2020
DOI: 10.1016/j.placenta.2019.10.003
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Granulocyte macrophage colony stimulating factor (GM-CSF), the critical intermediate of inflammation-induced fetal membrane weakening, primarily exerts its weakening effect on the choriodecidua rather than the amnion

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Cited by 9 publications
(11 citation statements)
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“…Several models of inflammation have been utilized to examine the effect of ALA on the expression levels of MMP-1, MMP-2, MMP-8, and TIMP [ 72 , 73 ]. ALA’s anti-inflammatory and antioxidant effects in inflammation models have revealed that the protective effect is produced by lowering MMP-1, MMP-2, and MMP-8 expression while enhancing TIMP-1 activity [ 74 , 75 ]. Several of the 26 recognized MMPs have been extensively studied in inflammatory diseases and cancer.…”
Section: Discussionmentioning
confidence: 99%
“…Several models of inflammation have been utilized to examine the effect of ALA on the expression levels of MMP-1, MMP-2, MMP-8, and TIMP [ 72 , 73 ]. ALA’s anti-inflammatory and antioxidant effects in inflammation models have revealed that the protective effect is produced by lowering MMP-1, MMP-2, and MMP-8 expression while enhancing TIMP-1 activity [ 74 , 75 ]. Several of the 26 recognized MMPs have been extensively studied in inflammatory diseases and cancer.…”
Section: Discussionmentioning
confidence: 99%
“…Use of activated or resting Mφ-conditioned media on CTBs of the fetal membranes induced changes in gene expression in leukocyte trafficking, adhesion, and cytokinerelated genes, all of which was independent of changes to DNA methylation and thus likely not due to epigenetic regulation [95]. Recently, experiments performed on separated choriodecidua and amnion found that conditioned medium generated from choriodecidua treated with GM-CSF induced weakening of the amnion while treatment of the amnion with GM-CSF alone did not, suggesting that factors secreted from GM-CSF-stimulated choriodecidua result in weakening of the amnion [69]. Similar experiments performed on separated choriodecidua and amnion found that conditioned medium generated from choriodecidua containing IL-1α and β induced production of human beta defensin 2 from amnion [96].…”
Section: Methods To Study Paracrine Signaling In Fetal Membranesmentioning
confidence: 99%
“…Growth factors play important roles in regulation of fetal size and communication between layers during PPROM, and can be stored in regions of ECM, which would likely be released upon degradation of ECM [11] and in response to cellular senescence signals [68]. Key growth factors within the fetal membranes include granulocyte-M colony stimulating factor (GM-CSF) [64,69] (partially responsible for membrane weakening targeting the choriodecidua), vascular endothelial growth factor [70] (having a large role in regulation of amniotic fluid volume), and insulin-like growth factor (implicated in amnion epithelium proliferation [71] and associated with PPROM [72]).…”
Section: Pattern Recognition Receptors (Prrs)mentioning
confidence: 99%
“…Additional in vitro studies have also shown GM-CSF increases the concentration of matrix metallopeptidases (MMPs) and decreases their inhibitors, tissue inhibitor metallopeptidases (TIMPs). 14 MMPs, enzymes which have been shown to weaken the fetal membranes, are elevated in the amniotic fluid and fetal serum with preterm premature rupture of membranes (PPROM), while their inhibitors, TIMPs, are decreased. 15,16 Therefore, GM-CSF plays a central role in amniotic membrane rupture by increasing the ratio of MMPs to TIMPs.…”
Section: Backg Rou N Dmentioning
confidence: 99%
“…Treatment with TNF and an antibody to GM‐CSF prevented this effect, indicating GM‐CSF is a key intermediate in membrane weakening. Additional in vitro studies have also shown GM‐CSF increases the concentration of matrix metallopeptidases (MMPs) and decreases their inhibitors, tissue inhibitor metallopeptidases (TIMPs) 14 . MMPs, enzymes which have been shown to weaken the fetal membranes, are elevated in the amniotic fluid and fetal serum with preterm premature rupture of membranes (PPROM), while their inhibitors, TIMPs, are decreased 15,16 .…”
Section: Introductionmentioning
confidence: 99%