Abstract
Serum levels of IL-1beta, IL-6 and TNF-alpha were measured in 48 healthy, termed neonates on the 1st (N1), 5th (N5) and 40th (N40) day after birth, compared with those in maternal serum (MS), umbilical cord (UC) and adult controls. Cytokine values in N1 and N5 were significantly elevated, than those in UC and in controls (P<0.0001). IL-1beta and IL-6 declined significantly from N1 to N40 (P<0.0001), while TNF-alpha increased significantly from N1 to N5 and declined thereafter. MS infinity IL-1beta and IL-6, but not MS infinity TNF-alpha, were significantly higher than those of controls (P<0.0001). IL-1beta values depended on the mode of delivery. In conclusion, the increased concentrations of IL-1beta, IL-6 and TNF-alpha during the perinatal period might suggest their involvement in an inflammation-like process during normal parturition, and reflect also a newborn immune response to the stress of delivery and environmental changes.
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- Arntzen K. J., Lien E., Austgulen R. Maternal serum levels of interleukin-6 and clinical characteristics of normal delivery at term. Acta Obstet Gynecol Scand. 1997 Jan;76(1):55–60. doi: 10.3109/00016349709047785. [DOI] [PubMed] [Google Scholar]
- Austgulen R., Lien E., Liabakk N. B., Jacobsen G., Arntzen K. J. Increased levels of cytokines and cytokine activity modifiers in normal pregnancy. Eur J Obstet Gynecol Reprod Biol. 1994 Dec;57(3):149–155. doi: 10.1016/0028-2243(94)90291-7. [DOI] [PubMed] [Google Scholar]
- Buonocore G., De Filippo M., Gioia D., Picciolini E., Luzzi E., Bocci V., Bracci R. Maternal and neonatal plasma cytokine levels in relation to mode of delivery. Biol Neonate. 1995;68(2):104–110. doi: 10.1159/000244225. [DOI] [PubMed] [Google Scholar]
- Coultrip L. L., Lien J. M., Gomez R., Kapernick P., Khoury A., Grossman J. H. The value of amniotic fluid interleukin-6 determination in patients with preterm labor and intact membranes in the detection of microbial invasion of the amniotic cavity. Am J Obstet Gynecol. 1994 Oct;171(4):901–911. doi: 10.1016/s0002-9378(94)70057-5. [DOI] [PubMed] [Google Scholar]
- Ellis L. A., Mastro A. M., Picciano M. F. Do milk-borne cytokines and hormones influence neonatal immune cell function? J Nutr. 1997 May;127(5 Suppl):985S–988S. doi: 10.1093/jn/127.5.985S. [DOI] [PubMed] [Google Scholar]
- Ghidini A., Jenkins C. B., Spong C. Y., Pezzullo J. C., Salafia C. M., Eglinton G. S. Elevated amniotic fluid interleukin-6 levels during the early second trimester are associated with greater risk of subsequent preterm delivery. Am J Reprod Immunol. 1997 Mar;37(3):227–231. doi: 10.1111/j.1600-0897.1997.tb00219.x. [DOI] [PubMed] [Google Scholar]
- Greig P. C., Murtha A. P., Jimmerson C. J., Herbert W. N., Roitman-Johnson B., Allen J. Maternal serum interleukin-6 during pregnancy and during term and preterm labor. Obstet Gynecol. 1997 Sep;90(3):465–469. doi: 10.1016/s0029-7844(97)00294-9. [DOI] [PubMed] [Google Scholar]
- Gunn L., Hardiman P., Tharmaratnam S., Lowe D., Chard T. Measurement of interleukin-1 alpha and interleukin-6 in pregnancy-associated tissues. Reprod Fertil Dev. 1996;8(7):1069–1073. doi: 10.1071/rd9961069. [DOI] [PubMed] [Google Scholar]
- Haahr P. M., Pedersen B. K., Fomsgaard A., Tvede N., Diamant M., Klarlund K., Halkjaer-Kristensen J., Bendtzen K. Effect of physical exercise on in vitro production of interleukin 1, interleukin 6, tumour necrosis factor-alpha, interleukin 2 and interferon-gamma. Int J Sports Med. 1991 Apr;12(2):223–227. doi: 10.1055/s-2007-1024672. [DOI] [PubMed] [Google Scholar]
- Jättelä M., Kuusela P., Saksela E. Demonstration of tumor necrosis factor in human amniotic fluids and supernatants of placental and decidual tissues. Lab Invest. 1988 Jan;58(1):48–52. [PubMed] [Google Scholar]
