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Gulbiniene V, Balciuniene G, Dumalakiene I, Viliene R, Pilypiene I, Ramasauskaite D. The significance of TNF-α and MMP-8 concentrations in non-invasively obtained amniotic fluid predicting fetal inflammatory response syndrome. Int J Gynaecol Obstet 2023; 160:476-482. [PMID: 36151969 PMCID: PMC10092754 DOI: 10.1002/ijgo.14478] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Revised: 09/04/2022] [Accepted: 09/20/2022] [Indexed: 01/20/2023]
Abstract
OBJECTIVE To determine the significance of tumor necrosis factor-α (TNF-α) and matrix metalloproteinase-8 (MMP-8) in vaginally obtained amniotic fluid predicting fetal inflammatory response syndrome (FIRS) after preterm premature rupture of membranes (PPROM). METHODS In this prospective case-control study, TNF-α and MMP-8 concentrations were evaluated in vaginally obtained amniotic fluid from women with PPROM at 22-34 weeks of pregnancy. Biomarkers' concentrations were determined using an enzyme-linked immunosorbent assay. Patients were divided into two groups: the FIRS group (cord blood interleukin-6 > 11 pg/ml or histological funisitis) and the non-FIRS group (without these findings). The data were analyzed using R package (R-4.0.5). RESULTS The median TNF-α and MMP-8 concentrations in amniotic fluid from the 145 women included in the study were higher in the FIRS group than in the non-FIRS group. The area under the curve of TNF-α and MMP-8 was 0.77 and 0.75, respectively. The TNF-α concentration cut-off predicting FIRS was 89.20 pg/ml and was 170.76 pg/ml for MMP-8. In regression analysis, MMP-8 concentration was an independent predictor for FIRS. An MMP-8 concentration greater than 170 ng/ml and a TNF-α concentration greater than 89 pg/ml increased the odds of FIRS 7.62 and 14.92 times, respectively. CONCLUSIONS MMP-8 and TNF-α concentrations in vaginally obtained amniotic fluid may be good predictors for FIRS after PPROM before 34 weeks of pregnancy. The non-invasive amniotic fluid analysis could be an alternative method to invasive amniocentesis.
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Affiliation(s)
- Violeta Gulbiniene
- Center of Obstetrics and Gynaecology, Institute of Clinical Medicine of the Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Greta Balciuniene
- Center of Obstetrics and Gynaecology, Institute of Clinical Medicine of the Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Irena Dumalakiene
- State Research Institute Centre for Innovative Medicine, Vilnius, Lithuania
| | - Rita Viliene
- State Research Institute Centre for Innovative Medicine, Vilnius, Lithuania
| | - Ingrida Pilypiene
- Center of Obstetrics and Gynaecology, Institute of Clinical Medicine of the Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Diana Ramasauskaite
- Center of Obstetrics and Gynaecology, Institute of Clinical Medicine of the Faculty of Medicine, Vilnius University, Vilnius, Lithuania
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Balciuniene G, Gulbiniene V, Dumalakiene I, Viliene R, Pilypiene I, Drasutiene G, Ramasauskaite D. 14 Neutrophil-lymphocyte ratio for the prediction of chorioamnionitis. Eur J Obstet Gynecol Reprod Biol 2022. [DOI: 10.1016/j.ejogrb.2021.11.175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Gulbiniene V, Balciuniene G, Petroniene J, Viliene R, Dumalakiene I, Pilypiene I, Ramasauskaite D. 310 The significance of epidermal growth factor concentrations in non-invasively obtained amniotic fluid predicting respiratory outcomes of preterm neonates. Eur J Obstet Gynecol Reprod Biol 2022. [DOI: 10.1016/j.ejogrb.2021.11.293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Balciuniene G, Kvederaite-Budre G, Gulbiniene V, Dumalakiene I, Viliene R, Pilypiene I, Drasutiene GS, Ramasauskaite D. Neutrophil-lymphocyte ratio for the prediction of histological chorioamnionitis in cases of preterm premature rupture of membranes: a case-control study. BMC Pregnancy Childbirth 2021; 21:656. [PMID: 34579660 PMCID: PMC8474740 DOI: 10.1186/s12884-021-04101-z] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2021] [Accepted: 08/29/2021] [Indexed: 12/02/2022] Open
Abstract
Background The neutrophil-lymphocyte ratio (NLR) is easily calculated blood test parameter, which can be used as marker to predict many inflammatory disorders. The aim of this study was to assess and compare the NLR in maternal blood with the white blood cell (WBC) count and C-reactive protein (CRP) concentration for the prediction of histological chorioamnionitis. Methods This was a case-control study of 137 woman with preterm premature rupture of membranes (PPROM) at a gestational age between 22+ 0 and 34+ 6 weeks. Blood samples, collected less than 48 h before delivery and at least 48 h after the administration of corticosteroids, were selected for the analysis. The NLR was calculated by dividing the number of neutrophils by the number of lymphocytes. Chorioamnionitis was diagnosed by the histopathological evaluation of placental membranes and chorionic plate. Results Patients with diagnosed histological chorioamnionitis (HCA) had significantly higher levels of WBC, CRP and NLR (p-value < 0.001). Levels of WBC, CRP and NLR predicted HCA with an area under the curve (AUC) of 0.81, 0.81 and 0.89, respectively. NLR had statistically significantly higher AUC than WBC, but no significant difference was found between AUCs of NLR and CRP. The cut-off level of NLR was found to be 5,97, which had a sensitivity of 77 % and a specificity of 95 %. Conclusion NLR has a good predictive value for HCA and could be used as an additional diagnostic marker for predicting histological chorioamnionitis in cases with preterm premature rupture of membranes before 34 weeks of gestation.
