Preterm delivery (PD) is one of the central challenges faced by contemporary obstetrics. There has been growing evidence of the role of the innate immune response in triggering infection-associated preterm labor. Our study aimed to investigate the local immune status of women in different PD scenarios. The study enrolled 77 pregnant women; 25 of them constituted the control group (delivery at term). The experimental group was divided into two subgroups based on the PD type: Subgroup 1A included 28 women with spontaneous premature rupture of membranes in the absence of active labor, and Subgroup 1B included 24 women who went into genuine preterm labor. Cervical scrape specimens were collected from all patients to determine the level of expression of the following innate immunity genes: IL1B, IL10, IL18, TNFa, TLR4, GATA3, CD68, and B2M. The tests were performed using the ImmunoQuantex assay by DNA-Technology, Russia. Compared to the genuinely preterm women from Subgroup 1B and the controls, the women with premature rupture of membranes demonstrated statistically significant reduction in the expression of TLR4 and GATA3 and a higher inflammatory index (Me = 99.5 %, p < 0.01). No significant differences in these parameters were observed between Subgroup 1B and the controls. The revealed differences in the local immunity profiles of women indicate that pathways leading to the scenarios of premature labor studied in this work are not the same.
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Matrix metalloproteinases play an important role in maintaining skin homeostasis, promote wound healing, and are involved in triggering inflammation. They are implicated in the structural changes occurring in the epidermis of psoriatic patients and also facilitate infiltration of the skin by immune cells by regulating permeability of dermal capillaries. In this light, control over the enzymatic activity of matrix metalloproteinases is crucial for a successful treatment outcome in patients with psoriasis. The aim of this work was to investigate the effect of RNA interference on the progression of psoriasis by targeting interstitial collagenase of epidermal keratinocytes. As part of the experiment, the latter were transduced with lentiviral particles that encode small hairpin RNA. Gene expression was measured by real time polymerase chain reaction. Enzymatic activity was measured by zymography. RNA interference was found to lead to a 20- and 4-fold decrease in the expression and enzymatic activity of interstitial collagenase, respectively. Expression of homologous genes (MMP2, -9 and -12) changed insignificantly. In contrast, there were marked changes in expression of cytokeratin (KRT1: 16.89 ± 0.97; KRT14: 2.36 ± 0.19; KRT17: 0.12 ± 0.01; KRT18: 0.56 ± 0.02), involucrin (0.79 ± 0.11) and filaggrin (6.99 ± 0.97). Besides, RNA interference caused a significant decline in cell migration rates, although it did not affect cell proliferation. Thus, small hairpin RNAs targeting interstitial collagenase are potentially therapeutic for psoriatic patients due to their ability to regulate expression of genes implicated in psoriasis (IVL, FLG, KRT1, -14 -17, and -18).
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