2017
DOI: 10.1159/000455192
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The Effects of Body Mass Index on Second-Trimester Amniotic Fluid Cytokine and Matrix Metalloproteinase Levels

Abstract: Aim: The aim of this study was to determine the effects of obesity on amniotic fluid (AF) inflammatory markers in second-trimester AF, testing the hypothesis that there is a relationship between maternal body mass index (BMI) and fetal inflammatory exposure. Methods: AF was obtained from 84 singleton pregnant women undergoing elective amniocentesis for karyotype analysis at 16-24 weeks of gestation between April 2014 and May 2016. The cell-free AF was used to analyze interleukin (IL)-1β and IL-6, and matrix me… Show more

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Cited by 8 publications
(8 citation statements)
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References 19 publications
(16 reference statements)
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“…Our findings suggest that these processes might be present also in utero. This is consistent with higher concentrations of cytokines and matrix metalloproteinase levels in amniotic fluid of pregnant women with class II-III obesity compared to women without obesity [30]. Interestingly, a cohort study of 1,057 mother-child pairs reported that circulating inflammatory cytokine concentrations due to maternal diet are inversely associated with DNA methylation in the offspring [31].…”
Section: Discussionsupporting
confidence: 67%
“…Our findings suggest that these processes might be present also in utero. This is consistent with higher concentrations of cytokines and matrix metalloproteinase levels in amniotic fluid of pregnant women with class II-III obesity compared to women without obesity [30]. Interestingly, a cohort study of 1,057 mother-child pairs reported that circulating inflammatory cytokine concentrations due to maternal diet are inversely associated with DNA methylation in the offspring [31].…”
Section: Discussionsupporting
confidence: 67%
“…Several studies reported an enhanced expression of MMP-1 in preadipocytes from obese subjects suggesting a role in ECM remodeling in obesity [ 22 ]. MMP-1 has also been found in preadipocytes/stromal vascular cells of human adipose tissue and its levels were increased in class II-III obese [ 23 ]. In the current study, no significant relationships were found between MMP-1 (-16071G/2G, -519A/G) variants and the anthropometric parameters investigated including BMI, WC, and WHtR, which may suggest that these SNPs do not affect body fat accumulation in the sampled population.…”
Section: Discussionmentioning
confidence: 99%
“…Low levels of anti-inflammatory cytokines during the early periods of gestation are characteristic of patients with a history of habitual miscarriages; however, an anti-inflammatory shift of the cytokine spectrum develops by the end of the first trimester 31 . A previous work demonstrated that the fetuses of class II-III obese women are exposed in utero to higher cytokine and Matrix metalloproteinases (MMP) levels than fetuses of lean women 32 . The long-term effect of each proinflammatory cytokine on the fetal prognosis is still under scrutiny 33 .…”
Section: Discussionmentioning
confidence: 99%