Premature Labour -
Introduction
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Lancet. 1992 Mar
28;339(8796):776-7.
Choriodecidual production of interleukin-8 and mechanism of parturition.
Kelly RW, Leask R, Calder AA.
Medical Research Council Reproductive Biology Unit, University of
Edinburgh Centre for Reproductive Biology, UK.
Both prostaglandins and antiprogestagens can induce labour and ripen the
cervix, but the mechanisms are unclear. The collagenases that bring
about cervical ripening are neutrophil derived. We examined the
potential of uterine tissues to control neutrophil attraction by
measuring interleukin-8 production. Choriodecidual cells in culture
produced substantial amounts of interleukin-8; release was inhibited by
progesterone and stimulated by the antiprogestagen mifepristone.
Interleukin-8 production was similar in cells from spontaneously
delivered placentas and from those obtained at caesarean section. Since
prostaglandin E and interleukin-8 have synergistic effects, we suggest
that interleukin-8 activity is the final common step of prostaglandin
and antiprogestagen action in parturition.