Vaginal Lactoferrin Modulates PGE2, MMP-9, MMP-2, and TIMP-1 Amniotic Fluid Concentrations

Inflammation plays an important role in pregnancy, and cytokine and matrix metalloproteases (MMPs) imbalance has been associated with premature rupture of membranes and increased risk of preterm delivery. Previous studies have demonstrated that lactoferrin (LF), an iron-binding protein with anti-inf...

Full description

Saved in:
Bibliographic Details
Main Authors: Alessandro Trentini, Martina Maritati, Carlo Cervellati, Maria C. Manfrinato, Arianna Gonelli, Carlo A. Volta, Fortunato Vesce, Pantaleo Greco, Franco Dallocchio, Tiziana Bellini, Carlo Contini
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2016/3648719
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850167668787642368
author Alessandro Trentini
Martina Maritati
Carlo Cervellati
Maria C. Manfrinato
Arianna Gonelli
Carlo A. Volta
Fortunato Vesce
Pantaleo Greco
Franco Dallocchio
Tiziana Bellini
Carlo Contini
author_facet Alessandro Trentini
Martina Maritati
Carlo Cervellati
Maria C. Manfrinato
Arianna Gonelli
Carlo A. Volta
Fortunato Vesce
Pantaleo Greco
Franco Dallocchio
Tiziana Bellini
Carlo Contini
author_sort Alessandro Trentini
collection DOAJ
description Inflammation plays an important role in pregnancy, and cytokine and matrix metalloproteases (MMPs) imbalance has been associated with premature rupture of membranes and increased risk of preterm delivery. Previous studies have demonstrated that lactoferrin (LF), an iron-binding protein with anti-inflammatory properties, is able to decrease amniotic fluid (AF) levels of IL-6. Therefore, we aimed to evaluate the effect of vaginal LF administration on amniotic fluid PGE2 level and MMP-TIMP system in women undergoing genetic amniocentesis. One hundred and eleven women were randomly divided into controls (n=57) or treated with LF 4 hours before amniocentesis (n=54). Amniotic fluid PGE2, active MMP-9 and MMP-2, and TIMP-1 and TIMP-2 concentrations were determined by commercially available assays and the values were normalized by AF creatinine concentration. PGE2, active MMP-9, and its inhibitor TIMP-1 were lower in LF-treated group than in controls (p<0.01, p<0.005, and p<0.001, resp.). Conversely, active MMP-2 (p<0.0001) and MMP-2/TIMP-2 molar ratio (p<0.001) were increased, whilst TIMP-2 was unchanged. Our data suggest that LF administration is able to modulate the inflammatory response following amniocentesis, which may counteract cytokine and prostanoid imbalance that leads to abortion. This trial is registered with Clinical Trial number NCT02695563.
format Article
id doaj-art-e6ca860a22fb4efab0fac2878684380b
institution OA Journals
issn 0962-9351
1466-1861
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Mediators of Inflammation
spelling doaj-art-e6ca860a22fb4efab0fac2878684380b2025-08-20T02:21:10ZengWileyMediators of Inflammation0962-93511466-18612016-01-01201610.1155/2016/36487193648719Vaginal Lactoferrin Modulates PGE2, MMP-9, MMP-2, and TIMP-1 Amniotic Fluid ConcentrationsAlessandro Trentini0Martina Maritati1Carlo Cervellati2Maria C. Manfrinato3Arianna Gonelli4Carlo A. Volta5Fortunato Vesce6Pantaleo Greco7Franco Dallocchio8Tiziana Bellini9Carlo Contini10Section of Medical Biochemistry, Molecular Biology and Genetics, Department of Biomedical and Specialist Surgical Sciences, University of Ferrara, 44121 Ferrara, ItalySection of Dermatology and Infectious Diseases, Department of Medical Sciences, University of Ferrara, 44121 Ferrara, ItalySection of Medical Biochemistry, Molecular Biology and Genetics, Department of Biomedical and Specialist Surgical Sciences, University of Ferrara, 44121 Ferrara, ItalySection of Medical Biochemistry, Molecular Biology and Genetics, Department of Biomedical and Specialist Surgical Sciences, University of Ferrara, 44121 Ferrara, ItalyDepartment of Morphology, Surgery and Experimental Medicine, University of Ferrara, 44121 Ferrara, ItalySection of Orthopedics, Obstetrics and Gynecology and Anesthesia and Resuscitation, Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, 44121 Ferrara, ItalySection of Dermatology