Evidence map›Paper›PMID 34512648›Full record

ArticleFrontiers in immunology2021

Preterm Birth Is Associated With Immune Dysregulation Which Persists in Infants Exposed to Histologic Chorioamnionitis.

Gemma Sullivan, Paola Galdi, Nis Borbye-Lorenzen, David Q Stoye, Gillian J Lamb, Margaret J Evans, Kristin Skogstrand, Siddharthan Chandran, James P Boardman

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
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

19 citing papers in PubMed, 21 citations in OpenAlex.

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  18. The Role of the Interleukin-1 Family in Complications of Prematurity.International journal of molecular sciences · 2023
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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

9 authors at 5 institutions in 2 countries.

Gemma SullivanMedical Research Council (MRC) Centre for Reproductive Health, University of Edinburgh, Edinburgh, United Kingdom.
Paola GaldiMedical Research Council (MRC) Centre for Reproductive Health, University of Edinburgh, Edinburgh, United Kingdom.
Nis Borbye-LorenzenDanish Center for Neonatal Screening, Statens Serum Institut, Copenhagen, Denmark.
David Q StoyeMedical Research Council (MRC) Centre for Reproductive Health, University of Edinburgh, Edinburgh, United Kingdom.
Gillian J LambMedical Research Council (MRC) Centre for Reproductive Health, University of Edinburgh, Edinburgh, United Kingdom.
Margaret J EvansDepartment of Pathology, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
Kristin SkogstrandDanish Center for Neonatal Screening, Statens Serum Institut, Copenhagen, Denmark.
Siddharthan ChandranCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.
James P BoardmanMedical Research Council (MRC) Centre for Reproductive Health, University of Edinburgh, Edinburgh, United Kingdom.
University of Edinburgh · GBStatens Serum Institut · DKEdinburgh Royal Infirmary · GBMedical Research Council · GBMRC Centre for Reproductive Health · GB

Funding

Medical Research Council G1002033Medical Research Council MR/L023784/2
6 · The paper itself

Abstract

Introduction: Preterm infants are at increased risk of exposure to histologic chorioamnionitis (HCA) when compared to term-born controls, and this is associated with several neonatal morbidities involving brain, lungs and gut. Preterm infants could benefit from immunomodulatory therapies in the perinatal period, but development of rational treatment strategies requires improved characterization of the perinatal response to HCA. We had two objectives: The first, to characterize the umbilical cord blood immune profile in preterm infants compared to term-born controls; the second, to investigate the postnatal immune response in preterm infants exposed to HCA versus those who were not. Population: For objective one 59 term infants [mean gestational age (GA) 39 Methods: Placental histopathology was used to identify reaction patterns indicative of HCA, and a customized immunoassay of 24 inflammatory markers and trophic proteins selected to reflect the perinatal immune response was performed on umbilical cord blood in term and preterm participants and postnatal day 5 blood in the preterm group. Results: The umbilical cord blood immune profile classified gestational age category with 86% accuracy (95% CI 0.78-0.92), p-value=1.242x10 Conclusion: Preterm birth is associated with a distinct immune profile in umbilical cord blood and preterm infants exposed to HCA with evidence of a fetal inflammatory response have specific alterations in immune function that are apparent on day 5 of postnatal life.

Indexed as

BiomarkersCase-Control StudiesChorioamnionitisCytokinesDisease SusceptibilityFemaleHumansInfant, NewbornInflammation MediatorsPlacentaPregnancyPremature BirthBiomarkersCytokinesInflammation Mediatorscomplementcytokinefetal inflammatory responsehistologic chorioamnionitisimmunityinflammationinterleukinpreterm birth

Identifiers

PMID34512648
PMCPMC8430209
OpenAlexW3159925835

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.