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Published in: Archives of Gynecology and Obstetrics 5/2010

01-05-2010 | Original Article

The role of human beta defensins 2 and 3 in the second trimester amniotic fluid in predicting preterm labor and premature rupture of membranes

Authors: C. Iavazzo, K. Tassis, D. Gourgiotis, M. Boutsikou, S. Baka, D. Hassiakos, A. Hadjithomas, D. Botsis, A. Malamitsi-Puchner

Published in: Archives of Gynecology and Obstetrics | Issue 5/2010

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Abstract

Aim

Human beta defensins 2 (HBD2) and 3 (HBD3) are peptides expressed in the amnion and chorion. This is a matched case control study conducted in our Department to determine whether second trimester amniotic fluid HBD2 and HBD3 concentrations measured at the time of genetic amniocentesis could be potential markers of preterm labor prediction.

Methods

Amniotic fluid HBD2 and HBD3 were determined by an enzyme-linked immunosorbent assay (ELISA) Women with preterm labor were defined as cases (N = 41) while for each case a woman matched for age delivering at term served as control (N = 41). Subgroup analysis was conducted to examine possible associations of HBD2 and HBD3 in cases of premature rupture of membranes. Nineteen women with preterm labor and premature rupture of membranes were defined as cases while for every case a woman matched for maternal age delivering at term served as control (N1 = 19). Results were presented as odds ratios (OR) and 95% confidence intervals. Statistical analysis used STATA 8.2 and SPSS 11.5 edition. A P-value of <0.05 was considered statistically significant.

Results

Amniotic fluid concentrations of HBD2 at the time of genetic amniocentesis were positively associated with preterm premature rupture of membranes (P = 0.028), but not with preterm labour. No association of HBD3 and preterm birth was documented.

