Evidence map›Paper›PMID 42355410›Full record

ReviewLife (Basel, Switzerland)2026

Characteristics, Epigenetics, and Management of Non-Infectious Preterm Birth-Sterile Intrauterine Inflammation and Idiopathic Preterm Birth.

Vilmos Fulop, László Kalmár, György Végh, Sándor Nagy, Borbála Szeiler, Kornél Lakatos

Abstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Vilmos FulopFaculty of Health Sciences, University of Miskolc, 3515 Miskolc, Hungary.
László KalmárDepartment of Obstetrics and Gynecology, Northern Pest Central Hospital Military Hospital, 1134 Budapest, Hungary.
György VéghDepartment of Obstetrics and Gynecology, Northern Buda Szent János Hospital, 1125 Budapest, Hungary.
Sándor NagyDepartment of Obstetrics and Gynecology, Szechenyi University, 9026 Gyor, Hungary.
Borbála SzeilerDepartment of Perinatal Intensive Care Unit, Northern Pest Central Hospital Military Hospital, 1134 Budapest, Hungary.
Kornél LakatosDepartment of Obstetrics and Gynecology, Szechenyi University, 9026 Gyor, Hungary.ORCID 0009-0000-2789-1673

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Preterm birth is a major cause of neonatal morbidity and mortality, and many spontaneous cases remain idiopathic. Increasing evidence suggests that intrauterine inflammation may occur in the absence of detectable infection, leading to the recognition of sterile intrauterine inflammation as an important mechanism contributing to threatened preterm labor and spontaneous preterm birth. This review summarizes current knowledge regarding the role of damage-associated molecular patterns (DAMPs), alarmins, pattern recognition receptors, inflammasome activation, cellular senescence, and pyroptosis in the initiation of sterile inflammatory pathways associated with labor. Key mediators including HMGB1, IL-1α, fetal cell-free DNA, platelet-activating factor, and S100 proteins appear to promote inflammatory activation within fetal membranes and the amniotic cavity. The review also discusses the emerging contribution of fetal immune activation, maternal-fetal immune dysregulation, maternal microchimerism, and epigenetic mechanisms to idiopathic preterm birth. Current diagnostic and therapeutic options remain limited, and no targeted treatment for sterile intrauterine inflammation has yet been established. Future approaches may include precision biomarkers, multiomics-based risk stratification, targeted immunomodulatory therapies, and modulation of maternal-fetal immune interactions. Improved understanding of sterile inflammatory mechanisms may ultimately support development of personalized strategies to prevent preterm birth and improve perinatal outcomes.

Indexed as

epigeneticspreterm birthsterile intrauterine inflammation

Identifiers

PMID42355410
PMCPMC13301139

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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.