PMID- 36191359 OWN - NLM STAT- MEDLINE DCOM- 20221013 LR - 20221116 IS - 1096-0023 (Electronic) IS - 1043-4666 (Linking) VI - 160 DP - 2022 Dec TI - Nicotine ameliorates inflammatory mediators in RU486 induced preterm labor model through activating cholinergic anti-inflammatory pathway. PG - 156054 LID - S1043-4666(22)00263-0 [pii] LID - 10.1016/j.cyto.2022.156054 [doi] AB - BACKGROUND: Preterm birth is a global public health threat. Inflammatory reaction is thought to mediate preterm birth. The role of nicotine, an anti-inflammatory agent that is mediated by cholinergic anti-inflammatory pathways (CAP), remains unclear in the pathogenesis. METHODS: Pregnant rats were randomly divided into four groups (20 rats each): pregnant control group (P), RU486-treated group (PTL), RU486 and nicotine-treated group (PTL + N), RU486, nicotine and alpha-BGT treated group (PTL + N + A). Rats were administered RU486 (1.0 mg/kg) by subcutaneous injection on gestational day (GD) 18 to establish PTL model. Subcutaneous injection of nicotine (1 mg/kg) was administered daily from GD 16 to 18. alpha-BGT (1 microg/kg) was administrated subcutaneously in two sessions and each session was 30 min prior to nicotine. TNF-alpha, IL-1beta, IL-4, IL-6, IL-10 in myometrium and serum were detected by Luminex. Macrophage infiltration and alpha7nAChR were detected by IHC. RESULTS: We established a RU486-induced preterm labor rat model. Preterm labor was associated with a striking upregulation inflammatory mediators and increased macrophage infiltration. Nicotine significantly prolonged gestation (P < 0.05) and alpha-BGT treatment reversed the prolonged interval (P < 0.05). The cytokines all markedly elevated at 12 h, but deceased after delivery (P < 0.05). The IL-1beta and TNF-alpha in serum were significantly increased in PTL group vs P group (P < 0.05), and decreased after nicotine treatment (P < 0.05). The cytokines IL-1beta, IL-4, IL-6, IL-10 and TNF-alpha in myometrium increased as the same trend as in serum. Nicotine treatment also downregulated the expression of alpha7nAChR in pregnant tissue. CONCLUSION: We confirmed the increased inflammation in preterm birth. Nicotine was able to down-regulate the inflammatory mediates and prolong the pregnant duration in PTL model, which might be induced by activating alpha7nAChR through CAP. This study provides a novel evidence supporting the future development of therapeutic target for preterm birth. CI - Copyright (c) 2022. Published by Elsevier Ltd. FAU - Huang, Qian AU - Huang Q AD - Department of Obstetrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China. FAU - Ye, Aihua AU - Ye A AD - Department of Obstetrics and Gynecology, The Maternal and Child Health Hospital of Longhua District, Shenzhen, China. FAU - Li, Pin AU - Li P AD - Department of Obstetrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China. FAU - Bao, Junjie AU - Bao J AD - Department of Obstetrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China. FAU - Garfield, Robert E AU - Garfield RE AD - University of Arizona College of Medicine, Phoenix, AZ, USA. FAU - Liu, Huishu AU - Liu H AD - Department of Obstetrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China. Electronic address: huishuliu@hotmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20221001 PL - England TA - Cytokine JT - Cytokine JID - 9005353 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Cytokines) RN - 0 (Inflammation Mediators) RN - 0 (Interleukin-6) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (alpha7 Nicotinic Acetylcholine Receptor) RN - 130068-27-8 (Interleukin-10) RN - 207137-56-2 (Interleukin-4) RN - 320T6RNW1F (Mifepristone) RN - 6M3C89ZY6R (Nicotine) SB - IM MH - Animals MH - Anti-Inflammatory Agents MH - Cytokines/metabolism MH - Female MH - Inflammation/metabolism MH - Inflammation Mediators MH - Interleukin-10/metabolism MH - Interleukin-4/metabolism MH - Interleukin-6/metabolism MH - Mifepristone MH - Neuroimmunomodulation MH - Nicotine MH - *Obstetric Labor, Premature/chemically induced/drug therapy MH - Pregnancy MH - Premature Birth MH - Rats MH - Tumor Necrosis Factor-alpha/metabolism MH - alpha7 Nicotinic Acetylcholine Receptor OTO - NOTNLM OT - Cholinergic anti-inflammatory pathway OT - Inflammtion OT - Macrophage OT - Nicotine OT - Preterm labor OT - alpha7nAChR COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2022/10/04 06:00 MHDA- 2022/10/14 06:00 CRDT- 2022/10/03 18:13 PHST- 2022/06/12 00:00 [received] PHST- 2022/09/02 00:00 [revised] PHST- 2022/09/13 00:00 [accepted] PHST- 2022/10/04 06:00 [pubmed] PHST- 2022/10/14 06:00 [medline] PHST- 2022/10/03 18:13 [entrez] AID - S1043-4666(22)00263-0 [pii] AID - 10.1016/j.cyto.2022.156054 [doi] PST - ppublish SO - Cytokine. 2022 Dec;160:156054. doi: 10.1016/j.cyto.2022.156054. Epub 2022 Oct 1.