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Affiliation(s)
- Greta Balciuniene
- Clinic of Obstetrics, and Gynecology, Institute of Clinical Medicine, Faculty of Medicine of Vilnius University, M.K. Ciurlionio st. 21, 03101, Vilnius, Lithuania.,Center of Obstetrics and Gynecology, Vilnius University Hospital Santaros Klinikos, Santariskiu st. 2, 08661, Vilnius, Lithuania
| | - Greta Kvederaite-Budre
- Clinic of Obstetrics, and Gynecology, Institute of Clinical Medicine, Faculty of Medicine of Vilnius University, M.K. Ciurlionio st. 21, 03101, Vilnius, Lithuania
| | - Violeta Gulbiniene
- Clinic of Obstetrics, and Gynecology, Institute of Clinical Medicine, Faculty of Medicine of Vilnius University, M.K. Ciurlionio st. 21, 03101, Vilnius, Lithuania.,Center of Obstetrics and Gynecology, Vilnius University Hospital Santaros Klinikos, Santariskiu st. 2, 08661, Vilnius, Lithuania
| | - Irena Dumalakiene
- Department of Immunology, State Research Institute Centre for Innovative Medicine, Santariskiu st. 5, 08410, Vilnius, Lithuania
| | - Rita Viliene
- Department of Immunology, State Research Institute Centre for Innovative Medicine, Santariskiu st. 5, 08410, Vilnius, Lithuania
| | - Ingrida Pilypiene
- Center of Obstetrics and Gynecology, Vilnius University Hospital Santaros Klinikos, Santariskiu st. 2, 08661, Vilnius, Lithuania
| | - Grazina S Drasutiene
- Clinic of Obstetrics, and Gynecology, Institute of Clinical Medicine, Faculty of Medicine of Vilnius University, M.K. Ciurlionio st. 21, 03101, Vilnius, Lithuania.,Center of Obstetrics and Gynecology, Vilnius University Hospital Santaros Klinikos, Santariskiu st. 2, 08661, Vilnius, Lithuania
| | - Diana Ramasauskaite
- Clinic of Obstetrics, and Gynecology, Institute of Clinical Medicine, Faculty of Medicine of Vilnius University, M.K. Ciurlionio st. 21, 03101, Vilnius, Lithuania. .,Center of Obstetrics and Gynecology, Vilnius University Hospital Santaros Klinikos, Santariskiu st. 2, 08661, Vilnius, Lithuania.
