Document Detail


Relationships between mechanical properties and extracellular matrix constituents of the cervical stroma during pregnancy.
MedLine Citation:
PMID:  19796726     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In normal pregnancy, the cervix maintains its shape during a period of substantial fetal and uterine growth. Hence, maintenance of biomechanical integrity is an important aspect of cervical function. It is known that cervical mechanical properties arise from extracellular matrix (ECM). The most important constituent of the cervical ECM is fibrillar collagen-it is collagen protein that the cervix derives its "strength" from. Other matrix molecules known to affect the collagen network include water, proteoglycans, hyaluronan, and elastin. The objective of this review is to discuss relationships between biochemical constituents and macroscopic mechanical properties. The individual constituents of the ECM will be discussed, especially in regard to collagen remodeling during pregnancy. In addition, the macroscopic mechanical properties of cervical tissue will be reviewed. An improved understanding of the biochemistry of cervical "strength" will shed light on how the cervix maintains its shape in normal pregnancy and shortens in preterm birth.
Authors:
Michael House; David L Kaplan; Simona Socrate
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Seminars in perinatology     Volume:  33     ISSN:  1558-075X     ISO Abbreviation:  Semin. Perinatol.     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-02     Completed Date:  2010-02-01     Revised Date:  2010-12-03    
Medline Journal Info:
Nlm Unique ID:  7801132     Medline TA:  Semin Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  300-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Tufts Medical Center, Boston, MA 02111, USA. mhouse@tuftsmedicalcenter.org
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MeSH Terms
Descriptor/Qualifier:
Biomechanics / physiology
Cervix Uteri / chemistry,  physiology*
Collagen / chemistry,  physiology*
Extracellular Matrix / chemistry,  physiology*
Female
Humans
Pregnancy
Stromal Cells / physiology
Grant Support
ID/Acronym/Agency:
2K12HD000849-21/HD/NICHD NIH HHS; K12 HD000849-12/HD/NICHD NIH HHS
Chemical
Reg. No./Substance:
9007-34-5/Collagen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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