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Abnormal immunoglobulin subclass patterns in women with a history of recurrent miscarriage.

Abstract：

OBJECTIVE:To determine whether IgG subclass patterns differed between nonpregnant women, healthy pregnant women, and pregnant women with a history of recurrent miscarriage. DESIGN:Controlled clinical study. SETTING:An academic setting. PATIENT(S):Group 1 was comprised of 10 nonpregnant women, group 2 of 10 healthy pregnant women, group 3 of eight pregnant women with a history of recurrent miscarriage and whose pregnancies on this occasion went to term, and group 4 of 10 women with a history of recurrent miscarriage whose pregnancies again failed later in the first trimester. INTERVENTION(S):None of the patients received any medication. MAIN OUTCOME MEASURE(S):Serum levels of total IgG and IgG 1, 2, 3, and 4. RESULT(S):The results obtained showed that normal pregnancy was associated with a significant increase in total IgG production and an increase in IgG subclasses 1, 2, and 3. Women with a history of miscarriage, but who had a successful pregnancy on this occasion, showed a similar pattern of IgG subclasses. Women with a history of miscarriage and whose pregnancy again ended in miscarriage showed a different IgG subclass pattern. CONCLUSION(S):Pregnancies that ended in miscarriage showed a different pattern of IgG subclasses than those that continued to term. The changes seen in immunoglobulin patterns could be linked to changes in cytokine production.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Wilson R,Maclean MA,Jenkins C,Kinnane D,Mooney J,Walker JJ

doi

10.1016/s0015-0282(01)02857-6

keywords:

subject

Has Abstract

pub_date

2001-11-01 00:00:00

pages

915-7

issue

5

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(01)02857-6

journal_volume

76

pub_type

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