Study of various groups of regulatory molecules during pregnancy against the background of chronic pyelonephritis
https://doi.org/10.18699/SSMJ20230626
Abstract
The presence of infectious inflammatory process in a pregnant woman can lead to a disorder in the “mother – placenta – fetus” system.
Aim of the study was to investigate the level of regulatory and pro-inflammatory molecules in pregnancy occurring against the background of chronic pyelonephritis without exacerbation.
Material and methods. The concentration of IL-17A, monocytic chemotactic protein-1 (MCP-1), vascular endothelial growth factor (VEGF), and IgG autoantibodies to double-stranded DNA (AAT to nDNA) was determined in the blood serum of pregnant women with a gestation period of 36–40 weeks using ELISA.
Results. It has been shown that in the third trimester of pregnancy occurring against the background of chronic pyelonephritis without exacerbation, compared with a normal pregnancy, the level of MHP-1 and IL-17A increases, the content of VEGF decreases, and the concentration of AAT to nDNA does not change significantly. An increase in the proinflammatory cytokine IL17A and a decrease in VEGF level can lead to intrauterine fetal growth retardation due to inhibition of amino acid transporters in the placenta.
Conclusions. In pregnancy occurring against the background of chronic pyelonephritis without exacerbation, a change in the level of IL17A, MСP-1, VEGF can have a significant impact on the course of pregnancy.
About the Authors
V. I. ShcherbakovRussian Federation
Vladimir I. Shcherbakov - doctor of medical science.
630117, Novosibirsk, Timakova st., 2
O. O. Obukhova
Russian Federation
Olga O. Obukhova - doctor of medical science.
630117, Novosibirsk, Timakova st., 2
T. I. Ryabichenko
Russian Federation
Tatyana I. Ryabichenko - doctor of medical science.
630117, Novosibirsk, Timakova st., 2
G. A. Skosyreva
Russian Federation
Galina A. Skosyreva - doctor of medical science.
630117, Novosibirsk, Timakova st., 2
O. M. Gorbenko
Russian Federation
Olga M. Gorbenko - candidate of biological sciences.
630117, Novosibirsk, Timakova st., 2
T. G. Kosyanova
Russian Federation
Tamara G. Kosyanova
630117, Novosibirsk, Timakova st., 2
References
1. Shcherbakov V.I., Ryabichenko T.I., Skosyreva G.A., Trunov A.N. Spectrum of anti- inflammatory cytokines in pregnant women with placental insufficiency and fetal growth retardation. Rossiyskiy vestnik akushera-ginekologa = Russian Bulletin of Obstetrician-Gynecologist. 2019;19(3):11–16. [InRussian]. doi: 10.17116/rosakush20191903111
2. Sidorova I.S., Babina M.G. Specific features of systemic and local immunodeficiency in pregnant women with exacerbation of chronic pyelonephritis. Rossiyskiy vestnik akushera-ginekologa = Russian Bulletin of Obstetrician-Gynecologist. 2002;2(6):27–30. [In Russian].
3. Luppi P., Haluszczak C., Trucco M., Deloia I.A. Normal pregnancy is associated with peripheral leukocyte activation. Am. J. Reprod. Immunol. 2002;47(2):72– 81. doi: 10.1034/j.1600-0897.2002.1o041.x
4. Forger F., Vallbracht I., Helmke K., Villiger P.M., Østengen M. Pregnаncy mediated improvement of rheumatoid arthritis. Swis. Med. Wely. 2012;142:w13644. doi: 10.4414/smw.2012.13644
5. Harnish D.C. Estrogen receptor, ligands in the control of pathogenic inflammation. Curr. Opin. Investig. Drugs. 2006;7(11):997–1001.
6. Fasano M., Curry S., Torreno E., Galliano M., Fanali G., Narciso P., Notari S., Ascenzi P. The extraordinary ligand binding properties of human serum albumin. IUBMB Life. 2005;57(12);787–796. doi: 10.1080/15216540500404093
7. Aasam A.I., Hasan B.M., Ialil R.A., Hashim J.M., Nasrawi F.I. Cord biood albumin as a predictor of neonatal jaundice. Niger. J. Clin. Pract. 2023;26(1):55–58. doi: 10.4103/njcp.njcp_170_22
8. Abrahams V.M., Visintin I., Aldo P.B., Guller S., Romero R., Mor G. A role for TLRs in the regulation of immune cell migration by first trimester trophoblast cells. J. Immunol. 2005;175(12):8096–81104. doi: 10.4049/jimmunol.175,12.8096
9. Singh S., Anshita D. Ravichandiran V. MCP-1: function, regulation, and involvement in disease. Int. Immunopharmacol. 2021;101(Pt B):1077598. doi: 10.1016/j.intimp.2021.107598
10. Lin Z., Shi J., Chen M., Zheng Z., Li M., Shao J.I. CCL-2: An important cytokine in normal and pathological pregnancies: A review. Front. Immunol. 2023;13:1053457. doi: 10.3389/fimmu.2022.1053457
11. Wu H.X., JinL.P., Xu B., Liang S.S., Li D.J. Decidual stromal cells recruit Th 17 cells intodecidua to promote proliferation and invasion ofhuman trophoblast cells by secreting Il-17. Cell. Mol. Immunol. 2014;11(3):253–262 . doi: 10.1038/cmi.2013.67
12. Gu L., Tseng S., Horner R.M., Tam C., Loda M., Rollins B.J. Control of Th 2 polarization by the chemokine monocyte chemouttractant protein-1. Nature. 2000;404(6776):407–411. doi: 10.1038/35006097
13. Chaiworapongsa T., Romero R., Gotsch F., Kusanovic J.P., Mittal P., Kim S.K., Erez O., Vaisbuch E., Mazaki-Tovi S., Kim C.J., Dong Z., Yeo L., Hassan S.S. Acute pyelonephritis during pregnancy changes the balance of angiogenic and anti-angiogenic factors in maternal plasma. J. Matern. Fetal. Neonatal. Med. 2010;23(2): 167–178. doi: 10.3109/14767050903067378
14. Dawkins J.C., Fletcher H.M., Raitray C.A., Reid M., Gordon-Strachan G. Acute pyelonephritis in pregnancy: a retrospective descriptive hospital basedstudy. ISRN Obstet. Gynecol. 2012;(2012):519321. doi: 10.5402/2012/519321
15. Qin X.Y., Shen H.H., Zhang X.Y., Zhang X., Xie F., Wang W.J., XiongY., Mei J., Li M.Q. Hypoxiamediated chemotaxis and residence of macrophage in decidua by secreting VEGFA and CCL2 during normal pregnancy. Reproduction. 2023;165(5):543–555. doi: 10.1530/REP-22-0473
16. Gomer-Lopez N., Galaz J., Miller D., Farias-Jofre M., Liu Z., Arenas-Hernandez M., Garcia-Flores V., Shaffer Z., Greenberg I.M., Theis K.R., Romero R. The immunobiology of preterm labor and birth: Intra-amniotic inflammation or breakdown of maternal-fetal homeostasis. Reproduction. 2022;164(2):R11–R45. doi: 10.1530/REP-22-0046
Review
For citations:
Shcherbakov V.I., Obukhova O.O., Ryabichenko T.I., Skosyreva G.A., Gorbenko O.M., Kosyanova T.G. Study of various groups of regulatory molecules during pregnancy against the background of chronic pyelonephritis. Сибирский научный медицинский журнал. 2023;43(6):210-214. (In Russ.) https://doi.org/10.18699/SSMJ20230626