Conclusion

Second trimester amniotic fluid HBD2 might be a predictor of premature rupture of membranes.
Literature
1.
go back to reference Hamcock RE, Diamond G (2000) The role of cationic antimicrobial peptides in innate host defences. Trends Microbiol 8:402–410CrossRef Hamcock RE, Diamond G (2000) The role of cationic antimicrobial peptides in innate host defences. Trends Microbiol 8:402–410CrossRef
2.
go back to reference Huttner KM, Berins CI (1999) Antimicrobial peptides as mediators of epithelial host defense. Pediatr Res 45:785–794CrossRefPubMed Huttner KM, Berins CI (1999) Antimicrobial peptides as mediators of epithelial host defense. Pediatr Res 45:785–794CrossRefPubMed
3.
go back to reference Garcia JR, Jaumann F, Schulz S, Krausse A, Rodriguez-Jimenez J, Forssmann U, Adermann K, Klurer E, Vogelmeier C, Becker D, Hedrich R, Forssmann WG, Bals R (2001) Identification of a novel, multifunctional beta defensin (human beta defensin 3) with specific antimicrobial activity. Its interaction with plasma membranes of Xenopus oocytes and the induction of macrophage chemoattraction. Cell Tissue Res 306:257–264CrossRefPubMed Garcia JR, Jaumann F, Schulz S, Krausse A, Rodriguez-Jimenez J, Forssmann U, Adermann K, Klurer E, Vogelmeier C, Becker D, Hedrich R, Forssmann WG, Bals R (2001) Identification of a novel, multifunctional beta defensin (human beta defensin 3) with specific antimicrobial activity. Its interaction with plasma membranes of Xenopus oocytes and the induction of macrophage chemoattraction. Cell Tissue Res 306:257–264CrossRefPubMed
4.
go back to reference Yang D, Chertov O, Bukovskaia SN, Chen Q, Buffo MJ, Shogan J, Anderson M, Schroder JM, Wang JM, Howard OM, Oppenheim JJ (1999) Beta defensins: linking innate and adaptive immunity through dendritic and T-cell CER6. Science 286:525–528CrossRefPubMed Yang D, Chertov O, Bukovskaia SN, Chen Q, Buffo MJ, Shogan J, Anderson M, Schroder JM, Wang JM, Howard OM, Oppenheim JJ (1999) Beta defensins: linking innate and adaptive immunity through dendritic and T-cell CER6. Science 286:525–528CrossRefPubMed
5.
go back to reference Abiko Y, Saitoh M, Nishimura M, Yamazaki M, Sawamura D, Kaku T (2007) Role of beta-defensins in oral epithelial health and disease. Med Mol Morphol 40(4):179–184CrossRefPubMed Abiko Y, Saitoh M, Nishimura M, Yamazaki M, Sawamura D, Kaku T (2007) Role of beta-defensins in oral epithelial health and disease. Med Mol Morphol 40(4):179–184CrossRefPubMed
6.
go back to reference Heine RP, Wiesenfeld H, Mortimer L, Greig PC (1998) Amniotic fluid defensins: potential markers of subclinical intrauterine infection. Clin Infect Dis 27:513–518CrossRefPubMed Heine RP, Wiesenfeld H, Mortimer L, Greig PC (1998) Amniotic fluid defensins: potential markers of subclinical intrauterine infection. Clin Infect Dis 27:513–518CrossRefPubMed
7.
go back to reference Espinoza J, Chaiworapongsa T, Romero R, Edwin S, Rathnasabapathy C, Gomez R, Bujold E, Camacho N, Kim YM, Hassan S, Blackwell S, Whitty J, Berman S, Redman M, Yoon BH, Sorokin Y (2003) Antimicrobial peptides in amniotic fluid: defensins, calprotectin and bacterial/permeability-increasing protein in patients with microbial invasion of the amniotic cavity, intra-amniotic inflammation, preterm labor and premature rupture of membranes. J Matern Fetal Neonatal Med 13:2–21PubMed Espinoza J, Chaiworapongsa T, Romero R, Edwin S, Rathnasabapathy C, Gomez R, Bujold E, Camacho N, Kim YM, Hassan S, Blackwell S, Whitty J, Berman S, Redman M, Yoon BH, Sorokin Y (2003) Antimicrobial peptides in amniotic fluid: defensins, calprotectin and bacterial/permeability-increasing protein in patients with microbial invasion of the amniotic cavity, intra-amniotic inflammation, preterm labor and premature rupture of membranes. J Matern Fetal Neonatal Med 13:2–21PubMed
8.
