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Original Articles
- Chronic Placental Inflammation as a Risk Factor of Severe Retinopathy of Prematurity
- Chae Young Kim, Euiseok Jung, Eun Na Kim, Chong Jai Kim, Joo Yong Lee, Ji Hye Hwang, Woo Sun Song, Byong Sop Lee, Ellen Ai-Rhan Kim, Ki-Soo Kim
- J Pathol Transl Med. 2018;52(5):290-297. Published online July 16, 2018
- DOI: https://doi.org/10.4132/jptm.2018.07.09
- 11,205 View
- 126 Download
- 16 Web of Science
- 16 Crossref
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Abstract
PDF - Background
Chronic placental inflammation (CPI) has been implicated in the pathogenesis of diseases in premature infants, whereas retinopathy of prematurity (ROP) is a major complication primarily affecting preterm and very low-birth-weight (VLBW) infants. This study aims to investigate the association between CPI and ROP in VLBW infants.
Methods
We performed a retrospective review of clinical records of VLBW infants born between 2013 and 2016. Placental pathology findings including CPI cases were analyzed using logistic regression to study infants’ morbidities and other clinical characteristics.
Results
A total of 402 infants with a mean (standard deviation) gestational age of 28.5 (2.8) weeks and birth weight of 1,027.2 (304.4) g were included. The incidence of ROP was 24.1%. CPI was found in 90 infants (22.4%), among which 28.9% (26 of 90) developed ROP, and 21.1% (19 of 90) underwent laser photocoagulation. Lower gestational age, lower birth weight, longer duration of oxygen supply, and presence of CPI were associated with the development of ROP. After adjustment for gestational age, birth weight, sex, duration of oxygen supply, and other overlapping placental pathology, CPI was associated with the odds for type 1 ROP that required laser photocoagulation (adjusted odds ratio, 2.739; 95% confidence interval, 1.112 to 6.749; p = .029).
Conclusions
CPI was associated with severe ROP requiring treatment with laser photocoagulation in VLBW infants. -
Citations
Citations to this article as recorded by
- Comprehensive assessment of placental inflammation: Novel approach in predicting retinopathy of prematurity
Salma El Emrani, Esther J.S. Jansen, Jelle J. Goeman, Jacqueline U.M. Termote, Enrico Lopriore, Nicoline E. Schalij-Delfos, Lotte E. van der Meeren
Early Human Development.2025; 204: 106239. CrossRef - Histological Chorioamnionitis and Funisitis as New Risk Factors for Retinopathy of Prematurity: A Meta-analysis
Salma El Emrani, Esther J.S. Jansen, Jelle J. Goeman, Enrico Lopriore, Jacqueline U.M. Termote, Nicoline E. Schalij-Delfos, Lotte E. van der Meeren
American Journal of Perinatology.2024; 41(S 01): e3264. CrossRef - Retinopathy of prematurity and placental histopathology findings: A retrospective cohort study
Sam Ebenezer Athikarisamy, Geoffrey C. Lam, Matthew N. Cooper, Tobias Strunk
Frontiers in Pediatrics.2023;[Epub] CrossRef - Identification of clinical factors associated with timing and duration of spontaneous regression of retinopathy of prematurity not requiring treatment
Jamee Schoephoerster, Sydney Roston, Scott Lunos, Sara E. Ramel, Jill Anderson, Michael K. Georgieff, Ellen C. Ingolfsland
Journal of Perinatology.2023; 43(6): 702. CrossRef - Ocular Vascular Diseases: From Retinal Immune Privilege to Inflammation
Xudong Wang, Tianxi Wang, Enton Lam, David Alvarez, Ye Sun
International Journal of Molecular Sciences.2023; 24(15): 12090. CrossRef - The potential of marine resources for retinal diseases: a systematic review of the molecular mechanisms
Kristin Krueger, Elke Boehme, Alexa Karina Klettner, Marietta Zille
Critical Reviews in Food Science and Nutrition.2022; 62(27): 7518. CrossRef - Retinopathy prematurity: a systematic review and meta-analysis study based on neonatal and maternal risk factors
