Bacteria Localization and Chorion Thinning among Preterm Premature Rupture of Membranes.docVIP
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Bacteria Localization and Chorion Thinning among Preterm Premature Rupture of Membranes
BacteriaLocalizationandChorionThinningamong
PretermPrematureRuptureofMembranes
KimberlyB.Fortner1,ChadA.Grotegut2,CarlaE.Ransom1,RexC.Bentley3,LipingFeng2,LanLan5,
R.PhillipsHeine2,PatrickC.Seed4,AmyP.Murtha2*
1 Division Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Vanderbilt University, Nashville, Tennessee, United
States of America, 2 Division Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Medical Center, Duke University, Durham, North
Carolina, United States of America,3 Department of Pathology, Duke University Hospital, Duke University, Durham, North Carolina, United States of America,4 Division of
Infectious Diseases, Department of Pediatrics, Duke University Hospital and Department of Molecular Genetics and Microbiology, Duke University, Durham, North
Carolina, United States of America,5 Department of Biostatistics, Duke University Hospital, Duke University, Durham, North Carolina, United States of America
Abstract
Objective: Bacterial colonization of the fetal membranes and its role in pathogenesis of membrane rupture is poorly
understood. Prior retrospective work revealed chorion layer thinning in preterm premature rupture of membranes (PPROM)
subjects. Our objective was to prospectively examine fetal membrane chorion thinning and to correlate to bacterial
presence in PPROM, preterm, and term subjects.
StudyDesign: Paired membrane samples (membrane rupture and membrane distant) were prospectively collected from:
PPROM = 14, preterm labor (PTL = 8), preterm no labor (PTNL = 8), term labor (TL = 10), and term no labor (TNL = 8), subjects.
Sections were probed with cytokeratin to identify fetal trophoblast layer of the chorion using immunohistochemistry.
Fluorescence in situ hybridization was performed using broad range 16 s
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