go back to reference Soto E, Espinoza J, Nien JK, Kusanovic JP, Erez O, Richani K, Santolaya-Forgas J, Romero R (2007) Human beta-defensin-2: a natural antimicrobial peptide present in amniotic fluid participates in the host response to microbial invasion of the amniotic cavity. J Matern Fetal Neonatal Med 20:15–22CrossRefPubMed Soto E, Espinoza J, Nien JK, Kusanovic JP, Erez O, Richani K, Santolaya-Forgas J, Romero R (2007) Human beta-defensin-2: a natural antimicrobial peptide present in amniotic fluid participates in the host response to microbial invasion of the amniotic cavity. J Matern Fetal Neonatal Med 20:15–22CrossRefPubMed
9.
go back to reference Berkowitz GS, Papiernik E (1993) Epidemiology of preterm birth. Epidemiol Rev 15(2):414–443PubMed Berkowitz GS, Papiernik E (1993) Epidemiology of preterm birth. Epidemiol Rev 15(2):414–443PubMed
10.
go back to reference Hamilton BE, Martin JA, Ventura SJ (2006) Births: preliminary data for 2005. Natl Vital Stat Rep 55(11):1–18 Hamilton BE, Martin JA, Ventura SJ (2006) Births: preliminary data for 2005. Natl Vital Stat Rep 55(11):1–18
11.
go back to reference Creasy RK (1993) Preterm birth prevention: where are we? Am J Obstet Gynecol 168(4):1223–1230PubMed Creasy RK (1993) Preterm birth prevention: where are we? Am J Obstet Gynecol 168(4):1223–1230PubMed
12.
go back to reference Iams JD, Casal D, McGregor JA, Goodwin TM, Kreaden US, Lowensohn R, Lockitch G (1995) Fetal fibronectin improves the accuracy of diagnosis of preterm labor. Am J Obstet Gynecol 173(1):141–145CrossRefPubMed Iams JD, Casal D, McGregor JA, Goodwin TM, Kreaden US, Lowensohn R, Lockitch G (1995) Fetal fibronectin improves the accuracy of diagnosis of preterm labor. Am J Obstet Gynecol 173(1):141–145CrossRefPubMed
13.
14.
go back to reference Zupan V, Gonzalez P, Lacaze-Masmonteil T, Boithias C, d’Allest AM, Dehan M et al (1996) Periventricular leukomalacia: risk factors revisited. Dev Med Child Neurol 38:1061–1067PubMed Zupan V, Gonzalez P, Lacaze-Masmonteil T, Boithias C, d’Allest AM, Dehan M et al (1996) Periventricular leukomalacia: risk factors revisited. Dev Med Child Neurol 38:1061–1067PubMed
15.
go back to reference Resch B, Vollaard E, Maurer U, Haas J, Rosegger H, Muller W (2000) Risk factors and determinants of neurodevelopmental outcome in cystic periventricular leucomalacia. Eur J Pediatr 159:663–670CrossRefPubMed Resch B, Vollaard E, Maurer U, Haas J, Rosegger H, Muller W (2000) Risk factors and determinants of neurodevelopmental outcome in cystic periventricular leucomalacia. Eur J Pediatr 159:663–670CrossRefPubMed
16.
go back to reference Okumura A, Hayakawa F, Kato T, Kuno K, Watanabe K (1997) MRI findings in patients with spastic cerebral palsy. I: correlation with gestational age at birth. Dev Med Child Neurol 39:363–368PubMedCrossRef Okumura A, Hayakawa F, Kato T, Kuno K, Watanabe K (1997) MRI findings in patients with spastic cerebral palsy. I: correlation with gestational age at birth. Dev Med Child Neurol 39:363–368PubMedCrossRef
17.
go back to reference Speer CP (2001) New insights into the pathogenesis of pulmonary inflammation in preterm infants. Biol Neonate 79:205–209CrossRefPubMed Speer CP (2001) New insights into the pathogenesis of pulmonary inflammation in preterm infants. Biol Neonate 79:205–209CrossRefPubMed
18.
go back to reference Ananth CV, Misra DP, Demissie K, Smulian JC (2001) Rates of preterm delivery among Black women and White women in the United States over two decades: an age-period-cohort analysis. Am J Epidemiol 154(7):657–665CrossRefPubMed Ananth CV, Misra DP, Demissie K, Smulian JC (2001) Rates of preterm delivery among Black women and White women in the United States over two decades: an age-period-cohort analysis. Am J Epidemiol 154(7):657–665CrossRefPubMed
19.
go back to reference Ananth CV, Vintzileos AM (2006) Epidemiology of preterm birth and its clinical subtypes. J Matern Fetal Neonatal Med 19(12):773–782CrossRefPubMed Ananth CV, Vintzileos AM (2006) Epidemiology of preterm birth and its clinical subtypes. J Matern Fetal Neonatal Med 19(12):773–782CrossRefPubMed
