2004
DOI: 10.1016/j.ajog.2004.06.093
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Maternal infection-induced white matter injury is reduced by treatment with interleukin-10

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Cited by 78 publications
(52 citation statements)
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“…Unfortunately, additional trials and meta-analysis showed that pre-or postnatal corticosteroids eventually do not provide neurobehavioral benefit and could result in adverse effects in certain therapeutic designs (54). Conflicting results and fetal adverse effects such as ductal constriction have been reported in neonates treated prenatally with nonsteroidal anti-inflammatory drugs (55)(56)(57), emphasizing the need to better restrict the target of blocking agents to optimally balance beneficial and adverse effects. Maternal IL-1Ra therapy, as we tested, at doses already recommended for human inflammatory diseases (58) may meet this safety/efficacy criterion.…”
Section: Discussionmentioning
confidence: 99%
“…Unfortunately, additional trials and meta-analysis showed that pre-or postnatal corticosteroids eventually do not provide neurobehavioral benefit and could result in adverse effects in certain therapeutic designs (54). Conflicting results and fetal adverse effects such as ductal constriction have been reported in neonates treated prenatally with nonsteroidal anti-inflammatory drugs (55)(56)(57), emphasizing the need to better restrict the target of blocking agents to optimally balance beneficial and adverse effects. Maternal IL-1Ra therapy, as we tested, at doses already recommended for human inflammatory diseases (58) may meet this safety/efficacy criterion.…”
Section: Discussionmentioning
confidence: 99%
“…IL10 administered either on the day of LPS administration or delayed by 24 hours completely abolished preterm delivery (Terrone et al 2001). Further studies by the same group in a rat E. coli preterm labour model showed that IL10 also prevented infection-induced white matter injury (Rodts-Palenik et al 2004). More recently, Bennett et al have shown that 15-deoxy-12,14-prostaglandin J2 (15d-PGJ2, an agent which inhibits NFKB and possibly also JNK) averts LPS-induced preterm labour in pregnant mice and LPS-induced NFKB activation in the brain of mouse pups (Pirianov et al 2009).…”
Section: Complicated Labourmentioning
confidence: 98%
“…This implies either that LPS is not transported across the placenta and/or that the fetus has alternative mechanisms that block upregulation in TNF-␣ and IL-6 gene expression. Such mechanisms would be expected to be of benefit in sparing the developing fetus from sublethal effects of inflammatory cytokines, particularly the brain which is at risk of intraventricular hemorrhage and white matter damage elicited by endotoxin-induced cytokines during intrauterine infection (30,41). Our findings of differential cytokine content and synthesis in different compartments of the gestational tissues is consistent with a previous report on cytokine production after intrauterine infection in wild-type mice, where considerably more IL-1, IL-6, and TNF-␣ immunoactivity was detected in the uterus than the placenta, and fetal content was lower still (42).…”
Section: Discussionmentioning
confidence: 99%
“…In rats, exogenously administered IL-10 can attenuate fetal loss and growth restriction induced by LPS (28) and abrogate preterm birth and fetal growth impairment elicited by in utero infection with Escherichia coli (29). Furthermore, treatment of rats with IL-10 can reduce the extent of severe fetal brain injury often evident after uterine bacterial infection (30).…”
mentioning
confidence: 99%