Evidence map›Paper›PMID 28636613›Full record

ArticlePloS one2017

In vivo immune signatures of healthy human pregnancy: Inherently inflammatory or anti-inflammatory?

Caroline Graham, Rishma Chooniedass, William P Stefura, Allan B Becker, Malcolm R Sears, Stuart E Turvey, Piush J Mandhane, Padmaja Subbarao, CHILD Study Investigators, Kent T HayGlass

Abstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed.

  1. Article
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  5. Article
  6. Review
  7. Article
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  9. Review
  10. Article
  11. Article
  12. Article
  13. Ambient air pollution and inflammatory effects in a Canadian pregnancy cohort.Environmental epidemiology (Philadelphia, Pa.) · 2021
    Article
  14. Comprehensive analysis of COVID-19 during pregnancy.Biochemical and biophysical research communications · 2021
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Innate Lymphoid Cells in Human Pregnancy.Frontiers in immunology · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Caroline GrahamDepartment of Immunology, University of Manitoba, Winnipeg, Manitoba, Canada.
Rishma ChooniedassDepartment of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada.
William P StefuraDepartment of Immunology, University of Manitoba, Winnipeg, Manitoba, Canada.
Allan B BeckerDepartment of Immunology, University of Manitoba, Winnipeg, Manitoba, Canada.
Malcolm R SearsDepartment of Medicine, de Groote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Stuart E TurveyDepartment of Pediatrics, Child & Family Research Institute and BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Piush J MandhaneDepartment of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Padmaja SubbaraoDepartment of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
CHILD Study Investigators
Kent T HayGlassDepartment of Immunology, University of Manitoba, Winnipeg, Manitoba, Canada.ORCID http://orcid.org/0000-0002-4621-7737

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Changes in maternal innate immunity during healthy human pregnancy are not well understood. Whether basal immune status in vivo is largely unaffected by pregnancy, is constitutively biased towards an inflammatory phenotype (transiently enhancing host defense) or exhibits anti-inflammatory bias (reducing potential responsiveness to the fetus) is unclear. Here, in a longitudinal study of healthy women who gave birth to healthy infants following uncomplicated pregnancies within the Canadian Healthy Infant Longitudinal Development (CHILD) cohort, we test the hypothesis that a progressively altered bias in resting innate immune status develops. Women were examined during pregnancy and again, one and/or three years postpartum. Most pro-inflammatory cytokine expression, including CCL2, CXCL10, IL-18 and TNFα, was reduced in vivo during pregnancy (20-57%, p<0.0001). Anti-inflammatory biomarkers (sTNF-RI, sTNF-RII, and IL-1Ra) were elevated by ~50-100% (p<0.0001). Systemic IL-10 levels were unaltered during vs. post-pregnancy. Kinetic studies demonstrate that while decreased pro-inflammatory biomarker expression (CCL2, CXCL10, IL-18, and TNFα) was constant, anti-inflammatory expression increased progressively with increasing gestational age (p<0.0001). We conclude that healthy resting maternal immune status is characterized by an increasingly pronounced bias towards a systemic anti-inflammatory innate phenotype during the last two trimesters of pregnancy. This is resolved by one year postpartum in the absence of repeat pregnancy. The findings provide enhanced understanding of immunological changes that occur in vivo during healthy human pregnancy.

Indexed as

AdolescentAdultAnti-Inflammatory AgentsBiomarkersCanadaFemaleGestational AgeHumansImmunity, InnateInflammationInflammation MediatorsKineticsLongitudinal StudiesPregnancyYoung AdultAnti-Inflammatory AgentsBiomarkersInflammation Mediators

Identifiers

PMID28636613
PMCPMC5479559

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.