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Labor Could Increase Systemic Inflammation and Cause or Deteriorate Cytokine Storm in COVID-19.
Norooznezhad, Amir Hossein; Shamshirsaz, Alireza A; Hantoushzadeh, Sedigheh.
  • Norooznezhad AH; Medical Biology Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Iran J Immunol ; 19(3): 330-336, 2022 Sep.
Статья в английский | MEDLINE | ID: covidwho-2111332
ABSTRACT
Pregnant women with coronavirus disease 2019 (COVID-19) have a higher risk of morbidity and mortality compared with the general population. Possible pathways are I) in patients with COVID-19, cytokine storm defined as the excess release of pro-inflammatory cytokines such as interleukin 1ß (IL-1ß), IL-6, and tumor necrosis factor-α (TNF-α) has been associated with morbidities and an even higher rate of mortality. II) Labor, despite being a term/preterm, has an inflammatory nature, although, inflammation is more prominent in preterm delivery. During labor, different pro-inflammatory cytokines such as IL-1ß, IL-6, and TNF-α are involved which as mentioned, all are crucial role players in the cytokine storm. III) Tissue injury, and during labor, (especially cesarean section) is shown to cause inflammation via pro-inflammatory cytokines release including those involved in the cytokine storm through the activation of nuclear factor κB (NFκB). IV) post-partum hemorrhage with a notable amount of blood loss which can cause significant hypoxemia. In this condition, hypoxia-inducible factor 1α which has a cross-talk with NFκB, leads to the expression of IL-1ß, IL-6, and TNF-α as both angiogenic and pro-inflammatory factors. Considering all the mentioned issues and pathways, we suggest that clinicians be careful about the escalation of the inflammatory status in their pregnant COVID-19 patients during/following labor.
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Полный текст: Имеется в наличии Коллекция: Международные базы данных база данных: MEDLINE Основная тема: Tumor Necrosis Factor-alpha / COVID-19 Тип исследования: Прогностическое исследование / Рандомизированные контролируемые испытания Пределы темы: Женщины / Люди / Новорожденные / Беременность Язык: английский Журнал: Iran J Immunol Год: 2022 Тип: Статья Аффилированная страна: Iji.2022.93951.2267

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Полный текст: Имеется в наличии Коллекция: Международные базы данных база данных: MEDLINE Основная тема: Tumor Necrosis Factor-alpha / COVID-19 Тип исследования: Прогностическое исследование / Рандомизированные контролируемые испытания Пределы темы: Женщины / Люди / Новорожденные / Беременность Язык: английский Журнал: Iran J Immunol Год: 2022 Тип: Статья Аффилированная страна: Iji.2022.93951.2267