Stock, SJ;
Patey, O;
Thilaganathan, B;
White, S;
Furfaro, LL;
Payne, MS;
Spiller, OB;
Noé, A;
Watts, R;
Carter, S;
et al.
Stock, SJ; Patey, O; Thilaganathan, B; White, S; Furfaro, LL; Payne, MS; Spiller, OB; Noé, A; Watts, R; Carter, S; Ireland, DJ; Jobe, AH; Newnham, JP; Kemp, MW
(2017)
Intrauterine Candida albicans Infection Causes Systemic Fetal Candidiasis With Progressive Cardiac Dysfunction in a Sheep Model of Early Pregnancy.
Reproductive Sciences, 24 (1).
pp. 77-84.
ISSN 1933-7205
https://doi.org/10.1177/1933719116649697
SGUL Authors: Thilaganathan, Baskaran
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Abstract
INTRODUCTION: Several recent studies have identified a potential role for intrauterine Candida albicans in adverse pregnancy outcomes, including preterm birth. There is, however, a limited understanding of the impact of intrauterine candida infection on fetal well-being in early pregnancy. Using a sheep model of early pregnancy, the aims of this study were to determine (1) the ability of experimentally induced intrauterine C albicans to infect the fetus and (2) whether C albicans exposure in early pregnancy is associated with alterations in fetal cardiac function, as measured by spectral tissue Doppler imaging analysis of fetal cardiac function. METHODS: Merino ewes carrying singleton pregnancies at 89 days' gestation (term is ∼150 days) received C albicans (n = 8) via ultrasound-guided intra-amniotic injection. Saline-exposed fetuses served as controls (n = 6). Spectral tissue Doppler imaging echocardiography and amniotic fluid collection were performed at baseline and 24 and 72 hours after intrauterine C albicans injection. Fetal tissues were collected at postmortem for analysis of infection and inflammation. RESULTS: Relative to saline control, intrauterine C albicans infection resulted in pronounced increases in amniotic fluid tumor necrosis factor α (TNF-α; P < .05) and cytokine/chemokine messenger RNA (interleukin [IL] 1β, IL-6, TNF-α, and monocyte chemoattractant protein 1; P < .05) in the fetal myocardium, lung, skin, and liver at 72 and 96 hours postinfection. Spectral tissue Doppler imaging showed diastolic dysfunction at 24 hours and severe biventricular diastolic dysfunction 72 hours postinfection. CONCLUSION: Intrauterine C albicans infection in a sheep model of early pregnancy causes systemic fetal candidiasis, which is associated with a robust systemic inflammatory response and progressive cardiac dysfunction detectable by spectral tissue Doppler imaging.
Item Type: | Article | ||||||||
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Additional Information: | © The Author(s). This manuscript is made available with permission from the publisher. For further rights and permissions please contact the publisher. | ||||||||
Keywords: | TDI echocardiography, candidiasis, fetal heart, fetal inflammation, preterm birth, sheep, Obstetrics & Reproductive Medicine, 1114 Paediatrics And Reproductive Medicine | ||||||||
SGUL Research Institute / Research Centre: | Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) > Vascular (INCCVA) |
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Journal or Publication Title: | Reproductive Sciences | ||||||||
ISSN: | 1933-7205 | ||||||||
Language: | ENG | ||||||||
Dates: |
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Publisher License: | Publisher's own licence | ||||||||
PubMed ID: | 27217375 | ||||||||
Go to PubMed abstract | |||||||||
URI: | https://openaccess.sgul.ac.uk/id/eprint/107933 | ||||||||
Publisher's version: | https://doi.org/10.1177/1933719116649697 |
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