20.
go back to reference Romero R, Gotsch F, Pineles B, Kusanovic JP (2007) Inflammation in pregnancy: its roles in reproductive physiology, obstetrical complications, and fetal injury. Nutr Rev 65(12 Pt 2):S194–S202CrossRefPubMed Romero R, Gotsch F, Pineles B, Kusanovic JP (2007) Inflammation in pregnancy: its roles in reproductive physiology, obstetrical complications, and fetal injury. Nutr Rev 65(12 Pt 2):S194–S202CrossRefPubMed
21.
go back to reference Romero R, Yoon BH, Mazor M, Gomez R, Diamond M, Kenney J, Ramirez M, Fidel P, Sorokin Y, Cotton D, Sehgal P (1993) The diagnostic and prognostic value of amniotic fluid white blood cell count, glucose, interleukin-6 and Gram-stain in patients with preterm labor and intact membranes. Am J Obstet Gynecol 169(4):805–816PubMed Romero R, Yoon BH, Mazor M, Gomez R, Diamond M, Kenney J, Ramirez M, Fidel P, Sorokin Y, Cotton D, Sehgal P (1993) The diagnostic and prognostic value of amniotic fluid white blood cell count, glucose, interleukin-6 and Gram-stain in patients with preterm labor and intact membranes. Am J Obstet Gynecol 169(4):805–816PubMed
22.
go back to reference Rizzo G, Caponi A, Rinaldo D, Tedeschi D, Arduini D, Romanini C (1996) Interleukin-6 concentrations in cervical secretions identify microbial invasion of the amniotic cavity in patients with preterm labor and intact membranes. Am J Obstet Gynecol 175(4):812–817CrossRefPubMed Rizzo G, Caponi A, Rinaldo D, Tedeschi D, Arduini D, Romanini C (1996) Interleukin-6 concentrations in cervical secretions identify microbial invasion of the amniotic cavity in patients with preterm labor and intact membranes. Am J Obstet Gynecol 175(4):812–817CrossRefPubMed
23.
go back to reference Maymon E, Ghezzi F, Edwin S, Mazor M, Yoon BH, Gomez R, Romero R (1999) The tumor necrosis factor [alpha] and its soluble receptor profile in term and preterm parturition. Am J Obstet Gynecol 181(5):1142–1148CrossRefPubMed Maymon E, Ghezzi F, Edwin S, Mazor M, Yoon BH, Gomez R, Romero R (1999) The tumor necrosis factor [alpha] and its soluble receptor profile in term and preterm parturition. Am J Obstet Gynecol 181(5):1142–1148CrossRefPubMed
24.
go back to reference Iams JD, Paraskos J, Landon MB, Teteris JN, Johnson FF (1994) Cervical sonography in preterm labor. Obstet Gynecol 84(1):40–46PubMed Iams JD, Paraskos J, Landon MB, Teteris JN, Johnson FF (1994) Cervical sonography in preterm labor. Obstet Gynecol 84(1):40–46PubMed
25.
go back to reference Iams JD, Goldenberg RL, Meis PJ, Mercer BM, Moawad A, Das A, Thom E, McNellis D, Copper RL, Johnson F, Roberts JM (1996) The length of the cervix and the risk of spontaneous premature delivery. National Institute of Child Health and Human Development Maternal Fetal Medicine Unit Network. N Engl J Med 334(9):567–572CrossRefPubMed Iams JD, Goldenberg RL, Meis PJ, Mercer BM, Moawad A, Das A, Thom E, McNellis D, Copper RL, Johnson F, Roberts JM (1996) The length of the cervix and the risk of spontaneous premature delivery. National Institute of Child Health and Human Development Maternal Fetal Medicine Unit Network. N Engl J Med 334(9):567–572CrossRefPubMed
26.
go back to reference Crane JM, Hutchens D (2008) Transvaginal sonographic measurement of cervical length to predict preterm birth in asymptomatic women at increased risk: a systematic review. Ultrasound Obstet Gynecol 31(5):579–587CrossRefPubMed Crane JM, Hutchens D (2008) Transvaginal sonographic measurement of cervical length to predict preterm birth in asymptomatic women at increased risk: a systematic review. Ultrasound Obstet Gynecol 31(5):579–587CrossRefPubMed
27.
