Abstract:Objective To investigate the relationship between the expression levels of interferon-inducible protein 16 (IFI16) in the placental tissues and maternal blood and the onset of premature rupture of membranes (PROM), so as to provide references for the early diagnosis of infection-associated PROM.Methods We included 60 patients with PROM undergoing the operation to terminate the pregnancy who were admitted to Xuzhou Maternal and Child Health Hospital from September 2019 to September 2020. According to the gestational week when PROM occurred, the patients were divided into full-term PROM group (37 weeks to 42 weeks of pregnancy, 30 cases) and preterm PROM group (28 weeks to 36 weeks and 6 days of pregnancy, 30 cases). Thirty women with full-term pregnancy receiving cesarean sections during the same period were enrolled as the control group. The mRNA and protein expressions of IFI16, and mRNA expression of Caspase-1 in placental tissues, as well as the expression levels of IFI16 and inflammatory factors including interleukin (IL)-6 and IL-1β in the serum of pregnant women were compared among the three groups.Results The positive rate of IFI16 expression in the placental tissues of pregnant women in the full-term PROM group and the preterm PROM group was higher than that in the control group (P < 0.05), while there was no significant difference in that between the full-term PROM group and the preterm PROM group (P > 0.05). The mRNA expressions of IFI16 and Caspase-1 in placental tissues of pregnant women in the full-term PROM group and the preterm PROM group were higher than those in the control group (P < 0.05). In addition, the maternal serum levels of IFI16, IL-6 and IL-1β in the full-term PROM group and the preterm PROM group were higher than those in the control group (P < 0.05).Conclusions The elevated level of IFI16 in maternal blood and placental tissues may be related to inflammatory responses in PROM. The detection of IFI16 may be of predictive significance for the inflammatory responses in PROM.