Eddie, L.W. (1989). Relaxin levels in ante- natal patients following in vitro fertilization. Fertil. Steril., 52 (1), 85-87.

Shpakov, A.O. (2009). Structural-functional organization of polypeptide hormones receptors containing LRR-repeats and their interaction with heterotrimeric G proteins. Cell Tissue Boil, 51 (8), 637-649.

Konopka, J.A., DeBaun, M.R., Chang, W., & Dragoo, J.L. (2016). The intra-cellular effect of relaxin on female anterior cruciate ligament cells. Am. J. Sports Med., 44, 2384-2392.

MacLennan, A.H., Nicolson, R., & Green, R.C. (1986). Serum relaxin in pregnancy Lancet, 2 (8501), 241-243.

Vogel, I., Salvig, J.D., Secher, N.J., & Uldbjerg, N. (2001). Association between raised serum relaxin levels during the eighteenth gestational week and very preterm delivery. Am. J. Obstet. Gynecol., 184 (3), 390-393.

Kosyakova, O.V., & Bespalova, O.N. (2018). Prognostic possibilities of relaxin as a marker of preterm birth. Journal of Obstetrics and Women’s Diseases, 67 (2), 16-25.

Vogel, I., Thorsen, P., Hundborg, H.H., & Uldbjerg, N. (2006). Prediction of preterm delivery using changes in serum relaxin in low risk pregnancies. Eur. J. Obstet. Gynecol. Reprod. Biol., 128, 113-118.

Wakabayashi, A., Sowada, K., Nokayama, M., Toda, A., Kimoto, A., & Mabushi, S. et al. (2013). Targetin interleukin receptor inhibits preterm delivery induced by inflammation. Mol. Hum. Reprod., 9 (11), 718-726.

Shcherbakov, V.I., & Eremeeva, L.I. (2008). Preterm delivery and new strategies of their correction. Siberian scientific medical journal, 28 (3), 38-44.

Keelan, J.A., Blumenstein, M., Helliwell, R.J. (2003). Cytokines, prostaglandins and parturition – a review. Placenta, 24, 33-46.

Gomez-Lopez, N., Laresgoiti-Servitje, E., Olson, D.M., Estrada-Gutierrez, G., & Vadillo-Ortega, F. (2010). The role of chemokine in term and premature rupture of fetal membranes: a review. Biol. Reprod., 82 (5), 809-814.

Published

2022-10-19

How to Cite

Scherbina, M. O., Potapova, L. V., Lipko, O. P., Scherbina, I. M., & Mertsalova, O. V. (2022). BIOREGULATORY AND IMMUNOLOGICAL FEATURES OF PREMATURE LABOR. Actual Problems of Pediatrics, Obstetrics and Gynecology, (1), 48–51. https://doi.org/10.11603/24116-4944.2022.1.13250

Issue

Section

OBSTETRICS AND GYNECOLOGY