The role of matrix degrading enzymes and apoptosis in rupture of membranes

Ramkumar Menon, Stephen J. Fortunato

Research output: Contribution to journalReview article

114 Scopus citations

Abstract

Prematurity is the third leading cause of perinatal death, and preterm premature rupture of the membranes (pPROM) is associated with approximately 20-50% of all preterm births. The etiologic factors described for pPROM and preterm labor (PTL) are the same, although the clinical presentation (pPROM vs PTL) differs among patients. The reason for this disparity is unknown and poses a therapeutic dilemma. Several etiologic factors have been described for PTL and pPROM. PTL and pPROM are associated with overwhelming host inflammatory response. Many of these pro-inflammatory factors (inflammatory cytokine release) are common in both conditions; however, the clinical presentation differs. The objective of this review is to explain the differential expression pattern of matrix metalloproteinases (MMPs) and pro-apoptotic elements in human fetal membranes in pPROM and PTL and how they interact to present different clinical outcomes during pregnancy.

Original languageEnglish (US)
Pages (from-to)427-437
Number of pages11
JournalJournal of the Society for Gynecologic Investigation
Volume11
Issue number7
DOIs
StatePublished - Oct 1 2004
Externally publishedYes

Keywords

  • MMPs
  • PROM
  • apoptosis
  • fetal membranes
  • preterm labor

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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