Schulz, Daniela and Schlieckau, Florian and Malfertheiner, Sara Fill and Reuschel, Edith and Seelbach-Goebel, Birgit and Ernst, Wolfgang (2019) Effect of betamethasone, indomethacin and fenoterol on neonatal and maternal mononuclear cells stimulated with Escherichia coli. CYTOKINE, 116. pp. 97-105. ISSN 1043-4666, 1096-0023
Full text not available from this repository. (Request a copy)Abstract
Despite considerable progress in the field of perinatal care, infectious diseases, especially when caused by gram negative bacteria, remain a major reason for neonatal morbidity and mortality. Notably infants born prematurely and those with very low birth weight are at risk due to their immature and deficient immune system and their prolonged hospitalization which promotes nosocomial infections. In case of impending preterm birth, betamethasone is given to induce lung maturation and tocolytic agents like indomethacin or fenoterol are administered to suppress premature labor. The aim of this study was to analyze the effects of these drugs on the immune system of mothers and neonates. Therefore, mononuclear cells from cord blood and peripheral maternal blood were stimulated with Escherichia coli and incubated with betamethasone, indomethacin and fenoterol. Subsequently the effect of the treatment on cytokine production was determined. Betamethasone alone and in combination with tocolytic agents inhibited the production of pro- and anti-inflammatory cytokines. Not only does betamethasone dampen the immune response by reducing the production of cytokines, it also has a variety of other detrimental short- and long-term effects on the neonate. In conclusion we would recommend using biological markers to determine if premature labor actually leads to preterm birth and subsequently administer betamethasone only to mothers giving birth prematurely.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | NF-KAPPA-B; MACROPHAGE INFLAMMATORY PROTEIN-1-ALPHA; HUMAN MONOCYTES; NEUROBEHAVIORAL DEVELOPMENT; PROINFLAMMATORY CYTOKINES; PRENATAL BETAMETHASONE; IMMUNE-RESPONSES; FETAL MATURATION; INTERFERON-GAMMA; INNATE IMMUNITY; Neonatal sepsis; Indomethacin; Betamethasone; Fenoterol; Escherichia coli (E. coli) |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Immunologie Medicine > Lehrstuhl für Kinder- und Jugendmedizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 20 Apr 2020 05:36 |
| Last Modified: | 20 Apr 2020 05:36 |
| URI: | https://pred.uni-regensburg.de/id/eprint/27282 |
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