TY - JOUR
T1 - Microbial-driven preterm labour involves crosstalk between the innate and adaptive immune response
AU - Chan, Denise
AU - Bennett, Phillip R.
AU - Lee, Yun S.
AU - Kundu, Samit
AU - Teoh, T. G.
AU - Adan, Malko
AU - Ahmed, Saqa
AU - Brown, Richard G.
AU - David, Anna L.
AU - Lewis, Holly V.
AU - Gimeno-Molina, Belen
AU - Norman, Jane E.
AU - Stock, Sarah J.
AU - Terzidou, Vasso
AU - Kropf, Pascale
AU - Botto, Marina
AU - MacIntyre, David A.
AU - Sykes, Lynne
N1 - Publisher Copyright:
© 2022, The Author(s).
PY - 2022/12
Y1 - 2022/12
N2 - There has been a surge in studies implicating a role of vaginal microbiota in spontaneous preterm birth (sPTB), but most are associative without mechanistic insight. Here we show a comprehensive approach to understand the causative factors of preterm birth, based on the integration of longitudinal vaginal microbiota and cervicovaginal fluid (CVF) immunophenotype data collected from 133 women at high-risk of sPTB. We show that vaginal depletion of Lactobacillus species and high bacterial diversity leads to increased mannose binding lectin (MBL), IgM, IgG, C3b, C5, IL-8, IL-6 and IL-1β and to increased risk of sPTB. Cervical shortening, which often precedes preterm birth, is associated with Lactobacillus iners and elevated levels of IgM, C3b, C5, C5a and IL-6. These data demonstrate a role for the complement system in microbial-driven sPTB and provide a scientific rationale for the development of live biotherapeutics and complement therapeutics to prevent sPTB.
AB - There has been a surge in studies implicating a role of vaginal microbiota in spontaneous preterm birth (sPTB), but most are associative without mechanistic insight. Here we show a comprehensive approach to understand the causative factors of preterm birth, based on the integration of longitudinal vaginal microbiota and cervicovaginal fluid (CVF) immunophenotype data collected from 133 women at high-risk of sPTB. We show that vaginal depletion of Lactobacillus species and high bacterial diversity leads to increased mannose binding lectin (MBL), IgM, IgG, C3b, C5, IL-8, IL-6 and IL-1β and to increased risk of sPTB. Cervical shortening, which often precedes preterm birth, is associated with Lactobacillus iners and elevated levels of IgM, C3b, C5, C5a and IL-6. These data demonstrate a role for the complement system in microbial-driven sPTB and provide a scientific rationale for the development of live biotherapeutics and complement therapeutics to prevent sPTB.
UR - http://www.scopus.com/inward/record.url?scp=85125154824&partnerID=8YFLogxK
U2 - 10.1038/s41467-022-28620-1
DO - 10.1038/s41467-022-28620-1
M3 - 文章
C2 - 35190561
AN - SCOPUS:85125154824
SN - 2041-1723
VL - 13
JO - Nature Communications
JF - Nature Communications
IS - 1
M1 - 975
ER -