and Infectious Diseases, Department of Medical Sciences, University of Ferrara, 44121 Ferrara, ItalySection of Orthopedics, Obstetrics and Gynecology and Anesthesia and Resuscitation, Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, 44121 Ferrara, ItalySection of Medical Biochemistry, Molecular Biology and Genetics, Department of Biomedical and Specialist Surgical Sciences, University of Ferrara, 44121 Ferrara, ItalySection of Medical Biochemistry, Molecular Biology and Genetics, Department of Biomedical and Specialist Surgical Sciences, University of Ferrara, 44121 Ferrara, ItalySection of Dermatology and Infectious Diseases, Department of Medical Sciences, University of Ferrara, 44121 Ferrara, ItalyInflammation plays an important role in pregnancy, and cytokine and matrix metalloproteases (MMPs) imbalance has been associated with premature rupture of membranes and increased risk of preterm delivery. Previous studies have demonstrated that lactoferrin (LF), an iron-binding protein with anti-inflammatory properties, is able to decrease amniotic fluid (AF) levels of IL-6. Therefore, we aimed to evaluate the effect of vaginal LF administration on amniotic fluid PGE2 level and MMP-TIMP system in women undergoing genetic amniocentesis. One hundred and eleven women were randomly divided into controls (n=57) or treated with LF 4 hours before amniocentesis (n=54). Amniotic fluid PGE2, active MMP-9 and MMP-2, and TIMP-1 and TIMP-2 concentrations were determined by commercially available assays and the values were normalized by AF creatinine concentration. PGE2, active MMP-9, and its inhibitor TIMP-1 were lower in LF-treated group than in controls (p<0.01, p<0.005, and p<0.001, resp.). Conversely, active MMP-2 (p<0.0001) and MMP-2/TIMP-2 molar ratio (p<0.001) were increased, whilst TIMP-2 was unchanged. Our data suggest that LF administration is able to modulate the inflammatory response following amniocentesis, which may counteract cytokine and prostanoid imbalance that leads to abortion. This trial is registered with Clinical Trial number NCT02695563.http://dx.doi.org/10.1155/2016/3648719
spellingShingle Alessandro Trentini
Martina Maritati
Carlo Cervellati
Maria C. Manfrinato
Arianna Gonelli
Carlo A. Volta
Fortunato Vesce
Pantaleo Greco
Franco Dallocchio
Tiziana Bellini
Carlo Contini
Vaginal Lactoferrin Modulates PGE2, MMP-9, MMP-2, and TIMP-1 Amniotic Fluid Concentrations
Mediators of Inflammation
title Vaginal Lactoferrin Modulates PGE2, MMP-9, MMP-2, and TIMP-1 Amniotic Fluid Concentrations
title_full Vaginal Lactoferrin Modulates PGE2, MMP-9, MMP-2, and TIMP-1 Amniotic Fluid Concentrations
title_fullStr Vaginal Lactoferrin Modulates PGE2, MMP-9, MMP-2, and TIMP-1 Amniotic Fluid Concentrations
title_full_unstemmed Vaginal Lactoferrin Modulates PGE2, MMP-9, MMP-2, and TIMP-1 Amniotic Fluid Concentrations
title_short Vaginal Lactoferrin Modulates PGE2, MMP-9, MMP-2, and TIMP-1 Amniotic Fluid Concentrations
title_sort vaginal lactoferrin modulates pge2 mmp 9 mmp 2 and timp 1 amniotic fluid concentrations
url http://dx.doi.org/10.1155/2016/3648719
work_keys_str_mv AT alessandrotrentini vaginallactoferrinmodulatespge2mmp9mmp2andtimp1amnioticfluidconcentrations
AT martinamaritati vaginallactoferrinmodulatespge2mmp9mmp2andtimp1amnioticfluidconcentrations
AT carlocervellati vaginallactoferrinmodulatespge2mmp9mmp2andtimp1amnioticfluidconcentrations
AT mariacmanfrinato vaginallactoferrinmodulatespge2mmp9mmp2andtimp1amnioticfluidconcentrations
AT ariannagonelli vaginallactoferrinmodulatespge2mmp9mmp2andtimp1amnioticfluidconcentrations
AT carloavolta vaginallactoferrinmodulatespge2mmp9mmp2andtimp1amnioticfluidconcentrations
AT fortunatovesce vaginallactoferrinmodulatespge2mmp9mmp2andtimp1amnioticfluidconcentrations
AT pantaleogreco vaginallactoferrinmodulatespge2mmp9mmp2andtimp1amnioticfluidconcentrations
AT francodallocchio vaginallactoferrinmodulatespge2mmp9mmp2andtimp1amnioticfluidconcentrations
AT tizianabellini vaginallactoferrinmodulatespge2mmp9mmp2andtimp1amnioticfluidconcentrations
AT carlocontini vaginallactoferrinmodulatespge2mmp9mmp2andtimp1amnioticfluidconcentrations