PIPages
Labs

Kristin Gerson

University of Pennsylvania, PA·Medicine & Clinical Research

Preterm birth is the leading cause of illness and death in newborns worldwide, and the reasons it begins early are still poorly understood. One common step on the way is premature cervical remodeling, when the cervix softens and shortens too soon.

Fields

Medicine & Clinical Research

Microbiology & Immunology

Public Health & Epidemiology

Topics

preterm birth

cervical remodeling

short cervix

Grants
1 known grant, through Jul 2029

What they work on

  1. Determine how the polyamines spermidine and spermine modify immune responses in the cervicovaginal space, including inflammasome activation, NF-κB-driven immune mediators, macrophage differentiation and epithelial-immune signaling, using in vitro cell models.
  2. Determine how polyamines regulate oxidative balance in cervicovaginal cells by measuring lipid peroxidation, antioxidant enzyme expression and DNA and protein damage, and test whether this balance shapes immune responses.
  3. Quantify associations between vaginal polyamines, lipid peroxidation markers and short cervix in an ongoing pregnancy cohort to assess links to cervical remodeling and preterm birth.

More about the research

This happens partly because the protective lining of the cervix and vagina stops working as a barrier. The make-up of vaginal bacteria matters too: a microbiota low in Lactobacillus bacteria is linked to higher risk. Yet many people with this microbiota still deliver at term.

Why it matters

Spontaneous preterm birth harms newborns worldwide, and doctors have limited ways to prevent it. If vaginal polyamines protect the cervix, this work could support polyamine-based "postbiotic" treatments, which use beneficial metabolites rather than live microbes, to lower preterm birth risk in pregnant people. Because inflammation and oxidative stress contribute to many reproductive problems, the findings may also help reproductive health beyond pregnancy.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Polyamine modification of host immune responses and oxidative balance in the cervicovaginal space: potential mechanisms governing cervical remodeling in preterm birth

NIH · Aug 2024 – Jul 2029

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The school

University of Pennsylvania: 90 labs on PI Pages, $2.2B a year on research, 750 research doctorates a year.

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