- Kent A. S., Sullivan M. H., Elder M. G. Transfer of cytokines through human fetal membranes. J Reprod Fertil. 1994 Jan;100(1):81–84. doi: 10.1530/jrf.0.1000081. [DOI] [PubMed] [Google Scholar]
- Laham N., Brennecke S. P., Bendtzen K., Rice G. E. Tumour necrosis factor alpha during human pregnancy and labour: maternal plasma and amniotic fluid concentrations and release from intrauterine tissues. Eur J Endocrinol. 1994 Dec;131(6):607–614. doi: 10.1530/eje.0.1310607. [DOI] [PubMed] [Google Scholar]
- Laham N., Rice G. E., Bishop G. J., Hansen M. B., Bendtzen K., Brennecke S. P. Elevated plasma interleukin 6: a biochemical marker of human preterm labour. Gynecol Obstet Invest. 1993;36(3):145–147. doi: 10.1159/000292614. [DOI] [PubMed] [Google Scholar]
- Malamitsi-Puchner A., Sarandakou A., Giannaki G., Rizos D., Phocas I. Changes of angiogenin serum concentrations in the perinatal period. Pediatr Res. 1997 Jun;41(6):909–911. doi: 10.1203/00006450-199706000-00018. [DOI] [PubMed] [Google Scholar]
- Miller L. C., Isa S., LoPreste G., Schaller J. G., Dinarello C. A. Neonatal interleukin-1 beta, interleukin-6, and tumor necrosis factor: cord blood levels and cellular production. J Pediatr. 1990 Dec;117(6):961–965. doi: 10.1016/s0022-3476(05)80145-3. [DOI] [PubMed] [Google Scholar]
- Oláh K. S., Neilson J. P., Johnson P. M. Interleukin-6 in amniotic fluid obtained at forewater amniotomy compared with hindwater samples in women in spontaneous labour. Eur J Obstet Gynecol Reprod Biol. 1995 May;60(1):65–67. doi: 10.1016/0028-2243(95)02070-5. [DOI] [PubMed] [Google Scholar]
- Opsjłn S. L., Wathen N. C., Tingulstad S., Wiedswang G., Sundan A., Waage A., Austgulen R. Tumor necrosis factor, interleukin-1, and interleukin-6 in normal human pregnancy. Am J Obstet Gynecol. 1993 Aug;169(2 Pt 1):397–404. doi: 10.1016/0002-9378(93)90096-2. [DOI] [PubMed] [Google Scholar]
- Phocas I., Sarandakou A., Giannaki G., Malamitsi-Puchner A., Rizos D., Zourlas P. A. Soluble intercellular adhesion molecule-1 in newborn infants. Eur J Pediatr. 1998 Feb;157(2):153–156. doi: 10.1007/s004310050788. [DOI] [PubMed] [Google Scholar]
- Rivero-Marcotegui A., Larrañaga-Azcárate C., Ceres-Ruiz R., García-Merlo S. Polymorphonuclear elastase and interleukin-6 in amniotic fluid in preterm labor. Clin Chem. 1997 May;43(5):857–859. [PubMed] [Google Scholar]
- Rizzo G., Capponi A., Rinaldo D., Tedeschi D., Arduini D., Romanini C. Interleukin-6 concentrations in cervical secretions identify microbial invasion of the amniotic cavity in patients with preterm labor and intact membranes. Am J Obstet Gynecol. 1996 Oct;175(4 Pt 1):812–817. doi: 10.1016/s0002-9378(96)80004-4. [DOI] [PubMed] [Google Scholar]
- Romero R., Avila C., Santhanam U., Sehgal P. B. Amniotic fluid interleukin 6 in preterm labor. Association with infection. J Clin Invest. 1990 May;85(5):1392–1400. doi: 10.1172/JCI114583. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Romero R., Mazor M., Sepulveda W., Avila C., Copeland D., Williams J. Tumor necrosis factor in preterm and term labor. Am J Obstet Gynecol. 1992 May;166(5):1576–1587. doi: 10.1016/0002-9378(92)91636-o. [DOI] [PubMed] [Google Scholar]
- Steinborn A., Kühnert M., Halberstadt E. Immunmodulating cytokines induce term and preterm parturition. J Perinat Med. 1996;24(4):381–390. doi: 10.1515/jpme.1996.24.4.381. [DOI] [PubMed] [Google Scholar]
- Tsunoda H., Tamatani T., Oomoto Y., Hirai Y., Kasahara T., Iwasaki H., Onozaki K. Changes in interleukin 1 levels in human amniotic fluid with gestational ages and delivery. Microbiol Immunol. 1990;34(4):377–385. doi: 10.1111/j.1348-0421.1990.tb01018.x. [DOI] [PubMed] [Google Scholar]
- Van Oers M. H., Van der Heyden A. A., Aarden L. A. Interleukin 6 (IL-6) in serum and urine of renal transplant recipients. Clin Exp Immunol. 1988 Feb;71(2):314–319. [PMC free article] [PubMed] [Google Scholar]