go back to reference Canavan TP, Simhan HN, Caritis S (2004) An evidence-based approach to the evaluation and treatment of premature rupture of membranes: part I. Obstet Gynecol Surv 59(9):669–677CrossRefPubMed Canavan TP, Simhan HN, Caritis S (2004) An evidence-based approach to the evaluation and treatment of premature rupture of membranes: part I. Obstet Gynecol Surv 59(9):669–677CrossRefPubMed
28.
go back to reference Galle PC, Meis PJ (1982) Complications of amniocentesis: a review. J Reprod Med 27(3):149–155PubMed Galle PC, Meis PJ (1982) Complications of amniocentesis: a review. J Reprod Med 27(3):149–155PubMed
29.
go back to reference O’Brien WF (1984) Midtrimester genetic amniocentesis. A review of the fetal risks. J Reprod Med 29(1):59–63PubMed O’Brien WF (1984) Midtrimester genetic amniocentesis. A review of the fetal risks. J Reprod Med 29(1):59–63PubMed
30.
go back to reference Tabor A, Philip J, Madsen M, Bang J, Obel EB, Nørgaard-Pedersen B (1986) Randomised controlled trial of genetic amniocentesis in 4606 low-risk women. Lancet 1(8493):1287–1293CrossRefPubMed Tabor A, Philip J, Madsen M, Bang J, Obel EB, Nørgaard-Pedersen B (1986) Randomised controlled trial of genetic amniocentesis in 4606 low-risk women. Lancet 1(8493):1287–1293CrossRefPubMed
31.
go back to reference Brumfield CG, Lin S, Conner W, Cosper P, Davis RO, Owen J (1996) Pregnancy outcome following genetic amniocentesis at 11–14 versus 16–19 weeks’ gestation. Obstet Gynecol 88(1):114–118CrossRefPubMed Brumfield CG, Lin S, Conner W, Cosper P, Davis RO, Owen J (1996) Pregnancy outcome following genetic amniocentesis at 11–14 versus 16–19 weeks’ gestation. Obstet Gynecol 88(1):114–118CrossRefPubMed
32.
go back to reference Roper EC, Konje JC, De Chazal RC, Duckett DP, Oppenheimer CA, Taylor DJ (1999) Genetic amniocentesis: gestation-specific pregnancy outcome and comparison of outcome following early and traditional amniocentesis. Prenat Diagn 19(9):803–807CrossRefPubMed Roper EC, Konje JC, De Chazal RC, Duckett DP, Oppenheimer CA, Taylor DJ (1999) Genetic amniocentesis: gestation-specific pregnancy outcome and comparison of outcome following early and traditional amniocentesis. Prenat Diagn 19(9):803–807CrossRefPubMed
33.
go back to reference Ghidini A, Jenkins CB, Spong CY, Pezzullo JC, Salafia CM, Eglinton GS (1997) Elevated amniotic fluid interleukin-6 levels during the early second trimester are associated with greater risk of subsequent preterm delivery. Am J Reprod Immunol 37(3):227–231PubMed Ghidini A, Jenkins CB, Spong CY, Pezzullo JC, Salafia CM, Eglinton GS (1997) Elevated amniotic fluid interleukin-6 levels during the early second trimester are associated with greater risk of subsequent preterm delivery. Am J Reprod Immunol 37(3):227–231PubMed
34.
go back to reference Wenstrom KD, Andrews WW, Hauth JC, Goldenberg RL, DuBard MB, Cliver SP (1998) Elevated second-trimester amniotic fluid interleukin-6 levels predict preterm delivery. Am J Obstet Gynecol 178(3):546–550CrossRefPubMed Wenstrom KD, Andrews WW, Hauth JC, Goldenberg RL, DuBard MB, Cliver SP (1998) Elevated second-trimester amniotic fluid interleukin-6 levels predict preterm delivery. Am J Obstet Gynecol 178(3):546–550CrossRefPubMed
35.
go back to reference Yoon BH, Oh SY, Romero R, Shim SS, Han SY, Park JS, Jun JK (2001) An elevated amniotic fluid matrix metalloproteinase-8 level at the time of mid-trimester genetic amniocentesis is a risk factor for spontaneous preterm delivery. Am J Obstet Gynecol 185(5):1162–1167CrossRefPubMed Yoon BH, Oh SY, Romero R, Shim SS, Han SY, Park JS, Jun JK (2001) An elevated amniotic fluid matrix metalloproteinase-8 level at the time of mid-trimester genetic amniocentesis is a risk factor for spontaneous preterm delivery. Am J Obstet Gynecol 185(5):1162–1167CrossRefPubMed
36.
