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American journal of obstetrics and gynecology · 2005

Cervical anti-inflammatory cytokine concentrations among first-trimester pregnant smokers.

СтатьяПоддержка NIH: внешняя программаНазвание и аннотация: Перевод в очереди
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Simhan Hyagriv N, Caritis Steve N, Hillier Sharon L, Krohn Marijane A

Аннотация

OBJECTIVE: Anti-inflammatory cytokines play a role in the lower genital tract immune defense. We examined the impact of cigarette smoking in pregnancy on the detection of the 3 most important anti-inflammatory cytokines (interleukin-4, -10, and -13) in the cervix.

STUDY DESIGN: One hundred fourteen gravid women from 4 to 16 weeks of gestation without bacterial vaginosis or sexually transmitted disease were queried regarding demographic factors and smoking. Concentrations of cytokines were determined with a multiplex assay for cervical swabs.

RESULTS: There was a positive linear relationship between the number of cigarettes that were smoked per day and cervical concentrations of interleukin-4, -10, and -13 (P < .001 for each). Median concentrations of interleukin-4 and -10 were greater among women who smoked > or = 20 cigarettes per day than among non-smokers or less heavy smokers (P < .05 for both). There was no difference in concentrations of proinflammatory cytokines between smokers and non-smokers.

CONCLUSION: Cigarette smoking in pregnancy is associated with an increase of cervical anti-inflammatory cytokines without a commensurate increase of proinflammatory cytokines. This may have important impact on the host response to infection.

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