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Balciuniene G, Gulbiniene V, Kvederaite-Budre G, Dumalakiene I, Viliene R, Pilypiene I, Drasutiene GS, Ramasauskaite D. A value of soluble Toll-like receptor 2 and 4 in vaginally obtained amniotic fluid for the prediction of histological chorioamnionitis. Acta Obstet Gynecol Scand 2021; 100:2209-2215. [PMID: 34244993 PMCID: PMC9291945 DOI: 10.1111/aogs.14228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Revised: 06/28/2021] [Accepted: 07/07/2021] [Indexed: 11/28/2022]
Abstract
INTRODUCTION This study was conducted to evaluate soluble Toll-like receptor 2 (sTLR-2) and soluble Toll-like receptor 4 (sTLR-4) levels in vaginally obtained amniotic fluid and investigate their value in the prediction of histological chorioamnionitis (HCA). MATERIAL AND METHODS This prospective case-control study included patients who had been diagnosed with preterm premature rupture of membranes before 34 weeks of gestation and were admitted to Vilnius University Hospital Santaros Klinikos. Free leaking amniotic fluid was obtained vaginally using a sterile speculum up to 48 h before delivery. Amniotic fluid levels of sTLR-2 and sTLR-4 were determined using an enzyme-linked immunosorbent assay. The diagnosis of chorioamnionitis was confirmed by histological examination of the placenta and membranes after delivery. RESULTS The study included 156 patients, 65 with (HCA Group) and 91 without (non-HCA Group) HCA. No statistically significant differences were noted in the concentrations of sTLR-2 and sTLR-4 in vaginally obtained amniotic fluid between patients with and without HCA: the median sTLR-2 level was 0.09 ng/mL in the HCA Group vs 0.1 ng/mL in non-HCA Group, and the median sTLR-4 level was 0.23 ng/mL in the HCA Group vs 0.28 ng/mL in non-HCA Group (p > 0.05). A positive correlation between sTLR-2 and sTLR-4 levels was identified (ρ = 0.57, p < 0.001), but no correlation was found between these markers and gestational age. CONCLUSIONS Concentrations of sTLR-2 and sTLR-4 in vaginally obtained amniotic fluid do not reflect the presence of HCA in pregnancies complicated by preterm premature rupture of membranes before 34 weeks of gestation.
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Affiliation(s)
- Greta Balciuniene
- Clinic of Obstetrics and Gynecology, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.,Center of Obstetrics and Gynecology, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
| | - Violeta Gulbiniene
- Clinic of Obstetrics and Gynecology, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.,Center of Obstetrics and Gynecology, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
| | - Greta Kvederaite-Budre
- Clinic of Obstetrics and Gynecology, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Irena Dumalakiene
- Department of Immunology, State Research Institute Centre for Innovative Medicine, Vilnius, Lithuania
| | - Rita Viliene
- Department of Immunology, State Research Institute Centre for Innovative Medicine, Vilnius, Lithuania
| | - Ingrida Pilypiene
- Center of Obstetrics and Gynecology, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
| | - Grazina S Drasutiene
- Clinic of Obstetrics and Gynecology, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.,Center of Obstetrics and Gynecology, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
| | - Diana Ramasauskaite
- Clinic of Obstetrics and Gynecology, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.,Center of Obstetrics and Gynecology, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
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Korablioviene J, Mauricas M, Dumalakiene I, Caplinskas S, Viliene R, Baleisis J, Vysniauskis G, Chorostowska-Wynimko J, Magelinskiene G, Korabliov P, Valiulis A. BCG masking phenomena might depend on the species of Mycobacterium. Acta Microbiol Immunol Hung 2021; 68:27-33. [PMID: 33646137 DOI: 10.1556/030.2021.01324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2020] [Accepted: 12/07/2020] [Indexed: 11/19/2022]
Abstract
This study investigated BCG masking dependency on the species of Mycobacterium through the immune response to the mycobacterial region of deletion 1 (RD-1) associated growth affecting proteins (GEP).To evaluate the effects of GEP, 8-week old female BALB/c mice were immunized with either the wild type Mycobacterium bovis (MBGEP) or the ATCC Mycobacterium avium subsp. avium (MAGEP) strain and then subjected to further exposure with Mycobacterium terrae or M. avium sub. avium. Mice immunized with MAGEP and those mice further exposed to M. avium subsp. avium had increased granulocytes (GRA) and monocytes to lymphocytes rate (MLR) compared to control mice. Immunization of mice with GEP induced an antibody response one month after primary immunization, as observed by cross-reactivity. Our findings suggest that MAGEP is related to a latent hypersensitivity reaction and an increased risk of mycobacterial infection susceptibility. According to the results of the present study, previous sensitization with NTM antigens results in varying immune reactions after contact with different NTM argued that masking phenomena may be dependent on the species of Mycobacterium.
