Abstract:Objective To analyze the gene expression changes and the potential mechanisms in cervical tissue of a lipopolysaccharide(LPS)-induced rat model of preterm birth using transcriptomic sequencing. Methods Transcriptome sequencing was performed on cervical tissues from pregnant rats administered with intraperitoneal LPS or phosphate buffered saline(PBS) injections. Differentially expressed genes(DEGs) were analyzed through gene ontology(GO) analysis and Kyoto Encyclopedia of Genes and Genomes(KEGG) pathway analyses to identify key genes associated with cervical remodeling, inflammation, extracellular matrix, and the bradykinin system. The genes were validated with quantitative reverse transcription polymerase chain reaction(qRT-PCR). Results All LPS-treated rats experienced preterm birth(100% vs 0%, P=0.0005) with significantly shortened gestation periods [(18.08±0.38) days vs (21.92±0.58) days, P<0.0001]. Transcriptomic analysis revealed 892 upregulated and 725 downregulated genes in the LPS group. The GO analysis showed that DEGs were enriched in immune response, extracellular matrix and chemokine activity pathways. The KEGG analysis indicated that inflammatory responses and the bradykinin system may disrupt extracellular matrix stability, leading to disorders associated cervical insufficiency and preterm birth. The QRT-PCR validation of key cervical remodeling genes confirmed upregulation of interleukin(IL)-6, tumor necrosis factor (TNF)-α, collagen type 3 α1(COL3A1), lysyl oxidase (LOX), matrix metalloproteinase 9(MMP9), prostaglandin endoperoxide synthase 2(PTGS2), kininogen 1(KNG1), and membrane metalloendopeptidase(MME) in the LPS group, consistent with transcriptomic findings. Conclusion LPS triggers preterm birth by activating inflammatory responses and the bradykinin system, synergistically regulating the PTGS2/PGE2 pathway and cervical remodelingrelated genes, ultimately causing extracellular matrix dysfunction and cervical insufficiency.