Intra-Amniotic Infection with Ureaplasma parvumCauses Preterm Birth and Neonatal Mortality That Are Prevented by Treatment with Clarithromycin

Autor: Motomura, Kenichiro, Romero, Roberto, Xu, Yi, Theis, Kevin R., Galaz, Jose, Winters, Andrew D., Slutsky, Rebecca, Garcia-Flores, Valeria, Zou, Chengrui, Levenson, Dustyn, Para, Robert, Ahmad, Madison M., Miller, Derek, Hsu, Chaur-Dong, Gomez-Lopez, Nardhy
Zdroj: mBio; June 2020, Vol. 11 Issue: 3
Abstrakt: Preterm birth is the leading cause of neonatal morbidity and mortality worldwide. Multiple etiologies are associated with preterm birth; however, 25% of preterm infants are born to a mother with intra-amniotic infection, most commonly due to invasion of the amniotic cavity by Ureaplasmaspecies. Much research has focused on establishing a link between Ureaplasmaspecies and adverse pregnancy/neonatal outcomes; however, little is known about the taxonomy of and host response against Ureaplasmaspecies. Here, we applied a multifaceted approach, including human samples, in vivomodels, and in vitromanipulations, to study the maternal-fetal immunobiology of Ureaplasmainfection during pregnancy. Furthermore, we investigated the use of clarithromycin as a treatment for this infection. Our research provides translational knowledge that bolsters scientific understanding of Ureaplasmaspecies as a cause of adverse pregnancy/neonatal outcomes and gives strong evidence for the use of clarithromycin as the recommended treatment for women intra-amniotically infected with Ureaplasmaspecies.
Databáze: Supplemental Index