A trial of immunoglobulin fetal therapy for symptomatic congenital cytomegalovirus infection.

Abstract:

:No medical intervention guideline for prenatally diagnosed symptomatic congenital cytomegalovirus infection (CCMVI) is currently available. The aim of the study was to assess the efficacy of immunoglobulin fetal therapy for symptomatic CCMVI. With informed consent, hyper-immunoglobulin was injected into the peritoneal cavity of affected fetuses or into the maternal blood in 12 women who had symptomatic CCMVI. After immunoglobulin therapy, ultrasound examinations demonstrated the following changes: Ascites disappearance 57.1% (4/7) and a decrease in ascites volume 14.3% (1/7); improvement in intrauterine growth restriction 54.5% (6/11); disappearance of mild ventriculomegaly 40% (2/5); and in one case hepatomegaly and hydronephrosis disappeared. The survival rate of affected infants was found to be 83.3% (10/12). Concerning morbidity, 25.0% (3/12) of the infants developed normally. An additional two cases had only unilateral hearing difficulty without other sequelae. Therefore, 41.7% (5/12) of symptomatic CCMVI infants whose mothers received prenatal immunoglobulin therapies had no or only minimal sequelae (unilateral hearing difficulty). No direct adverse effects were observed. Immunoglobulin therapy may be effective for symptomatic CCMVI, reducing the incidence and severity of sequelae. To confirm the efficacy, a randomized study should be further performed.

journal_name

J Reprod Immunol

authors

Japanese Congenital Cytomegalovirus Infection Immunoglobulin Fetal Therapy Study Group.

doi

10.1016/j.jri.2012.05.002

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

73-9

issue

1-2

eissn

0165-0378

issn

1872-7603

pii

S0165-0378(12)00583-9

journal_volume

95

pub_type

临床试验,杂志文章,多中心研究
  • LPS mediated production of IL-1, PGE2 and PGF2alpha from term decidua involves tumour necrosis factor and tumour necrosis factor receptor p55.

    abstract::Prostaglandins, with cytokines involved as intermediate factors, may have an essential role in premature labour when infection is present. We therefore wanted to study tumour necrosis factor (TNF), in cytokine and prostaglandin production in reproductive tissue. Decidual cell cultures were established and cells were s...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/s0165-0378(99)00045-5

    authors: Arntzen KJ,Egeberg K,Rahimipoor S,Vatten L,Austgulen R

    更新日期:1999-12-01 00:00:00

  • Alternative theories: Pregnancy and immune tolerance.

    abstract::For some time, reproductive immunologists have worked to understand the balance between maternal tolerance of the fetus, maternal health, and fetal protection which leads to successful pregnancy in mammalian species. We have always understood the potential importance of multiple factors, including nutrition, genetics,...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/j.jri.2017.09.005

    authors: Bonney EA

    更新日期:2017-09-01 00:00:00

  • Interleukin-18 and interleukin-12 in maternal serum and spontaneous preterm delivery.

    abstract:INTRODUCTION:Mice disrupted for the interleukin (IL)-18 gene appear more disposed to preterm delivery (PTD) induced by inflammation. A synergy between IL-18 and IL-12 has been suggested. The objective of this study was to investigate a possible relation between human maternal serum levels of IL-18, IL-12 and spontaneou...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/j.jri.2007.07.002

    authors: Ekelund CK,Vogel I,Skogstrand K,Thorsen P,Hougaard DM,Langhoff-Roos J,Jacobsson B

    更新日期:2008-04-01 00:00:00

  • GammadeltaTCR+ cells of the pregnant ovine uterus express variable T cell receptors and contain granulysin.

    abstract::Gammadelta T cells are a prominent granulated cell population in the ruminant pregnant uterus and both their number and granule size increase dramatically during pregnancy. Anchor-RT-PCR was used to assess TCRdelta gene usage by gammadelta T cells from the uterine epithelium of pregnant sheep. The TCRdelta genes obtai...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/j.jri.2009.10.003

    authors: Fox A,Maddox JF,de Veer MJ,Meeusen EN

    更新日期:2010-01-01 00:00:00

  • Prostaglandin F2 alpha immunization of prepubertal beef heifers: effects of conjugate dose and timing of immunization relative to puberty on the onset of puberty and subsequent ovarian function.

    abstract::Fifty-six prepubertal Hereford cross Friesian heifers were assigned to seven treatment groups: (1) primary (day 0) and booster (day 41) using 10 mg human serum albumin (HSA) (control); (2) primary and booster (day 41) immunizations using 3.3 mg prostaglandin F2 alpha PGF-HSA conjugate; (3) primary and booster (day 83)...

