The MMP-9/TIMP-1 imbalance and the reduced level of TGF-β in the cervical area of amniotic membrane is a possible risk factor of PROM and premature labor - proof-of-concept study

Ginekol Pol. 2017;88(7):379-384. doi: 10.5603/GP.a2017.0071.

Abstract

Objectives: To assess the level MMP-9, TIMP-1 and TGF-β in placental and cervical region of amniotic membranes derived from at-term, pre-term and PROM deliveries.

Material and methods: 14 amniotic membranes have been assessed; the quantitative analysis of MMP-9, TGF-β and TIMP-1 was assayed using respective Quantikine Immunoassay Kit.

Results: The MMP-9 level in PROM samples was similar to the level of MMP-9 in at-term membranes and comparable between the cervical and placental region of these membranes. The concentration of TGF-β and TIMP-1 was decreased in the cervical area of AM derived from deliveries complicated with PROM.

Conclusion: The MMP9/TIMP-1 imbalance, as well as the reduced level of TGF-β may be possible risk factors of pre-term labor and PROM.

Keywords: PROM; TGF-β; amniotic membrane; pre-mature labor.

MeSH terms

  • Adult
  • Amnion / metabolism*
  • Female
  • Fetal Membranes, Premature Rupture / metabolism*
  • Humans
  • Matrix Metalloproteinase 9 / metabolism*
  • Obstetric Labor, Premature / metabolism*
  • Pregnancy
  • Risk Factors
  • Tissue Inhibitor of Metalloproteinase-1 / metabolism*
  • Transforming Growth Factor beta / metabolism*

Substances

  • Tissue Inhibitor of Metalloproteinase-1
  • Transforming Growth Factor beta
  • Matrix Metalloproteinase 9