» Articles » PMID: 36294949

The Role of Neutrophils in Pregnancy, Term and Preterm Labour

Overview
Journal Life (Basel)
Specialty Biology
Date 2022 Oct 27
PMID 36294949
Authors
Affiliations
Soon will be listed here.
Abstract

Neutrophils are surveillance cells, and the first to react and migrate to sites of inflammation and infection following a chemotactic gradient. Neutrophils play a key role in both sterile inflammation and infection, performing a wide variety of effector functions such as degranulation, phagocytosis, ROS production and release of neutrophil extracellular traps (NETs). Healthy term labour requires a sterile pro-inflammatory process, whereas one of the most common causes of spontaneous preterm birth is microbial driven. Peripheral neutrophilia has long been described during pregnancy, and evidence exists demonstrating neutrophils infiltrating the cervix, uterus and foetal membranes during both term and preterm deliveries. Their presence supports a role in tissue remodelling via their effector functions. In this review, we describe the effector functions of neutrophils. We summarise the evidence to support their role in healthy pregnancy and labour and describe their potential contribution to microbial driven preterm birth.

Citing Articles

Cellular dynamics of cervical remodelling: insights from preterm and term labour.

Felix J, Matias A, Bartosch C Arch Gynecol Obstet. 2025; .

PMID: 39831982 DOI: 10.1007/s00404-024-07902-7.


Neutrophil phenotypes in prolonged labor: Implications for therapeutic strategies.

Obeagu E, Obeagu G Medicine (Baltimore). 2024; 103(46):e40611.

PMID: 39560573 PMC: 11576028. DOI: 10.1097/MD.0000000000040611.


Escherichia coli induced matrix metalloproteinase-9 activity and type IV collagen degradation is regulated by progesterone in human maternal decidual.

Bautista-Bautista G, Salguero-Zacarias S, Villeda-Gabriel G, Garcia-Lopez G, Osorio-Caballero M, Palafox-Vargas M BMC Pregnancy Childbirth. 2024; 24(1):645.

PMID: 39367340 PMC: 11451097. DOI: 10.1186/s12884-024-06847-8.


Temporal Dynamics of Oxidative Stress and Inflammation in Bronchopulmonary Dysplasia.

Teng M, Wu T, Jing X, Day B, Pritchard Jr K, Naylor S Int J Mol Sci. 2024; 25(18).

PMID: 39337630 PMC: 11431892. DOI: 10.3390/ijms251810145.


Pregnancy-related factors induce immune tolerance through regulation of sCD83 release.

Krupa P, Wein H, Zemmrich L, Zygmunt M, Muzzio D Front Immunol. 2024; 15:1452879.

PMID: 39328416 PMC: 11424458. DOI: 10.3389/fimmu.2024.1452879.


References
1.
Hunter P, Sheikh S, David A, Peebles D, Klein N . Cervical leukocytes and spontaneous preterm birth. J Reprod Immunol. 2015; 113:42-9. PMC: 4764650. DOI: 10.1016/j.jri.2015.11.002. View

2.
Romero R, Brody D, Oyarzun E, Mazor M, Wu Y, Hobbins J . Infection and labor. III. Interleukin-1: a signal for the onset of parturition. Am J Obstet Gynecol. 1989; 160(5 Pt 1):1117-23. DOI: 10.1016/0002-9378(89)90172-5. View

3.
Romero R, Miranda J, Chaiworapongsa T, Korzeniewski S, Chaemsaithong P, Gotsch F . Prevalence and clinical significance of sterile intra-amniotic inflammation in patients with preterm labor and intact membranes. Am J Reprod Immunol. 2014; 72(5):458-74. PMC: 4192099. DOI: 10.1111/aji.12296. View

4.
Iyer S, Pulskens W, Sadler J, Butter L, Teske G, Ulland T . Necrotic cells trigger a sterile inflammatory response through the Nlrp3 inflammasome. Proc Natl Acad Sci U S A. 2009; 106(48):20388-93. PMC: 2787135. DOI: 10.1073/pnas.0908698106. View

5.
Tita A, Andrews W . Diagnosis and management of clinical chorioamnionitis. Clin Perinatol. 2010; 37(2):339-54. PMC: 3008318. DOI: 10.1016/j.clp.2010.02.003. View