    journal_title:Journal of reproductive immunology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0165-0378(94)90006-x

    authors: Crowe MA,Enright WJ,Roche JF

    更新日期:1994-12-01 00:00:00

  • Modulation of the natural killer cell activity in pregnant mice alters the spontaneous abortion rate.

    abstract::Effector cells associated with an aborting fetus appear to be both thymus derived (T) and natural killer (NK) cells. In order to test the hypothesis that NK cells are a major effector mediating early spontaneous abortion (less than day 8-10), CBA female mice mated by DBA/2 males were treated with either polyinosinic/c...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/0165-0378(87)90018-0

    authors: de Fougerolles AR,Baines MG

    更新日期:1987-06-01 00:00:00

  • Protective immunity against HSV-2 in the mouse vagina.

    abstract::Herpes simplex virus type 2 (HSV-2) is a sexually transmitted pathogen that infects the genital tract. The high prevalence of HSV-2 in humans underscores the need to develop an effective vaccine. Efforts to develop vaccines to protect women against this and other sexually transmitted pathogens would be facilitated by ...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章,评审

    doi:10.1016/s0165-0378(97)00055-7

    authors: Parr MB,Parr EL

    更新日期:1997-11-30 00:00:00

  • Immunological reactivity of maternal lymphocytes during normal pregnancy in the rat.

    abstract::Thoracic duct lymphocytes from pregnant PVG rats differed markedly from similar cells collected from non-pregnant donors in their reactivity in popliteal lymph node assays performed in (PVG x DA) F1 hybrid hosts. Cells from pregnant rats failed to evoke an increase in popliteal node size commensurate with higher chall...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/0165-0378(81)90026-7

    authors: McCullagh P

    更新日期:1981-05-01 00:00:00

  • Increased percentage of Th17 cells in peritoneal fluid is associated with severity of endometriosis.

    abstract:AIM:Th17 cells are a newly discovered T helper lymphocyte subpopulation, producing interleukin IL-17. Th17 cells are present in blood and peritoneal fluid (PF) at different stages of endometriosis. We aim to establish their potential importance in the pathogenesis and clinical features of the disease. METHODS:The perc...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/j.jri.2016.04.289

    authors: Gogacz M,Winkler I,Bojarska-Junak A,Tabarkiewicz J,Semczuk A,Rechberger T,Adamiak A

    更新日期:2016-09-01 00:00:00

  • Peripheral K cells in normal human pregnancy: decrease during pregnancy and increase after delivery.

    abstract::Peripheral blood levels of K cells were measured in normal pregnant and post-partum women by a plaque-forming cell technique that detects K cells on the basis of their activity of antibody-dependent cell-mediated cytotoxicity (ADCC). Peripheral K cells decreased throughout normal pregnancy (n = 46; 7.8 +/- 3.4%, P les...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/0165-0378(89)90042-9

    authors: Asari S,Iwatani Y,Amino N,Tanizawa O,Miyai K

    更新日期:1989-03-01 00:00:00

  • Delineation of epitopes on porcine zona pellucida relevant for binding of sperm to oocyte using monoclonal antibodies.

    abstract::Seven monoclonal antibodies (MAs) generated against porcine zona pellucida glycoprotein, ZP3 (comprising both ZP3 alpha and ZP3 beta) were characterized for their specificities to ZP3 alpha (MA 7 and MA 28) or ZP3 beta (MA 1, MA 2, MA 10, MA 27 and MA 30) and their relative affinities in competitive ELISA. Among the s...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/0165-0378(93)90047-l

    authors: Bagavant H,Yurewicz EC,Sacco AG,Talwar GP,Gupta SK

    更新日期:1993-04-01 00:00:00

  • Identification of a histamine-releasing factor secreted by human pre-implantation embryos grown in vitro.

    abstract::Human pre-implantation stage embryos cultured in vitro spontaneously secreted a factor capable of inducing histamine-release from human blood basophils. The embryo-derived histamine-releasing factor (EHRF) has been isolated from the culture medium by means of heparin-Sepharose affinity chromatography. The factor bound...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/0165-0378(88)90047-2

    authors: Cocchiara R,Di Trapani G,Azzolina A,Albeggiani G,Geraci D

    更新日期:1988-06-01 00:00:00

  • Complement component deposition in uteroplacental (spiral) arteries in normal human pregnancy.

    abstract::There is conflicting evidence for the deposition of complement in spiral arteries in normal and abnormal human pregnancies. The immunogold silver staining (IGSS) technique was used to investigate the distribution of C1q, C3d, C4, C6 and C9 within the spiral arteries of formalin-fixed normal pregnancy hysterectomy spec...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/0165-0378(87)90040-4

    authors: Wells M,Bennett J,Bulmer JN,Jackson P,Holgate CS

    更新日期:1987-10-01 00:00:00

  • Tumor necrosis factor-alpha soluble receptor p55 (sTNFp55) and risk of preeclampsia in Peruvian women.