go back to reference Suzuki Y, Yamamoto T, Kojima K, Tanemura M, Tateyama H, Suzumori K (2006) Evaluation levels of cytokines in amniotic fluid of women with intrauterine infection in the early second trimester. Fetal Diagn Ther 21(1):45–50CrossRefPubMed Suzuki Y, Yamamoto T, Kojima K, Tanemura M, Tateyama H, Suzumori K (2006) Evaluation levels of cytokines in amniotic fluid of women with intrauterine infection in the early second trimester. Fetal Diagn Ther 21(1):45–50CrossRefPubMed
37.
go back to reference Apuzzio J, Chan Y, Al-Khan A, Illsley N, Kim PL, Vonhaggen S (2004) Second-trimester amniotic fluid interleukin-10 concentration predicts preterm delivery. J Matern Fetal Neonatal Med 15(5):313–317CrossRefPubMed Apuzzio J, Chan Y, Al-Khan A, Illsley N, Kim PL, Vonhaggen S (2004) Second-trimester amniotic fluid interleukin-10 concentration predicts preterm delivery. J Matern Fetal Neonatal Med 15(5):313–317CrossRefPubMed
38.
go back to reference Malamitsi-Puchner A, Vrachnis N, Samoli E, Baka S, Alexandrakis G, Puchner KP, Iliodromiti Z, Hassiakos D (2006) Investigation of midtrimester amniotic fluid factors as potential predictors of term and preterm deliveries. Mediators Inflamm 2006(4):94381PubMed Malamitsi-Puchner A, Vrachnis N, Samoli E, Baka S, Alexandrakis G, Puchner KP, Iliodromiti Z, Hassiakos D (2006) Investigation of midtrimester amniotic fluid factors as potential predictors of term and preterm deliveries. Mediators Inflamm 2006(4):94381PubMed
39.
go back to reference Malamitsi-Puchner A, Vrachnis N, Samoli E, Baka S, Iliodromiti Z, Puchner KP, Malligianis P, Hassiakos D (2006) Possible early prediction of preterm birth by determination of novel proinflammatory factors in midtrimester amniotic fluid. Ann N Y Acad Sci 1092:440–449CrossRefPubMed Malamitsi-Puchner A, Vrachnis N, Samoli E, Baka S, Iliodromiti Z, Puchner KP, Malligianis P, Hassiakos D (2006) Possible early prediction of preterm birth by determination of novel proinflammatory factors in midtrimester amniotic fluid. Ann N Y Acad Sci 1092:440–449CrossRefPubMed
40.
go back to reference King AE, Paltoo A, Kelly RW, Sallenave JM, Bocking AD, Challis JR (2007) Expression of natural antimicrobials by human placenta and fetal membranes. Placenta 28:161–169CrossRefPubMed King AE, Paltoo A, Kelly RW, Sallenave JM, Bocking AD, Challis JR (2007) Expression of natural antimicrobials by human placenta and fetal membranes. Placenta 28:161–169CrossRefPubMed
41.
go back to reference King AE, Kelly RW, Sallenare JM, Bocking AD, Challis JR (2007) Innate immune defences in the human uterus during pregnancy. Placenta 28:1099–1106CrossRefPubMed King AE, Kelly RW, Sallenare JM, Bocking AD, Challis JR (2007) Innate immune defences in the human uterus during pregnancy. Placenta 28:1099–1106CrossRefPubMed
42.
go back to reference Duits LA, Ravensbergen B, Rademaker M, Hiemstra PS, Nibbering PH (2002) Expression of beta-defensin 1 and 2 mRNA by human monocytes, macrophages and dendritic cells. Immunology 106(4):517–525CrossRefPubMed Duits LA, Ravensbergen B, Rademaker M, Hiemstra PS, Nibbering PH (2002) Expression of beta-defensin 1 and 2 mRNA by human monocytes, macrophages and dendritic cells. Immunology 106(4):517–525CrossRefPubMed
43.
go back to reference Wah J, Wellek A, Frankenberger M, Unterberger P, Welsch U, Bals R (2006) Antimicrobial peptides are present in immune and host defense cells of the human respiratory and gastrointestinal tracts. Cell Tissue Res 324(3):449–456CrossRefPubMed Wah J, Wellek A, Frankenberger M, Unterberger P, Welsch U, Bals R (2006) Antimicrobial peptides are present in immune and host defense cells of the human respiratory and gastrointestinal tracts. Cell Tissue Res 324(3):449–456CrossRefPubMed
44.
go back to reference Stock SJ, Kelly RW, Riley SC, Calder AA (2007) Natural antimicrobial production by the amnion. Am J Obstet Gynecol 196:255.e1–255.e6CrossRef Stock SJ, Kelly RW, Riley SC, Calder AA (2007) Natural antimicrobial production by the amnion. Am J Obstet Gynecol 196:255.e1–255.e6CrossRef
45.
