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Intraamniotic Lipopolysaccharide Exposure Changes Cell Populations and Structure of the Ovine Fetal Thymus

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Abstract

Rationale

Chorioamnionitis induces preterm delivery and acute involution of the fetal thymus which is associated with postnatal inflammatory disorders. We studied the immune response, cell composition, and architecture of the fetal thymus following intraamniotic lipopolysaccharide (LPS) exposure.

Methods

Time-mated ewes received an intraamniotic injection of LPS 5, 12, or 24 hours or 2, 4, 8, or 15 days before delivery at 125 days gestational age (term = 150 days).

Results

The LPS exposure resulted in decreased blood lymphocytes within 5 hours and decreased thymic corticomedullary ratio within 24 hours. Thymic interleukin 6 (IL6) and IL17 messenger RNA (mRNA) increased 5-fold 24 hours post-LPS exposure. Increased toll-like receptor 4 (TLR4) mRNA and nuclear factor κB positive cells at 24 hours after LPS delivery demonstrated acute thymic activation. Both TLR4 and IL1 mRNA increased by 5-fold and the number of Foxp3-positive cells (Foxp3+ cells) decreased 15 days after exposure.

Conclusion

Intraamniotic LPS exposure caused a proinflammatory response, involution, and a persistent depletion of thymic Foxp3+ cells indicating disturbance of the fetal immune homeostasis.

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References

  1. Goldenberg RL, Hauth JC, Andrews WW. Intrauterine infection and preterm delivery. N Engl J Med. 2000;342(20):1500–1507.

    CAS  PubMed  Google Scholar 

  2. Goldenberg RL, Culhane JF, Iams JD, Romero R. Epidemiology and causes of preterm birth. Lancet. 2008(9606);371:75–84.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Redline RW. Placental inflammation. Semin Neonatol. 2004;9(4):265–274.

    Article  PubMed  Google Scholar 

  4. Hagberg H, Wennerholm UB, Savman K. Sequelae of chorioamnionitis. Curr Opin Infect Dis. 2002;15(3):301–306.

    Article  PubMed  Google Scholar 

  5. Goldenberg RL, Hauth JC, Andrews WW. Intrauterine infection and preterm delivery. N Engl J Med. 2000;342(20):1500–1507.

    Article  CAS  PubMed  Google Scholar 

  6. Kim CJ, Romero R, Kusanovic JP, et al. The frequency, clinical significance, and pathological features of chronic chorioamnionitis: a lesion associated with spontaneous preterm birth. Mod Pathol. 2010;23(7):1000–1011.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Lee J, Romero R, Xu Y, et al. A signature of maternal anti-fetal rejection in spontaneous preterm birth: chronic chorioamnionitis, anti-human leukocyte antigen antibodies, and C4d. PloS one. 2011;6(2):e16806.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Hartling L, Liang Y, Lacaze-Masmonteil T. Chorioamnionitis as a risk factor for bronchopulmonary dysplasia: a systematic review and meta-analysis. Arch Dis Child Fetal Neonatal Ed. 2012; 97(1):F8-F17.

    Article  PubMed  Google Scholar 

  9. Been JV, Lievense S, Zimmermann LJ, Kramer BW, Wolfs TG. Chorioamnionitis as a risk factor for necrotizing enterocolitis: a systematic review and meta-analysis [published online August 21, 2012]. J Pediatr. 2012.

  10. Okogbule-Wonodi AC, Gross GW, Sun CC, et al. Necrotizing enterocolitis is associated with ureaplasma colonization in preterm infants. Pediatr Res. 2011;69(5):442–447.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Shatrov JG, Birch SC, Lam LT, Quinlivan JA, McIntyre S, Mendz GL. Chorioamnionitis and cerebral palsy: a meta-analysis. Obstet Gynecol. 2010;116(2):387–392.

    Article  PubMed  Google Scholar 

  12. Gantert M, Been JV, Gavilanes AW, Garnier Y, Zimmermann LJ, Kramer BW. Chorioamnionitis: a multiorgan disease of the fetus? J Perinatol. 2010;30(suppl):S21–S30.

    Article  PubMed  Google Scholar 

  13. Di Naro E, Cromi A, Ghezzi F, et al. Fetal thymic involution: a sonographic marker of the fetal inflammatory response syndrome. Am J Obstet Gynecol. 2006;194(1):153–159.

    Article  PubMed  Google Scholar 

  14. Yinon Y, Zalel Y, Weisz B, et al. Fetal thymus size as a predictor of chorioamnionitis in women with preterm premature rupture of membranes. Ultrasound Obstet Gynecol. 2007; 29(6):639–643.

    Article  CAS  PubMed  Google Scholar 

  15. De Felice C, Toti P, Santopietro R, Stumpo M, Pecciarini L, Bagnoli F. Small thymus in very low birth weight infants born to mothers with subclinical chorioamnionitis. J Pediatr. 1999; 135(3):384–386.