    abstract::We conducted a large case-control study to assess the risk of preeclampsia with elevated sTNFp55 concentrations (markers of excessive TNF-alpha release) in Peruvian women. A total of 125 women with preeclampsia and 179 normotensive women were included in a study conducted during the period, June 1997 through January 1...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/s0165-0378(99)00064-9

    authors: Sanchez SE,Zhang C,Williams MA,Ware-Jauregui S,Larrabure G,Bazul V,Farrand A

    更新日期:2000-05-01 00:00:00

  • LIF and sIL-2R plasma concentrations in IVF patients on the day of embryo transfer: predictive markers of IVF outcome.

    abstract::Successful implantation is still the limiting step in IVF. We hypothesized that maternal plasma concentrations of certain cytokines at the time of embryo transfer could predict the likelihood of successful implantation and pregnancy. sIL-2R, IL-6, LIF, and MMP2 concentrations were measured in plasma from 160 IVF patie...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/j.jri.2012.02.005

    authors: Gremlich S,Chanson A,Urner F,Senn A,Reymondin D,Damnon F,Roth-Kleiner M,Witkin SS,Germond M,Gerber S

    更新日期:2012-06-01 00:00:00

  • Innate and adaptive immunity against herpes simplex virus type 2 in the genital mucosa.

    abstract::Herpes simplex virus type 2 (HSV-2) is becoming increasingly prevalent worldwide, despite the widespread use of antiviral drugs. Its ability to evade the immune system and establish a latent infection has made it difficult to develop an effective vaccine. Our understanding of the immune response against HSV-2 remains ...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jri.2011.01.001

    authors: Chan T,Barra NG,Lee AJ,Ashkar AA

    更新日期:2011-03-01 00:00:00

  • The role of visfatin (PBEF/Nampt) in pregnancy complications.

    abstract::Visfatin (PBEF/Nampt) is an adipocytokine that exerts pleiotropic effects within the human body, particularly affecting its metabolism and immunity. Visfatin was originally identified as being secreted by peripheral blood lymphocytes acting as a pre-B-cell colony-enhancing factor (PBEF). However, it was subsequently r...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jri.2015.09.004

    authors: Pavlová T,Novák J,Bienertová-Vašků J

    更新日期:2015-11-01 00:00:00

  • Lipopolysaccharide-binding protein is produced in the epididymis and associated with spermatozoa and prostasomes.

    abstract::Lipopolysaccharide-binding protein (LBP) is an acute phase protein known to play a central role in the defense against Gram-negative bacteria. It binds lipopolysaccharides of Gram-negative bacteria and, after binding to CD14, the complex signals through Toll-like receptor (TLR)-4, eliciting host-defense responses, suc...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/j.jri.2005.01.005

    authors: Malm J,Nordahl EA,Bjartell A,Sørensen OE,Frohm B,Dentener MA,Egesten A

    更新日期:2005-06-01 00:00:00

  • New techniques on embryo manipulation.

    abstract::For many years, experience has been accumulated on embryo and gamete manipulation in livestock animals. The present work is a review of these techniques and their possible application in human embryology in specific cases. It is possible to manipulate gametes at different levels, producing paternal or maternal haploid...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章,评审

    doi:10.1016/s0165-0378(01)00138-3

    authors: Escribá MJ,Valbuena D,Remohí J,Pellicer A,Simón C

    更新日期:2002-05-01 00:00:00

  • Indications of anti-HY immunity in recurrent placental abruption.

    abstract:PROBLEM:Placental abruption is a potential life-threatening condition for both the fetus and the mother, being significantly more common in pregnancies with male fetuses. The pathogenesis of placental abruption remains unknown. However, some recent reports point toward a maternal immune response against the fetus as a ...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/j.jri.2007.03.003

    authors: Nielsen HS,Mogensen M,Steffensen R,Kruse C,Christiansen OB

    更新日期:2007-08-01 00:00:00

  • Immunochemical identification of human trophoblast membrane antigens using monoclonal antibodies.

    abstract::Human trophoblast membrane antigens recognised by monoclonal antibodies (H310, H315, H316 and H317) have been identified using combinations of radioimmunoprecipitation, SDS-PAGE, electroblotting, chromatographic and ELISA-type techniques. H317 is known to identify heat-stable placental-type alkaline phosphatase and ac...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/0165-0378(83)90244-9

    authors: Brown PJ,Molloy CM,Johnson PM

    更新日期:1983-11-01 00:00:00

  • Serum leptin level in women with unexplained infertility.