go back to reference Balu R, Savitz D, Amanth C, Hartmann K, Miller W, Thorp J, Heine P (2003) Bacterial vaginosis, vaginal fluid neutrophil defensins and preterm birth. Obstet Gynecol 101:862–868CrossRefPubMed Balu R, Savitz D, Amanth C, Hartmann K, Miller W, Thorp J, Heine P (2003) Bacterial vaginosis, vaginal fluid neutrophil defensins and preterm birth. Obstet Gynecol 101:862–868CrossRefPubMed
46.
go back to reference Harder J, Bartels J, Christophers E, Schröder JM (1997) A peptide antibiotic from human skin. Nature 387(6636):861CrossRefPubMed Harder J, Bartels J, Christophers E, Schröder JM (1997) A peptide antibiotic from human skin. Nature 387(6636):861CrossRefPubMed
47.
go back to reference Liberatore M, Pala A, Scaccianoce S, Anagnostou C, Di Tondo U, Calandri E, D’Elia P, Gross MD, Rubello D (2009) Microbial targeting of 99mTc-labeled recombinant human {beta}-defensin-3 in an animal model of infection: a feasibility pilot study. J Nucl Med 50(5):823–826CrossRefPubMed Liberatore M, Pala A, Scaccianoce S, Anagnostou C, Di Tondo U, Calandri E, D’Elia P, Gross MD, Rubello D (2009) Microbial targeting of 99mTc-labeled recombinant human {beta}-defensin-3 in an animal model of infection: a feasibility pilot study. J Nucl Med 50(5):823–826CrossRefPubMed
48.
go back to reference Dorschner RA, Lin KH, Murakami M, Gallo RL (2003) Neonatal skin in mice and humans expresses increased levels of antimicrobial peptides: innate immunity during development of the adaptive response. Pediatr Res 53(4):566–572CrossRefPubMed Dorschner RA, Lin KH, Murakami M, Gallo RL (2003) Neonatal skin in mice and humans expresses increased levels of antimicrobial peptides: innate immunity during development of the adaptive response. Pediatr Res 53(4):566–572CrossRefPubMed
49.
go back to reference Singh PK, Jia HP, Wiles K, Hesselberth J, Liu L, Conway BA, Greenberg EP, Valore EV, Welsh MJ, Ganz T, Tack BF, McCray PB Jr (1998) Production of beta-defensins by human airway epithelia. Proc Natl Acad Sci USA 95(25):14961–14966CrossRefPubMed Singh PK, Jia HP, Wiles K, Hesselberth J, Liu L, Conway BA, Greenberg EP, Valore EV, Welsh MJ, Ganz T, Tack BF, McCray PB Jr (1998) Production of beta-defensins by human airway epithelia. Proc Natl Acad Sci USA 95(25):14961–14966CrossRefPubMed
50.
go back to reference Nitschke M, Wiehl S, Baer PC, Kreft B (2002) Bactericidal activity of renal tubular cells: the putative role of human beta-defensins. Exp Nephrol 10(5–6):332–337CrossRefPubMed Nitschke M, Wiehl S, Baer PC, Kreft B (2002) Bactericidal activity of renal tubular cells: the putative role of human beta-defensins. Exp Nephrol 10(5–6):332–337CrossRefPubMed
51.
go back to reference White SH, Wimley WC, Selsted ME (1995) Structure, function, and membrane integration of defensins. Curr Opin Struct Biol 5:521–527CrossRefPubMed White SH, Wimley WC, Selsted ME (1995) Structure, function, and membrane integration of defensins. Curr Opin Struct Biol 5:521–527CrossRefPubMed
52.
go back to reference Hoover DM, Rajashankar KR, Blumenthal R, Puri A, Oppenheim JJ, Chertov O, Lubkowski J (2000) The structure of human beta-defensin-2 shows evidence of higher order oligomerization. J Biol Chem 275:32911–32918CrossRefPubMed Hoover DM, Rajashankar KR, Blumenthal R, Puri A, Oppenheim JJ, Chertov O, Lubkowski J (2000) The structure of human beta-defensin-2 shows evidence of higher order oligomerization. J Biol Chem 275:32911–32918CrossRefPubMed
Metadata
Title
The role of human beta defensins 2 and 3 in the second trimester amniotic fluid in predicting preterm labor and premature rupture of membranes
Authors
C. Iavazzo
K. Tassis
D. Gourgiotis
M. Boutsikou
S. Baka
D. Hassiakos
A. Hadjithomas
D. Botsis
A. Malamitsi-Puchner
Publication date
01-05-2010
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 5/2010
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-009-1155-4

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