1985
DOI: 10.1111/j.1600-0897.1985.tb00308.x
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Ultrastructural Alterations of Term Human Amnionic Epithelium Following Incubation With Group B Beta‐Hemolytic Streptococci

Abstract: The association between the group B beta-hemolytic streptococcus (GBBHS) and premature labor, premature rupture of the membranes, and chorioamnionitis with intact membranes is well known. However, the mechanisms involved in this association remain unclear. In this study we incubated term chorioamniotic membranes from patients undergoing elective repeat cesarean section in double-armed incubation vessels that isolated the maternal from the fetal surfaces. The GBBHS was placed adjacent to the maternal surface an… Show more

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Cited by 7 publications
(8 citation statements)
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“…A frequent cause of S. agalactiae infection is aspiration of infected amniotic fluid by the fetus. Amniotic fluid only has low titers of antibody against S. agalactiae (20) and supports growth of S. agalactiae to high cell densities (14,66). As the present study demonstrates an important role of DpsA for growth of S. agalactiae in amniotic fluid, DpsA represents an interesting target for the prevention or treatment of in utero S. agalactiae infections.…”
Section: Discussionmentioning
confidence: 96%
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“…A frequent cause of S. agalactiae infection is aspiration of infected amniotic fluid by the fetus. Amniotic fluid only has low titers of antibody against S. agalactiae (20) and supports growth of S. agalactiae to high cell densities (14,66). As the present study demonstrates an important role of DpsA for growth of S. agalactiae in amniotic fluid, DpsA represents an interesting target for the prevention or treatment of in utero S. agalactiae infections.…”
Section: Discussionmentioning
confidence: 96%
“…The dpsA gene plays an important role during growth in amniotic fluid. S. agalactiae is known to infect the placenta and grow in amniotic fluid to high cell densities (15,50,66). The importance of peptide uptake for growth of S. agalactiae in amniotic fluid was studied with the strain O90R and the triple mutant ⌬dppB ⌬oppB ⌬dpsA.…”
Section: Resultsmentioning
confidence: 99%
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“…Neonatal deaths which have resulted from bacterial amniotic fluid infections can occur with apparently intact chorioamnionic membranes (31). Several investigators have hypothesized that GBS may actively invade through the placental membrane, resulting in growth of the organism in the amniotic fluid (9,30,46); however, this has not been confirmed to date.…”
Section: Discussionmentioning
confidence: 99%
“…Colonization of the human rectovaginal tract with GBS is a risk factor associated with chorioamnionitis, premature rupture of the placental membrane, and transmission to the infant (3,4,34). Amniotic fluid infections have occurred through apparently intact chorioamnionic membranes (31), and it has been suggested that the organism may actively invade through intact placental membranes and grow to high concentrations in the amniotic fluid (9,46). Neonatal exposure to high concentrations of GBS in utero leads to colonization of the lung airways and subsequent pneumonia, sepsis, and meningitis (38).…”
mentioning
confidence: 99%