    Article  PubMed  Google Scholar 

  16. Toti P, De Felice C, Stumpo M, et al. Acute thymic involution in fetuses and neonates with chorioamnionitis. Hum Pathol. 2000; 31(9):1121–1128.

    Article  CAS  PubMed  Google Scholar 

  17. Rosen D, Lee JH, Cuttitta F, Rafiqi F, Degan S, Sunday ME. Accelerated thymic maturation and autoreactive T cells in bronchopulmonary dysplasia. Am J Respir Crit Care Med. 2006;174(1):75–83.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Chen CM, Yu KY, Lin HC, Yeh GC, Hsu HH. Thymus size and its relationship to perinatal events.Acta Paediatr. 2000;89(8):975–978.

    Article  CAS  PubMed  Google Scholar 

  19. De Felice C, Latini G, Del Vecchio A, Toti P, Bagnoli F, Petraglia F. Small thymus at birth: a predictive radiographic sign of bronchopulmonary dysplasia. Pediatrics. 2002;110(2):386–388.

    Article  PubMed  Google Scholar 

  20. El-Haieg DO, Zidan AA, El-Nemr MM. The relationship between sonographic fetal thymus size and the components of the systemic fetal inflammatory response syndrome in women with preterm prelabour rupture of membranes. BJOG. 2008; 115(7):836–841.

    Article  CAS  PubMed  Google Scholar 

  21. Kuban JD, Allred EN, Leviton A. Thymus involution and cerebral white matter damage in extremely low gestational age neonates. Biol Neonate. 2006;90(4):252–257.

    Article  PubMed  Google Scholar 

  22. Aaby P, Marx C, Trautner S, et al. Thymus size at birth is associated with infant mortality: a community study from Guinea-Bissau. Acta Paediatr. 2002;91(6):698–703.

    Article  CAS  PubMed  Google Scholar 

  23. Garly ML, Trautner SL, Marx C, et al. Thymus size at 6 months of age and subsequent child mortality. J Pediatr. 2008;153(5):683–688.

    Article  PubMed  Google Scholar 

  24. Jeppesen DL, Ersboll AK, Nielsen SD, Hoppe TU, Valerius NH. Low thymic size in preterm infants in the neonatal intensive care unit, a possible marker of infection? A prospective study from birth to 1 year of age. Acta Paediatr. 2011; 100(10):1319–1325.

    Article  CAS  PubMed  Google Scholar 

  25. Jeppesen DL, Hasselbalch H, Nielsen SD, et al. Thymic size in preterm neonates: a sonographic study. Acta Paediatr. 2003; 92(7):817–822.

    Article  CAS  PubMed  Google Scholar 

  26. Glavina-Durdov M, Springer O, Capkun V, Saratlija-Novakovic Z, Rozic D, Barle M. The grade of acute thymus involution in neonates correlates with the duration of acute illness and with the percentage of lymphocytes in peripheral blood smear. Pathological study. Biol Neonate. 2003;83(4):229–234.

    Article  PubMed  Google Scholar 

  27. Kallapur SG, Willet KE, Jobe AH, Ikegami M, Bachurski CJ. Intra-amniotic endotoxin: chorioamnionitis precedes lung maturation in preterm lambs. Am J Physiol Lung Cell Mol Physiol. 2001;280(3):L527-L536.

    Article  CAS  PubMed  Google Scholar 

  28. Kramer BW, Moss TJ, Willet KE, et al. Dose and time response after intraamniotic endotoxin in preterm lambs. Am J Respir Crit Care Med. 2001;164(6):982–988.

    Article  CAS  PubMed  Google Scholar 

  29. Wolfs TG, Jellema RK, Turrisi G, Becucci E, Buonocore G, Kramer BW. Inflammation-induced immune suppression of the fetus: a potential link between chorioamnionitis and postnatal early onset sepsis. J Matern Fetal Neonatal Med. 2012;25(suppl 1):8–11.

    Article  PubMed  Google Scholar 

  30. Akira S, Takeda K. Toll-like receptor signalling. Nat Rev Immunol. 2004;4(7):499–511.

    Article  CAS  PubMed  Google Scholar 

  31. Livak KJ, Schmittgen TD. Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) method. Methods. 2001;25(4):402–408.

    Article  CAS  PubMed  Google Scholar 

  32. Kunzmann S, Glogger K, Been JV, et al. Thymic changes after chorioamnionitis induced by intraamniotic lipopolysaccharide in fetal sheep. Am J Obstet Gynecol. 2010;202(5):476–485.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  33. Lee AJ, Lambermont VA, Pillow JJ, et al.. Fetal responses to lipopolysaccharide-induced chorioamnionitis alter immune and airway responses in 7-week-old sheep. Am J Obstet Gynecol. 2011;204(4):364 e317–e324.

    Article  Google Scholar 

  34. Kramer BW, Kallapur SG, Moss TJ, et al. Modulation of fetal inflammatory response on exposure to lipopolysaccharide by chorioamnion, lung, or gut in sheep. Am J Obstet Gynecol. 2011;202(1):77 e71–e79.

