“…With respect to cytokine expression, estrogen in the high concentrations seen in pregnancy can inhibit proinflammatory pathways which include those activated by IL-1β (Polan et al, 1989), IL-6 (Keck et al, 1998, Kikuchi et al, 2000, IL-8 (Rodriguez et al, 2002) and TNF-α (Rogers and Eastell, 2001) as well as inhibiting the activity of natural killer cells (Seaman and Gindhart, 1979). In contrast, the secretion of 'anti-inflammatory interleukins' IL-4 (Kamada et al, 2001), IL-10 (Kanda and Tamaki, 1999) and transforming growth factor (TGF)-β (Hatthachote and Gillespie, 1999) are stimulated by estrogen in these high levels.…”