    abstract:INTRODUCTION:The aim of this study was to compare serum levels of leptin in women with unexplained infertility with fertile subjects. MATERIAL AND METHOD:Serum leptin levels of 27 infertile and 30 fertile women on day 3 of the menstrual cycle were assessed and compared in this prospective age and body mass index (BMI)...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/j.jri.2007.04.001

    authors: Demir B,Guven S,Guven ES,Atamer Y,Gunalp GS,Gul T

    更新日期:2007-10-01 00:00:00

  • Bone-marrow origin of endometrial granulocytes in the early human placental bed.

    abstract::A large number of cells in the first trimester human placenta have been shown to express leucocyte-common antigen by the use of a monoclonal antibody in an immunoperoxidase technique. The distribution of endometrial granulocytes in the decidua of early pregnancy indicates that a large proportion of these cells bear th...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/0165-0378(83)90247-4

    authors: Bulmer JN,Sunderland CA

    更新日期:1983-11-01 00:00:00

  • Priming of peripheral monocytes with prolactin (PRL) sensitizes IFN-gamma-mediated indoleamine 2,3-dioxygenase (IDO) expression without affecting IFN-gamma signaling.

    abstract::Prolactin (PRL) was originally identified by its ability to stimulate mammary development and lactation, and its essential roles other than lactation have recently been implicated in female reproduction. However, little is known about PRL-mediated events in pregnancy. The tryptophan catabolism enzyme indoleamine 2,3-d...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/j.jri.2007.08.003

    authors: Kawaguchi R,Shimokawa T,Umehara N,Nunomura S,Tanaka T,Ra C

    更新日期:2008-04-01 00:00:00

  • The effect of neonatal thymectomy on the induction of autoimmune orchitis in rats.

    abstract::The objective of these experiments was to determine the effects of neonatal thymectomy on the induction of experimental autoimmune orchitis in inbred rats of the Fischer 344 and Lewis strains. It was found that thymectomy alone in Lewis rats, and thymectomy followed by immunization with testicular extract in both Lewi...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/0165-0378(79)90001-9

    authors: Lipscomb HL,Gardner PJ,Sharp JG

    更新日期:1979-12-01 00:00:00

  • Antibody reactivity with porcine zona pellucida.

    abstract::A comparative study on anti-zona antibody activities in the sera from clinically defined categories of patients registered at the WHO Reference Bank for Reproductive Immunology was performed at five different laboratories with different detection methods. Considerably higher incidences of positive reactions were detec...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/0165-0378(85)90008-7

    authors: Mori T,Kamada M,Hasebe H,Irahara M,Shivers A,Czuppon AB,Mettler L,Mathur S,Dunbar BS

    更新日期:1985-12-01 00:00:00

  • Elution of anticardiolipin antibodies and their cofactor beta 2-glycoprotein 1 from the placentae of patients with a poor obstetric history.

    abstract::Anticardiolipin antibodies (aCL) were eluted from the placentae of four women with elevated serum levels of aCL, demonstrating that these antibodies are bound to affected placentae. Anticardiolipin antibodies bound to affected placentae were only of the IgG isotype and the level of aCL in placental eluates did not ref...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章

    doi:10.1016/0165-0378(93)90064-o

    authors: Chamley LW,Pattison NS,McKay EJ

    更新日期:1993-12-01 00:00:00

  • Early pregnancy vitamin D and patterns of antenatal inflammation in African-American women.

    abstract::Vitamin D is essential for the health of both mother and fetus during pregnancy. In the nonpregnant state, vitamin D demonstrates anti-inflammatory effects, but little is known about this relationship during pregnancy. African-American women are at a higher risk of vitamin D deficiency and for altered inflammatory res...

    journal_title:Journal of reproductive immunology

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jri.2014.09.054

    authors: Bobbitt KR,Peters RM,Li J,Rao SD,Woodcroft KJ,Cassidy-Bushrow AE

    更新日期:2015-02-01 00:00:00

  • The IGF family and folliculogenesis.

    abstract::The process of ovarian follicular development is a long and arduous one, marked by dramatic proliferation and differentiation of both the somatic and germ cell elements. To a large extent, this explosive agenda is under the control of conventional endocrine principles, involving hormones such as pituitary gonadotropin...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章,评审

    doi:10.1016/s0165-0378(98)00026-6

    authors: Adashi EY

    更新日期:1998-08-01 00:00:00

  • Th1/Th2 balance in preeclampsia.

    abstract::The syndrome of preeclampsia has previously been ascribed to generalized maternal endothelial dysfunction, poor placentation and excessive maternal inflammatory response. Recent reports suggest that preeclampsia is associated with a Th1 predominant profile and may be considered as a failure of the tolerance system all...

    journal_title:Journal of reproductive immunology

    pub_type: 杂志文章,评审

    doi:10.1016/s0165-0378(03)00045-7

    authors: Saito S,Sakai M

    更新日期:2003-08-01 00:00:00