    Google Scholar 

  35. Melville JM, Bischof RJ, Meeusen EN, Westover AJ, Moss TJ. Changes in fetal thymic immune cell populations in a sheep model of intrauterine inflammation. Reprod Sci. 2012;19(7):740–747.

    Article  CAS  PubMed  Google Scholar 

  36. Sprent J. Burnet oration. T-cell survival and the role of cytokines. Immunol Cell Biol. 2001;79(3):199–206.

    Article  CAS  PubMed  Google Scholar 

  37. Kuypers E, Collins JJ, Jellema RK, et al. Ovine fetal thymus response to lipopolysaccharide-induced chorioamnionitis and antenatal corticosteroids. PLoS One. 2012;7(5):e38257.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Sacedon R, Varas A, Hernandez-Lopez C, et al. Expression of hedgehog proteins in the human thymus. J Histochem Cytochem. 2003;51(11):1557–1566.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Hager-Theodorides AL, Outram SV, Shah DK, et al. Bone morphogenetic protein 2/4 signaling regulates early thymocyte differentiation. J Immunol. 2002;169(10):5496–5504.

    Article  CAS  PubMed  Google Scholar 

  40. Varas A, Sacedon R, Hidalgo L, et al. Interplay between BMP4 and IL-7 in human intrathymic precursor cells. Cell Cycle. 2009;8(24):4119–4126.

    Article  CAS  PubMed  Google Scholar 

  41. Gutierrez-Frias C, Sacedon R, Hernandez-Lopez C, et al. Sonic hedgehog regulates early human thymocyte differentiation by counteracting the IL-7-induced development of CD34+ precursor cells. J Immunol. 2004;173(8):5046–5053.

    Article  CAS  PubMed  Google Scholar 

  42. Stewart GA, Lowrey JA, Wakelin SJ, et al. Sonic hedgehog signaling modulates activation of and cytokine production by human peripheral CD4+ T cells. J Immunol. 2002;169(10):5451–5457.

    Article  CAS  PubMed  Google Scholar 

  43. Hori S, Nomura T, Sakaguchi S. Control of regulatory T cell development by the transcription factor Foxp3. Science. 2003; 299(5609):1057–1061.

    Article  CAS  PubMed  Google Scholar 

  44. Bluestone JA, Abbas AK. Natural versus adaptive regulatory T cells. Nat Rev Immunol. 2003;3(3):253–257.

    Article  CAS  PubMed  Google Scholar 

  45. Kramer BW, Kramer S, Ikegami M, Jobe AH. Injury, inflammation, and remodeling in fetal sheep lung after intra-amniotic endotoxin. Am J Physiol Lung Cell Mol Physiol. 2002;283(2):L452-L459.

    Article  CAS  PubMed  Google Scholar 

  46. Kuypers E, Collins JJ, Kramer BW, et al. Intra-amniotic LPS and antenatal betamethasone: inflammation and maturation in preterm lamb lungs. Am J Physiol lung Cell Mol Physiol. 2012;302: L380–L389.

    Article  CAS  PubMed  Google Scholar 

  47. Wolfs TG, Buurman WA, Zoer B, et al. Endotoxin induced chorioamnionitis prevents intestinal development during gestation in fetal sheep. PLoS One. 2009;4(6):e5837.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  48. Kemp MW, Saito M, Nitsos I, Jobe AH, Kallapur SG, Newnham JP. Exposure to in utero lipopolysaccharide induces inflammation in the fetal ovine skin. Reprod Sci. 2011;18(1):88–98.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  49. Wolfs TG, Kallapur SG, Polglase GR, et al. IL-1alpha mediated chorioamnionitis induces depletion of FoxP3+ cells and ileal inflammation in the ovine fetal gut.PLoS One. 2011;6(3):e18355.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  50. Bettelli E, Carrier Y, Gao W, et al. Reciprocal developmental pathways for the generation of pathogenic effector TH17 and regulatory T cells. Nature. 2006;441(7090):235–238.

    Article  CAS  PubMed  Google Scholar 

  51. Awasthi A, Kuchroo VK. Th17 cells: from precursors to players in inflammation and infection. Int Immunol. 2009;21(5):489–498.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Korn T, Mitsdoerffer M, Croxford AL, et al. IL-6 controls Th17 immunity in vivo by inhibiting the conversion of conventional T cells into Foxp3+ regulatory T cells. Proc Natl Acad Sci U S A. 2008;105(47):18460–18465.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Correspondence to Boris W. Kramer MD, PhD.

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Kuypers, E., Wolfs, T.G.A.M., Collins, J.J.P. et al. Intraamniotic Lipopolysaccharide Exposure Changes Cell Populations and Structure of the Ovine Fetal Thymus. Reprod. Sci. 20, 946–956 (2013). https://doi.org/10.1177/1933719112472742

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