Abstract
Objective: The purpose of this study was to evaluate the possible association between Lewis phenotype status in pregnant women and preterm labor (PTL) or preterm rupture of the membranes (PROM).
Methods: Red blood cell (RBC) Lewis phenotype was determined in 113 pregnant women admitted for PTL or PROM and in 121 controls. The results were controlled for the influence of race on Lewis phenotype.
Results: Pregnancy was associated with a higher frequency in women with the a–b– phenotype. There was no association between RBC Lewis phenotype and the occurrence of PTL or PROM.
Conclusions: A susceptibility to PTL or PROM is not due to a lack of Lewis antigen expression on the plasma membrane of the vaginal mucosa.
Full Text
The Full Text of this article is available as a PDF (325.6 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Hammar L., Månsson S., Rohr T., Chester M. A., Ginsburg V., Lundblad A., Zopf D. Lewis phenotype of erythrocytes and Leb-active glycolipid in serum of pregnant women. Vox Sang. 1981 Jan;40(1):27–33. doi: 10.1111/j.1423-0410.1981.tb00665.x. [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]
- Lurie S., Sigler E., Fenakel K. The ABO, Lewis or P blood group phenotypes are not associated with recurrent pelvic inflammatory disease. Gynecol Obstet Invest. 1991;31(3):158–160. doi: 10.1159/000293139. [DOI] [PubMed] [Google Scholar]
- Mercer B. M., Moretti M. L., Prevost R. R., Sibai B. M. Erythromycin therapy in preterm premature rupture of the membranes: a prospective, randomized trial of 220 patients. Am J Obstet Gynecol. 1992 Mar;166(3):794–802. doi: 10.1016/0002-9378(92)91336-9. [DOI] [PubMed] [Google Scholar]
- Navas E. L., Venegas M. F., Duncan J. L., Anderson B. E., Chmiel J. S., Schaeffer A. J. Blood group antigen expression on vaginal and buccal epithelial cells and mucus in secretor and nonsecretor women. J Urol. 1993 Jun;149(6):1492–1498. doi: 10.1016/s0022-5347(17)36425-x. [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., Sirtori M., Oyarzun E., Avila C., Mazor M., Callahan R., Sabo V., Athanassiadis A. P., Hobbins J. C. Infection and labor. V. Prevalence, microbiology, and clinical significance of intraamniotic infection in women with preterm labor and intact membranes. Am J Obstet Gynecol. 1989 Sep;161(3):817–824. doi: 10.1016/0002-9378(89)90409-2. [DOI] [PubMed] [Google Scholar]
- Schachter H., Michaels M. A. A quantitative difference in the activity of blood group A-specific N-acetylgalactosaminyltransferase in serum from A 1 and A 2 human subjects. Biochem Biophys Res Commun. 1971 Nov;45(4):1011–1018. doi: 10.1016/0006-291x(71)90438-4. [DOI] [PubMed] [Google Scholar]
- Sheinfeld J., Cordon-Cardo C., Fair W. R., Wartinger D. D., Rabinowitz R. Association of type 1 blood group antigens with urinary tract infections in children with genitourinary structural abnormalities. J Urol. 1990 Aug;144(2 Pt 2):469–474. doi: 10.1016/s0022-5347(17)39492-2. [DOI] [PubMed] [Google Scholar]
- Sheinfeld J., Schaeffer A. J., Cordon-Cardo C., Rogatko A., Fair W. R. Association of the Lewis blood-group phenotype with recurrent urinary tract infections in women. N Engl J Med. 1989 Mar 23;320(12):773–777. doi: 10.1056/NEJM198903233201205. [DOI] [PubMed] [Google Scholar]
