Alteration of TH1 and TH2 cells by intracellular cytokine detection in patients with unexplained recurrent abortion before and after immunotherapy with the husband’s mononuclear cells

To elucidate the possible mechanisms of immunotherapy for unexplained recurrent aborters using their husband’s mononuclear cells. Prospective clinical study. Institutional practice at the Outpatient Clinic for Infertility, Niigata University Medical Hospital. Fifty-two unexplained recurrent aborters...

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Veröffentlicht in:Fertility and sterility 2006-05, Vol.85 (5), p.1452-1458
Hauptverfasser: Yokoo, Tomokazu, Takakuwa, Koichi, Ooki, Izumi, Kikuchi, Akira, Tamura, Masaki, Tanaka, Kenichi
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container_end_page 1458
container_issue 5
container_start_page 1452
container_title Fertility and sterility
container_volume 85
creator Yokoo, Tomokazu
Takakuwa, Koichi
Ooki, Izumi
Kikuchi, Akira
Tamura, Masaki
Tanaka, Kenichi
description To elucidate the possible mechanisms of immunotherapy for unexplained recurrent aborters using their husband’s mononuclear cells. Prospective clinical study. Institutional practice at the Outpatient Clinic for Infertility, Niigata University Medical Hospital. Fifty-two unexplained recurrent aborters were chosen as an experimental group. Each patient was injected with her husband’s mononuclear cells as immunotherapy. Peripheral blood was obtained from the patients. The percentage of CD4-positive cells, TH1 cells, TH2 cells, and the TH1/TH2 ratio were analyzed in the patients before and after immunotherapy. The same analyses were performed in the successful and the unsuccessful group. To date, 42 of the 52 patients have become newly pregnant. Of the 42, 34 patients have already delivered (successful group) and 3 are now pregnant, while the remaining 8 cases experienced repeated abortion (unsuccessful group). The percentage of TH2 cells significantly increased in the total patient population, while the TH1/TH2 ratio significantly decreased in the total patient population and in the successful group. These findings suggest that immunotherapy with the husband’s mononuclear cells for unexplained recurrent abortion induces a dominant state of TH2 cells in the patients.
doi_str_mv 10.1016/j.fertnstert.2005.10.058
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subjects Abortion, Habitual - immunology
Abortion, Habitual - therapy
Biological and medical sciences
Cytokines - immunology
Diseases of mother, fetus and pregnancy
Female
Gynecology. Andrology. Obstetrics
Humans
immunotherapy
Immunotherapy - methods
Lymphocyte Transfusion - methods
Lymphocytes - immunology
Male
mechanisms
Medical sciences
Pregnancy. Fetus. Placenta
Spouses
TH1
Th1 Cells - immunology
TH2
Th2 Cells - immunology
Treatment Outcome
Unexplained recurrent abortion
title Alteration of TH1 and TH2 cells by intracellular cytokine detection in patients with unexplained recurrent abortion before and after immunotherapy with the husband’s mononuclear cells
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