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Localization and quantification of adhesion molecule expression in the lower uterine segment during premature labor

  • D.-C. Fischer , M. Winkler , P. Ruck , D. Poth , B. Kemp and W. Rath
Published/Copyright: June 1, 2005
Journal of Perinatal Medicine
From the journal Volume 29 Issue 6

Abstract

Aims: To investigate localization and concentration of adhesion molecules in the human lower uterine segment during preterm parturition.

Methods: In a prospective study biopsy specimens from the lower uterine segment of 43 patients undergoing cesarean section at 24 + 0 to 36 + 4 weeks' gestation were immunostained for intercellular adhesion molecule-1, endothelial leukocyte adhesion molecule-1, vascular cell adhesion molecule-1, and platelet endothelial cell adhesion molecule-1, and the concentrations measured by enzyme immunoassay. The results were analyzed in relation to the degree of cervical dilatation (< 2 cm, 2 – < 4 cm, ≥ 4 cm) and duration of labor (≤ 6 h, > 6–12 h; > 12 h).

Results: Intercellular adhesion molecule-1 and platelet endothelial cell adhesion molecule-1 were strongly expressed by capillary endothelium, endothelial leukocyte adhesion molecule-1 and vascular cell adhesion molecule-1 to only a minor degree. Intercellular adhesion molecule-1 concentration was greater at ≥ 4 cm dilatation than at 2– < 4 cm and after > 12 h labor than after ≤ 6 h. Endothelial leukocyte adhesion molecule-1 concentration was greater after >12 h than after ≤ 6 h.

Conclusions: Premature labor is associated with up-regulation of adhesion molecules in the lower uterine segment.

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Published Online: 2005-06-01
Published in Print: 2001-11-27

Copyright © 2001 by Walter de Gruyter GmbH & Co. KG

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