Tahereh Bahmani, Arezoo Karimi, Nazanin Rezaei, Salman Daliri
The Journal of Maternal-Fetal & Neonatal Medicine.2022; 35(25): 8032. CrossRef - Diallyl Trisulfide Promotes Placental Angiogenesis by Regulating Lipid Metabolism and Alleviating Inflammatory Responses in Obese Pregnant Mice
Miaomiao Wang, Zhaoyu Wang, Yueyue Miao, Hongkui Wei, Jian Peng, Yuanfei Zhou
Nutrients.2022; 14(11): 2230. CrossRef - Risk factors for the development of retinopathy in premature infants
O.Yu. Obolonska, L.I. Vakulenko, L.P. Badogina, O.I. Obolonskyi, I.A. Likhachova, O.V. Kovryga
CHILD`S HEALTH.2022; 17(3): 138. CrossRef - Development of the genomic inflammatory index (GII) to assess key maternal antecedents associated with placental inflammation
Kirsi S. Oldenburg, Lauren A. Eaves, Lisa Smeester, Hudson P. Santos, T. Michael O'Shea, Rebecca C. Fry
Placenta.2021; 111: 82. CrossRef - Risk Factors Associated with Retinopathy of Prematurity in Very and Extremely Preterm Infants
Claudia Ioana Borțea, Florina Stoica, Marioara Boia, Emil Radu Iacob, Mihai Dinu, Roxana Iacob, Daniela Iacob
Medicina.2021; 57(5): 420. CrossRef - Efficacy of Aflibercept Treatment and Its Effect on the Retinal Perfusion in the Oxygen-Induced Retinopathy Mouse Model of Retinopathy of Prematurity
Sarina M. Amin, Andres Gonzalez, Jade Guevara, Charlotte Bolch, Lorick Andersen, W. Clay Smith, Swati Agarwal-Sinha
Ophthalmic Research.2021; 64(1): 91. CrossRef - A pilot randomised clinical trial of 670 nm red light for reducing retinopathy of prematurity
Alison L. Kent, Mohamed E. Abdel-Latif, Timothy Cochrane, Margaret Broom, Jane E. Dahlstrom, Rohan W. Essex, Bruce Shadbolt, Riccardo Natoli
Pediatric Research.2020; 87(1): 131. CrossRef - Human placental suppressors of cytokine signalling (SOCS) and inflammatory cytokines are dysregulated in assisted reproduction, advanced maternal age and pre-term birth
S. J. Knight, A. D. Smith, H. Kim, A. C. Collier
Clinical and Experimental Obstetrics & Gynecology.2020;[Epub] CrossRef - Exercise prevents the adverse effects of maternal obesity on placental vascularization and fetal growth
Jun Seok Son, Xiangdong Liu, Qiyu Tian, Liang Zhao, Yanting Chen, Yun Hu, Song Ah Chae, Jeanene M. de Avila, Mei‐Jun Zhu, Min Du
The Journal of Physiology.2019; 597(13): 3333. CrossRef - Cumulative evidence for association of sepsis and retinopathy of prematurity
Jichong Huang, Ying Tang, Tingting Zhu, Yafei Li, Hua Chun, Yi Qu, Dezhi Mu
Medicine.2019; 98(42): e17512. CrossRef
- Comprehensive assessment of placental inflammation: Novel approach in predicting retinopathy of prematurity
- Placental Lesions in Meconium Aspiration Syndrome
- Binnari Kim, Soo-young Oh, Jung-Sun Kim
- J Pathol Transl Med. 2017;51(5):488-498. Published online August 9, 2017
- DOI: https://doi.org/10.4132/jptm.2017.07.20
- 9,360 View
- 213 Download
- 9 Web of Science
- 9 Crossref
-
Abstract
PDF
- Background
Meconium aspiration syndrome (MAS) is defined by respiratory distress requiring supplemental oxygen in a meconium-stained neonate. MAS is clinically subclassified as mild, moderate, and severe according to the oxygen requirement. The aims of this study were to compare the histological findings in the placentas of MAS neonates with those of meconium-stained but non-MAS neonates and to analyze the correlation between the severity of MAS and the grade of its histological parameters. Methods: We collected 160 singleton term placentas from neonates with meconium staining at birth from a tertiary medical center, Seoul, Republic of Korea. We reviewed hematoxylin and eosin sections of tissue samples (full-thickness placental disc, chorioamniotic membranes, and umbilical cord). Results: Funisitis was present more frequently in MAS than in non-MAS (p < .01), of which the stage was correlated with the severity of MAS (p < .001). The histological findings consistent with maternal underperfusion and chronic deciduitis were more frequent in MAS than in non-MAS (p < .05). There was a correlation between the degree of chorionic vascular muscle necrosis and the severity of MAS (p < .05). Conclusions: Our results suggest that fetal inflammatory response evidenced by funisitis occurs prenatally in MAS and that the stage of funisitis and of chorionic vascular muscle necrosis may be a predictive marker of the severity of MAS. -
