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Surfactant protein-A (SP-A) selectively inhibits prostaglandin F2alpha (PGF2alpha) production in term decidua: implications for the onset of labor.


ABSTRACT: Labor is characterized by "decidual activation" with production of inflammatory mediators. Recent data suggest that surfactant protein-A (SP-A) may be critical to the onset of labor in mice. Whether this is also true in humans is unclear.The aim was to investigate: 1) the expression of SP-A at the maternal-fetal interface; 2) the effect of SP-A on the production of inflammatory mediators by human decidua; and 3) the association between single nucleotide polymorphisms in maternal SP-A genes and spontaneous preterm birth.In situ expression of SP-A was investigated by immunohistochemistry and quantitative RT-PCR. Term decidual stromal cells were isolated, purified, and treated with/without SP-A (1-100 ?g/ml), IL-1?, and/or thrombin. Levels of inflammatory mediators [IL-6, IL-8, TNF?, matrix metalloproteinase-3, monocyte chemotactic protein-1, IL-1?, PGE(2), prostaglandin F(2?) (PGF(2?))] and angiogenic factors (soluble fms-like tyrosine kinase-1, vascular endothelial growth factor) were measured in conditioned supernatant by ELISA and corrected for protein content. The effect of SP-A on eicosanoid gene expression was measured by quantitative RT-PCR.SP-A localized to endometrium/decidua. High-dose SP-A (100 ?g/ml) inhibited PGF(2?) by term decidual stromal cells without affecting the production of other inflammatory mediators, and this effect occurred at a posttranscriptional level. Decidual SP-A expression decreased significantly with labor. Single nucleotide polymorphisms in the SP-A genes do not appear to be associated with preterm birth.SP-A is produced by human endometrium/decidua, where it significantly and selectively inhibits PGF(2?) production. Its expression decreases with labor. These novel observations suggest that decidual SP-A likely plays a critical role in regulating prostaglandin production within the uterus, culminating at term in decidual activation and the onset of labor.

SUBMITTER: Snegovskikh VV 

PROVIDER: S-EPMC3070253 | biostudies-literature | 2011 Apr

REPOSITORIES: biostudies-literature

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Surfactant protein-A (SP-A) selectively inhibits prostaglandin F2alpha (PGF2alpha) production in term decidua: implications for the onset of labor.

Snegovskikh Victoria V VV   Bhandari Vineet V   Wright Jo Rae JR   Tadesse Serkalem S   Morgan Thomas T   Macneill Colin C   Foyouzi Nastaran N   Park Joong Shin JS   Wang Yuguang Y   Norwitz Errol R ER  

The Journal of clinical endocrinology and metabolism 20110126 4


<h4>Context</h4>Labor is characterized by "decidual activation" with production of inflammatory mediators. Recent data suggest that surfactant protein-A (SP-A) may be critical to the onset of labor in mice. Whether this is also true in humans is unclear.<h4>Objectives</h4>The aim was to investigate: 1) the expression of SP-A at the maternal-fetal interface; 2) the effect of SP-A on the production of inflammatory mediators by human decidua; and 3) the association between single nucleotide polymor  ...[more]

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