AI Article Synopsis

  • Premature rupture of chorioamniotic membranes linked to intrauterine infection leads to degradation of the extracellular matrix (ECM), causing morphological changes.
  • A specialized culture system was used to separately analyze the effects of lipopolysaccharide (LPS) on the amnion and choriodecidua regions, measuring the secretions and activity of matrix metalloproteinases (MMP)-2 and MMP-9.
  • Results showed that while both MMPs were secreted in the choriodecidua, the amnion did not exhibit significant changes, indicating a potential mechanism for ECM degradation and weakening of membranes in cases of pathological rupture.

Article Abstract

Premature rupture of chorioamniotic membranes complicated with intrauterine infection has been associated to degradation of extracellular matrix (ECM), which could explain local morphological changes. We used a culture system in which the chorioamniotic membranes form two independent chambers, allowing for the selective stimulation of either the amnion (AMN) and/or the choriodecidua (CHD) regions. Lipopolysaccharide (500 ng/ml) was added to the AMN and/or the CHD; secretions and gelatinolytic activity of matrix metalloproteinase (MMP)-2 and MMP-9 were measured in both compartments by enzyme-linked immunosorbent assay (ELISA) and zymography. Secretions of TIMP-1, TIMP-2 and TIMP-4 were measured by ELISA. Both metalloproteinases were immunolocalized in tissue sections. All stimulation modalities induced a similar proMMP-2 and proMMP-9 secretion pattern in the CHD with concentrations of 2.49 ng/ml and 90.91 pg/ml, respectively; the AMN showed no significant changes. The active forms of both enzymes did not change with any stimulation modality. TIMP-1, TIMP-2 and TIMP-4 secretions remained without significant changes (P = 0.41). ECM degradation and structural disarrangement were evident after stimulation. Secretion of proMMP-2 and proMMP-9 mainly in the CHD, presence of active forms associated to the tissue and minor changes in TIMPs secretion could favor ECM degradation and explain the weakening and thinning associated with the pathological rupture of chorioamniotic membranes.

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http://dx.doi.org/10.1093/molehr/gam025DOI Listing

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