Evidence map›Paper›PMID 41097241›Full record

ReviewNutrients2025

The Role of Lactoferrin in Modulating Inflammation and Preventing Preterm Birth: A Narrative Review.

Alessandro Messina, Safae El Motarajji, Bianca Masturzo, Paolo Manzoni

Abstract readReview
In one paragraph

Review in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Alessandro MessinaDepartment of Obstetrics and Gynecology, University Hospital "Degli Infermi", 13875 Ponderano, Italy.ORCID 0000-0002-6868-036X
Safae El MotarajjiDepartment of Obstetrics and Gynecology, University Hospital "Degli Infermi", 13875 Ponderano, Italy.ORCID 0009-0006-0925-0542
Bianca MasturzoDepartment of Obstetrics and Gynecology, University Hospital "Degli Infermi", 13875 Ponderano, Italy.ORCID 0000-0001-5243-0940
Paolo ManzoniDepartment of Public Health and Pediatric Sciences, University of Torino School of Medicine, 10121 Turin, Italy.ORCID 0000-0003-1340-3493

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreterm birth (PTB) remains a leading cause of neonatal morbidity and mortality worldwide. Inflammatory cytokines, particularly IL-6, are central to PTB pathogenesis. Lactoferrin (LF), an iron-binding glycoprotein with antimicrobial and immunomodulatory properties, has been proposed as a potential protective factor against PTB. This narrative review aimed to synthesize current evidence on LF supplementation and its effects on inflammation, cytokine modulation, biochemical markers, and obstetric outcomes related to PTB.

methodsEight clinical studies involving pregnant women at risk of PTB were included. LF was administered orally, vaginally, or through combined regimens, with variations in dosage and duration. Reported outcomes encompassed inflammatory markers, cervical and uterine parameters, oxidative stress biomarkers, and obstetric or neonatal endpoints.

resultsAcross the studies, LF supplementation was consistently associated with reduced pro-inflammatory cytokines, improvements in cervical length and uterine activity, and favorable changes in oxidative stress markers. Clinically, supplementation was linked with prolonged gestation, fewer preterm births, and reduced neonatal intensive care admissions. Immunological analyses further suggested a positive modulation of cytokine profiles in amniotic fluid.

conclusionsLF appears to exert multifaceted immunomodulatory effects that mitigate inflammation and support pregnancy maintenance. Although findings point to its potential role in PTB prevention, they should be interpreted with caution given the limited and heterogeneous evidence. Further large-scale, multicenter randomized trials are needed to confirm efficacy and to establish optimal dosage, route, and timing of administration.

Indexed as

Dietary SupplementsInflammationLactoferrinPremature BirthBiomarkersCytokinesFemaleHumansInfant, NewbornOxidative StressPregnancyBiomarkersCytokinesLactoferrincytokinesinflammationlactoferrinpregnancy outcomespreterm birth

Identifiers

PMID41097241
PMCPMC12526437

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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.