Preterm premature rupture of the fetal membranes: current concepts

Minerva Ginecol. 2005 Aug;57(4):389-96.

Abstract

Preterm birth and preterm premature rupture of membranes (PPROM) are common causes of perinatal morbidity and mortality. Fetal membrane integrity is regulated partially by collagenases and inhibitors. A number of genetic polymorphisms with genes related to infection, inflammation and collagen degradation have been identified and studies as risk factors for PPROM. This manuscript reviews the state of the science on the pathophysiology of PPROM and possible genetic influences.

Publication types

  • Review

MeSH terms

  • Adult
  • Apoptosis
  • Female
  • Fetal Membranes, Premature Rupture* / blood
  • Fetal Membranes, Premature Rupture* / epidemiology
  • Fetal Membranes, Premature Rupture* / etiology
  • Fetal Membranes, Premature Rupture* / genetics
  • Fetal Membranes, Premature Rupture* / metabolism
  • Genetic Predisposition to Disease
  • Genotype
  • Haplotypes
  • Humans
  • Infant, Newborn
  • Matrix Metalloproteinase 1 / genetics
  • Matrix Metalloproteinase 8 / genetics
  • Matrix Metalloproteinase 9 / genetics
  • Polymorphism, Genetic
  • Pregnancy
  • Risk Factors
  • Smoking / adverse effects
  • Socioeconomic Factors
  • Tumor Necrosis Factor-alpha / genetics

Substances

  • Tumor Necrosis Factor-alpha
  • Matrix Metalloproteinase 8
  • Matrix Metalloproteinase 9
  • Matrix Metalloproteinase 1