Citations
Citations to this article as recorded by- Impact of meconium-stained amniotic fluid thickness on maternal infectious morbidity: a comprehensive clinical and microbiological analysis
Raneen Abu Shqara, Lior Lowenstein, Maya Frank Wolf
Archives of Gynecology and Obstetrics.2024;[Epub] CrossRef - Machine learning‐based placental clusters and their associations with adverse pregnancy outcomes
Julie M. Petersen, Samantha E. Parker, Kimberly A. Dukes, Jennifer A. Hutcheon, Katherine A. Ahrens, Martha M. Werler
Paediatric and Perinatal Epidemiology.2023; 37(4): 350. CrossRef - The risk of meconium aspiration syndrome (MAS) increases with gestational age at term
Clara Ward, Aaron B. Caughey
The Journal of Maternal-Fetal & Neonatal Medicine.2022; 35(1): 155. CrossRef - Protective placental inflammatory and oxidative stress responses are attenuated in the context of twin pregnancy and chorioamnionitis in assisted reproduction
Hayley R. Price, Nick Pang, Hugh Kim, Michael W. H. Coughtrie, Abby C. Collier
Journal of Assisted Reproduction and Genetics.2022; 39(1): 227. CrossRef - Correlation between Pregnancy Outcome and Placental Pathology in COVID-19 Pregnant Women
Sara A. Al-Rawaf, Enas T. Mousa, Noora M. Kareem, Atif Amin Baig
Infectious Diseases in Obstetrics and Gynecology.2022; 2022: 1. CrossRef - Differential impact of antiretroviral therapy initiated before or during pregnancy on placenta pathology in HIV-positive women
Nadia M. Ikumi, Thokozile R. Malaba, Komala Pillay, Marta C. Cohen, Hlengiwe P. Madlala, Mushi Matjila, Dilly Anumba, Landon Myer, Marie-Louise Newell, Clive M. Gray
AIDS.2021; 35(5): 717. CrossRef - Meconium Aspiration Syndrome: A Narrative Review
Chiara Monfredini, Francesco Cavallin, Paolo Ernesto Villani, Giuseppe Paterlini, Benedetta Allais, Daniele Trevisanuto
Children.2021; 8(3): 230. CrossRef - Isolated acute funisitis in the absence of acute chorioamnionitis: What does it mean?
Tracy B. Grossman, Debra S. Heller, Rebecca N. Baergen
Placenta.2019; 75: 42. CrossRef - Influence of foetal inflammation on the development of meconium aspiration syndrome in term neonates with meconium-stained amniotic fluid
Kyoko Yokoi, Osuke Iwata, Satoru Kobayashi, Kanji Muramatsu, Haruo Goto
PeerJ.2019; 7: e7049. CrossRef
- Impact of meconium-stained amniotic fluid thickness on maternal infectious morbidity: a comprehensive clinical and microbiological analysis
Case Report
- Bilateral Frontal Polymicrogyria: An Autopsy Case Report.
- Yi Kyeong Chun, Jong Sun Choi, Je G Chi
- Korean J Pathol. 2011;45:S62-S65.
- DOI: https://doi.org/10.4132/KoreanJPathol.2011.45.S1.S62
- 3,053 View
- 21 Download
-
Abstract
PDF
- Bilateral frontal polymicrogyria is a recently recognized syndrome characterized by symmetric polymicrogyria of both frontal lobes that presents with delayed motor and language development, spastic quadriparesis, and variable mental retardation. However, the postmortem findings of this syndrome are not fully elaborated. Here we describe an autopsy case of bilateral frontal polymicrogyria in a male fetus delivered at 22 weeks gestation due to extensive chorioamnionitis. The microscopic findings included a thinned cortical plate with fair neuronal maturation. There were no signs of neuronal damage and the white matter was unremarkable.
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