Inflammatory cytokines in maternal serum between women with threatened miscarriage and normal pregnancy

Author:

Hakeem Lawal Adewale1,Bello Yusuf Olatunji23ORCID,Obajimi Gbolahan O.1,Onifade Abdul Fatai Adekunle4,Ahmed Bolaji5,Arowojolu Ayodele O.1,Morhason‐Bello Imran Oludare13ORCID

Affiliation:

1. Department of Obstetrics and Gynecology, Faculty of Clinical Sciences College of Medicine/University College Hospital Ibadan, University of Ibadan Ibadan Oyo State Nigeria

2. Department of Statistics, Faculty of Science University of Ibadan Ibadan Oyo State Nigeria

3. Institute for Advanced Medical Research and Training, College of Medicine University of Ibadan Ibadan Oyo State Nigeria

4. Division of Immunology, Department of Chemical Pathology, Faculty of Basic Clinical Sciences College of Medicine/University College Hospital Ibadan, University of Ibadan Ibadan Oyo State Nigeria

5. Damien Foundation Belgium (Nigeria Project) Ibadan Oyo State Nigeria

Abstract

AbstractObjectiveTo compare the levels of proinflammatory cytokines in women with threatened miscarriage and normal pregnancy.MethodsThis study was a longitudinal study. Consenting women with normal pregnancy and those admitted on account of threatened miscarriage at an estimated gestational age of 6–10 weeks were included in the study. The proinflammatory cytokines interleukin‐2 (IL‐2) and interferon‐γ (IFN‐γ) and the anti‐inflammatory cytokines IL‐4 and IL‐13 were measured at the diagnosis of threatened miscarriage (baseline) and in the 13th week of pregnancy. The χ2 test of association was used to examine the relationship between the pregnancy type and demographic characteristics; clinical history and gynecologic history. Student t test was used to compare the selected cytokine between women with threatened miscarriage and normal pregnancy.ResultsThere was a significantly higher IL‐2 (P = 0.033), IFN‐γ (P < 0.001), and IL‐13 (P < 0.001) in women with threatened miscarriage than in women with normal pregnancy at the baseline. At the follow up, the results revealed a significantly higher IFN‐γ level (P < 0.001) and IL‐4 (P = 0.019) in women with threatened miscarriage than in women with normal pregnancies.ConclusionProinflammatory cytokine profiles were associated with a higher risk of threatened miscarriage.

Publisher

Wiley

Subject

Obstetrics and Gynecology,General Medicine

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