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Affiliation(s)
- Joana Korablioviene
- 1Department of Immunology, State Research Institute Center for Innovative Medicine, Santariskių Str. 5, Vilnius, Lithuania
- 2Center for Communicable Diseases and AIDS, Nugaletojų Str. 14, Vilnius, Lithuania
| | - Mykolas Mauricas
- 1Department of Immunology, State Research Institute Center for Innovative Medicine, Santariskių Str. 5, Vilnius, Lithuania
| | - Irena Dumalakiene
- 1Department of Immunology, State Research Institute Center for Innovative Medicine, Santariskių Str. 5, Vilnius, Lithuania
| | - Saulius Caplinskas
- 2Center for Communicable Diseases and AIDS, Nugaletojų Str. 14, Vilnius, Lithuania
- 3Educology and Social Work Institute, Mykolas Romeris University, Ateities Str. 20, Vilnius, Lithuania
| | - Rita Viliene
- 1Department of Immunology, State Research Institute Center for Innovative Medicine, Santariskių Str. 5, Vilnius, Lithuania
| | - Justinas Baleisis
- 1Department of Immunology, State Research Institute Center for Innovative Medicine, Santariskių Str. 5, Vilnius, Lithuania
| | - Gintautas Vysniauskis
- 1Department of Immunology, State Research Institute Center for Innovative Medicine, Santariskių Str. 5, Vilnius, Lithuania
| | - Joanna Chorostowska-Wynimko
- 4Department of Genetics and Clinical Immunology, National Institute of Tuberculosis and Lung Diseases, Warsaw, Poland
| | - Ginreta Magelinskiene
- 5Department of Public Health, Institute of Health Sciences, Vilnius University Faculty of Medicine, M.K. Ciurlionio Str. 21, Vilnius, Lithuania
| | - Pavel Korabliov
- 1Department of Immunology, State Research Institute Center for Innovative Medicine, Santariskių Str. 5, Vilnius, Lithuania
| | - Arunas Valiulis
- 5Department of Public Health, Institute of Health Sciences, Vilnius University Faculty of Medicine, M.K. Ciurlionio Str. 21, Vilnius, Lithuania
- 6Department of Children's Diseases, Institute of Clinical Medicine, Vilnius University Faculty of Medicine, Antakalnio Str. 57, Vilnius, Lithuania
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Narkeviciute I, Sudzius G, Mieliauskaite D, Mackiewicz Z, Butrimiene I, Viliene R, Dumalakiene I. Are cytotoxic effector cells changes in peripheral blood of patients with Sjögren's syndrome related to persistent virus infection: Suggestions and conundrums. Cell Immunol 2016; 310:123-130. [PMID: 27592028 DOI: 10.1016/j.cellimm.2016.08.013] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2016] [Revised: 07/22/2016] [Accepted: 08/25/2016] [Indexed: 11/18/2022]
Abstract
Etiology of Sjögren's syndrome (SS) is still unknown, but there is strong evidence that certain pathogens of bacterial or viral origin can incite autoimmune response. The aim of this study was to quantitatively evaluate changes of the main cell populations (dendritic cells, natural killer, natural killer T and cytotoxic T lymphocytes) presumably participating in virus clearance in peripheral blood of patients with primary SS (pSS). In analyzing cytotoxic T lymphocytes (CTL) populations we observed alterations in the frequency of highly cytotoxic effector CD8high/57+/27-/45RA+, less cytotoxic CD8high/57-/27-/45RA+ effector cells and cytotoxic memory CD8high/57+/27+/45RA- effector cells. We found a decrease of conventional dendritic cells (cDC) population in peripheral blood of pSS patients. It is possible that, a decrease of effector CTL and cDC, accompanied by increase of transitory phenotype memory CTL in peripheral blood of pSS patients may be associated with viral etiopathogenesis of Sjögren's syndrome.
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Affiliation(s)
- Ieva Narkeviciute
- Department of Immunology, State Research Institute Centre for Innovative Medicine, Santariskiu st. 5, LT-08406 Vilnius, Lithuania
| | - Gintaras Sudzius
- Department of Immunology, State Research Institute Centre for Innovative Medicine, Santariskiu st. 5, LT-08406 Vilnius, Lithuania
| | - Diana Mieliauskaite
- Department of Innovative Diagnostic, Treatment and Health Monitoring Technology, State Research Institute Centre for Innovative Medicine, Santariskiu st. 5, LT-08406 Vilnius, Lithuania
| | - Zygmunt Mackiewicz
- Department of Regenerative Medicine, State Research Institute Centre for Innovative Medicine, Santariskiu st. 5, LT-08406 Vilnius, Lithuania
| | - Irena Butrimiene
- Department of Innovative Diagnostic, Treatment and Health Monitoring Technology, State Research Institute Centre for Innovative Medicine, Santariskiu st. 5, LT-08406 Vilnius, Lithuania; Center of Rheumatology, Vilnius University, Santariskiu st. 2, LT-08406 Vilnius, Lithuania
| | - Rita Viliene
- Department of Immunology, State Research Institute Centre for Innovative Medicine, Santariskiu st. 5, LT-08406 Vilnius, Lithuania
| | - Irena Dumalakiene
- Department of Immunology, State Research Institute Centre for Innovative Medicine, Santariskiu st. 5, LT-08406 Vilnius, Lithuania; Department of Chemistry and Bioengineering, Faculty of Fundamental Sciences, Vilnius Gediminas Technical University, Saulėtekio al. 11, LT-10223 Vilnius, Lithuania.
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