11: Correlation between placental pathology and fetal injury in a unique non-human primate model of chorioamnionitis




Objectives


To determine whether specific features of placental pathology correlate with fetal injury, the fetal inflammatory response syndrome (FIRS) and/or fetal and amniotic fluid cytokine levels during experimental infection-induced preterm labor.




Methods


Twenty chronically catheterized pregnant monkeys (Macaca nemestrina) at 118-125 days gestation (term=172 days) received choriodecidual inoculation of either Group B Streptococcus (N=13), E. coli (n=1), lipopolysaccharide (N=1) or saline (n=5). Amniotic fluid (AF), maternal serum, and fetal serum samples were taken at regular time intervals after inoculation and cytokine levels were determined by Luminex assay. Cesarean section was performed at the time of preterm labor or within 4-7 days of inoculation depending on the protocol. Histopathology of the placenta was analyzed by Redline criteria (chorioamnion, umbilical cord, villi, decidua) or assigned a fetal lung score indicative of damage by pathologists blinded to experimental group. Correlation of data was performed using Spearman’s rank correlation and Wilcoxon rank sum analysis.




Methods


Twenty chronically catheterized pregnant monkeys (Macaca nemestrina) at 118-125 days gestation (term=172 days) received choriodecidual inoculation of either Group B Streptococcus (N=13), E. coli (n=1), lipopolysaccharide (N=1) or saline (n=5). Amniotic fluid (AF), maternal serum, and fetal serum samples were taken at regular time intervals after inoculation and cytokine levels were determined by Luminex assay. Cesarean section was performed at the time of preterm labor or within 4-7 days of inoculation depending on the protocol. Histopathology of the placenta was analyzed by Redline criteria (chorioamnion, umbilical cord, villi, decidua) or assigned a fetal lung score indicative of damage by pathologists blinded to experimental group. Correlation of data was performed using Spearman’s rank correlation and Wilcoxon rank sum analysis.

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May 5, 2017 | Posted by in GYNECOLOGY | Comments Off on 11: Correlation between placental pathology and fetal injury in a unique non-human primate model of chorioamnionitis

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