IL-6 trans-signaling system in intra-amniotic inflammation, preterm birth, and preterm premature rupture of the membranes

J Immunol. 2011 Mar 1;186(5):3226-36. doi: 10.4049/jimmunol.1003587. Epub 2011 Jan 31.

Abstract

Classic IL-6 signaling is conditioned by the transmembrane receptor (IL-6R) and homodimerization of gp130. During trans-signaling, IL-6 binds to soluble IL-6R (sIL-6R), enabling activation of cells expressing solely gp130. Soluble gp130 (sgp130) selectively inhibits IL-6 trans-signaling. To characterize amniotic fluid (AF) IL-6 trans-signaling molecules (IL-6, sIL-6R, sgp130) in normal gestations and pregnancies complicated by intra-amniotic inflammation (IAI), we studied 301 women during second trimester (n = 39), third trimester (n = 40), and preterm labor with intact (n = 131, 85 negative IAI and 46 positive IAI) or preterm premature rupture of membranes (PPROM; n = 91, 61 negative IAI and 30 positive IAI). ELISA, Western blotting, and real-time RT-PCR were used to investigate AF, placenta, and amniochorion for protein and mRNA expression of sIL-6R, sgp130, IL-6R, and gp130. Tissues were immunostained for IL-6R, gp130, CD15(+) (polymorphonuclear), and CD3(+) (T cell) inflammatory cells. The ability of sIL-6R and sgp130 to modulate basal and LPS-stimulated release of amniochorion matrix metalloprotease-9 was tested ex vivo. We showed that in physiologic gestations, AF sgp130 decreases toward term. AF IL-6 and sIL-6R were increased in IAI, whereas sgp130 was decreased in PPROM. Our results suggested that fetal membranes are the probable source of AF sIL-6R and sgp130. Immunohistochemistry and RT-PCR revealed increased IL-6R and decreased gp130 expression in amniochorion of women with IAI. Ex vivo, sIL-6R and LPS augmented amniochorion matrix metalloprotease-9 release, whereas sgp130 opposed this effect. We conclude that IL-6 trans-signaling molecules are physiologic constituents of the AF regulated by gestational age and inflammation. PPROM likely involves functional loss of sgp130.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Amniocentesis
  • Amniotic Fluid / enzymology
  • Amniotic Fluid / immunology*
  • Amniotic Fluid / metabolism
  • Cytokine Receptor gp130 / physiology
  • Female
  • Fetal Membranes, Premature Rupture / enzymology
  • Fetal Membranes, Premature Rupture / immunology*
  • Fetal Membranes, Premature Rupture / pathology
  • Humans
  • Infant, Newborn
  • Infant, Premature
  • Inflammation Mediators / antagonists & inhibitors
  • Inflammation Mediators / metabolism
  • Inflammation Mediators / physiology*
  • Interleukin-6 / antagonists & inhibitors
  • Interleukin-6 / metabolism
  • Interleukin-6 / physiology*
  • Matrix Metalloproteinase 9 / metabolism
  • Matrix Metalloproteinase Inhibitors
  • Pregnancy
  • Pregnancy Complications / enzymology
  • Pregnancy Complications / immunology*
  • Pregnancy Complications / pathology
  • Premature Birth / enzymology
  • Premature Birth / immunology*
  • Premature Birth / pathology
  • Receptors, Interleukin-6 / antagonists & inhibitors
  • Receptors, Interleukin-6 / physiology
  • Signal Transduction / immunology*
  • Young Adult

Substances

  • IL6 protein, human
  • Inflammation Mediators
  • Interleukin-6
  • Matrix Metalloproteinase Inhibitors
  • Receptors, Interleukin-6
  • Cytokine Receptor gp130
  • Matrix Metalloproteinase 9