Male fetal sex is associated with low maternal plasma anti-inflammatory cytokine profile in the first trimester of healthy pregnancies
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Male fetal sex is associated with low maternal plasma anti-inflammatory cytokine profile in the first trimester of healthy pregnancies. / Ramiro-Cortijo, David; de la Calle, María; Böger, Rainer; Hannemann, Juliane; Lüneburg, Nicole; López-Giménez, María Rosario; Rodríguez-Rodríguez, Pilar; Martín-Cabrejas, María Ángeles; Benítez, Vanesa; de Pablo, Ángel Luis López; González, María Del Carmen; Arribas, Silvia M.
In: CYTOKINE, Vol. 136, 12.2020, p. 155290.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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T1 - Male fetal sex is associated with low maternal plasma anti-inflammatory cytokine profile in the first trimester of healthy pregnancies
AU - Ramiro-Cortijo, David
AU - de la Calle, María
AU - Böger, Rainer
AU - Hannemann, Juliane
AU - Lüneburg, Nicole
AU - López-Giménez, María Rosario
AU - Rodríguez-Rodríguez, Pilar
AU - Martín-Cabrejas, María Ángeles
AU - Benítez, Vanesa
AU - de Pablo, Ángel Luis López
AU - González, María Del Carmen
AU - Arribas, Silvia M
N1 - Copyright © 2020. Published by Elsevier Ltd.
PY - 2020/12
Y1 - 2020/12
N2 - Male fetal sex associates with higher rates of materno-fetal complications. Inflammation and inadequate vasoactive responses are mechanisms implicated in obstetric complications, and alterations in maternal plasma cytokine profile and nitric oxide (NO) metabolites are potential predictive biomarkers. We aimed to assess if these parameters are influenced by fetal sex. A prospective, observational study was carried out in 85 healthy pregnant women with singleton pregnancies in the first trimester of gestation. A blood sample was extracted at the tenth week of gestation. In plasma, we assessed: 1) cytokines (micro-array): pro-inflammatory (IL1α, IL1 β, IL6, TNFα), anti-inflammatory (IL4, IL10, IL13), and chemoattractant (IL8, MCP1, IFNγ), and 2) NO metabolites (liquid chromatography-tandem mass spectrometry and Griess reaction): L-arginine, ADMA, SDMA, nitrates (NOx). Women with a male fetus (n = 50) exhibited, compared with those with a female (n = 35): higher IL1β (OR = 1.09 with 95% CI: 0.97-1.28), and lower IL13 (OR = 0.93 with 95% CI: 0.87-0.99), and higher plasma NOx (OR = 1.14 with 95% CI: 1.03-1.31). Our data suggest that fetal sex influences maternal plasma cytokine profile and NO in early pregnancy. Women with a male fetus may have a worse capacity to counteract an inflammatory response. They may have better vasodilator capacity, but in the presence of an oxidative environment, a higher nitrosative damage may occur. These data reinforce the need to include sex as variable in predictive models.
AB - Male fetal sex associates with higher rates of materno-fetal complications. Inflammation and inadequate vasoactive responses are mechanisms implicated in obstetric complications, and alterations in maternal plasma cytokine profile and nitric oxide (NO) metabolites are potential predictive biomarkers. We aimed to assess if these parameters are influenced by fetal sex. A prospective, observational study was carried out in 85 healthy pregnant women with singleton pregnancies in the first trimester of gestation. A blood sample was extracted at the tenth week of gestation. In plasma, we assessed: 1) cytokines (micro-array): pro-inflammatory (IL1α, IL1 β, IL6, TNFα), anti-inflammatory (IL4, IL10, IL13), and chemoattractant (IL8, MCP1, IFNγ), and 2) NO metabolites (liquid chromatography-tandem mass spectrometry and Griess reaction): L-arginine, ADMA, SDMA, nitrates (NOx). Women with a male fetus (n = 50) exhibited, compared with those with a female (n = 35): higher IL1β (OR = 1.09 with 95% CI: 0.97-1.28), and lower IL13 (OR = 0.93 with 95% CI: 0.87-0.99), and higher plasma NOx (OR = 1.14 with 95% CI: 1.03-1.31). Our data suggest that fetal sex influences maternal plasma cytokine profile and NO in early pregnancy. Women with a male fetus may have a worse capacity to counteract an inflammatory response. They may have better vasodilator capacity, but in the presence of an oxidative environment, a higher nitrosative damage may occur. These data reinforce the need to include sex as variable in predictive models.
U2 - 10.1016/j.cyto.2020.155290
DO - 10.1016/j.cyto.2020.155290
M3 - SCORING: Journal article
C2 - 32956948
VL - 136
SP - 155290
JO - CYTOKINE
JF - CYTOKINE
SN - 1043-4666
ER -