Abstract:
:In recent years, there has been a growing interest in the role of immune, alloimmune and autoimmune processes in the pathogenesis of spontaneous preterm birth and recurrent pregnancy loss. The association between an inflammatory response and preterm labor has been established. Indeed, many women suffering from preterm labor have elevated inflammatory markers such as tumor necrosis factor alpha, interleukin 6 and matrix metaloproeinase 8. The role of immune processes in the pathogenesis of recurrent pregnancy loss has also been widely researched. Progesterone induces many physiologic effects necessary for healthy pregnancy, and progestagens supplementation has been used as an approach to prevent preterm labor and recurrent pregnancy loss. Progestagens also have potent anti-inflammatory and immunomodulatory actions. Because preterm labor and recurrent pregnancy loss are associated with abnormal inflammation, progestagens may maintain healthy pregnancy through both endocrine and immunologic actions. These immunologic actions, such as suppression of Th1- and Th17-related responses, enhancement of regulatory T cell (Tregs) activity and suppression of inflammation, may also be involved in pregnancy-induced remission of certain autoimmune diseases such as rheumatoid arthritis (RA) and multiple sclerosis (MS). Accordingly, there is growing interest in the potential therapeutic role of progestagens in the treatment of MS and RA. In this review, we suggest that biologic autoimmune modulators, especially those which affect immune pathways similar to progestagens, may provide more potent and specific effects, and hence better results than progestagens, in preventing preterm labor and recurrent pregnancy loss.
journal_name
Immunol Resjournal_title
Immunologic researchauthors
Tsur A,Hughes GC,Shoenfeld Y,Carp Hdoi
10.1007/s12026-014-8621-1subject
Has Abstractpub_date
2015-02-01 00:00:00pages
31-4issue
1-2eissn
0257-277Xissn
1559-0755journal_volume
61pub_type
杂志文章,评审abstract::Diabetes is a chronic autoimmune disease that affects 4-5% of the world's population. If the present trends continue, diabetes would soon become a major/leading health problem worldwide. Hence there is an urgent need to develop novel approaches for the treatment of diabetes. While transplantation of the pancreas or th...
journal_title:Immunologic research
pub_type: 杂志文章,评审
doi:10.1007/s12026-007-0070-7
更新日期:2007-01-01 00:00:00
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journal_title:Immunologic research
pub_type: 杂志文章,评审
doi:10.1385/IR:21:2-3:219
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pub_type: 杂志文章,评审
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更新日期:2016-12-01 00:00:00
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journal_title:Immunologic research
pub_type: 杂志文章
doi:10.1007/s12026-015-8715-4
更新日期:2016-04-01 00:00:00
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journal_title:Immunologic research
pub_type: 杂志文章,评审
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journal_title:Immunologic research
pub_type: 杂志文章,评审
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更新日期:1997-01-01 00:00:00
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journal_title:Immunologic research
pub_type: 杂志文章
doi:10.1007/s12026-009-8111-z
更新日期:2009-01-01 00:00:00
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journal_title:Immunologic research
pub_type: 杂志文章,评审
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更新日期:2005-01-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2018-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2016-04-01 00:00:00
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journal_title:Immunologic research
pub_type: 杂志文章,评审
doi:10.1007/s12026-012-8370-y
更新日期:2013-03-01 00:00:00
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journal_title:Immunologic research
pub_type: 杂志文章,评审
doi:10.1007/s12026-018-9004-9
更新日期:2018-06-01 00:00:00
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journal_title:Immunologic research
pub_type: 杂志文章,评审
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更新日期:2003-01-01 00:00:00
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journal_title:Immunologic research
pub_type: 杂志文章,评审
doi:10.1007/s12026-012-8280-z
更新日期:2012-04-01 00:00:00
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journal_title:Immunologic research
pub_type: 杂志文章,meta分析
doi:10.1007/s12026-019-09102-x
更新日期:2019-10-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1007/s12026-014-8493-4
更新日期:2014-05-01 00:00:00
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journal_title:Immunologic research
pub_type: 杂志文章
doi:10.1007/s12026-007-0017-z
更新日期:2007-01-01 00:00:00
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journal_title:Immunologic research
pub_type: 杂志文章,评审
doi:10.1385/IR:29:1-3:055
更新日期:2004-01-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1007/s12026-009-8126-5
更新日期:2010-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-12-01 00:00:00
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journal_title:Immunologic research
pub_type: 杂志文章,评审
doi:10.1007/s12026-007-8010-0
更新日期:2008-01-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1007/s12026-018-9051-2
更新日期:2018-12-01 00:00:00
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journal_title:Immunologic research
pub_type: 杂志文章,评审
doi:10.1007/BF02786443
更新日期:1998-01-01 00:00:00
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journal_title:Immunologic research
pub_type: 杂志文章,评审
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更新日期:2009-01-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2018-12-01 00:00:00
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journal_title:Immunologic research
pub_type: 杂志文章,评审
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更新日期:1999-01-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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更新日期:2002-01-01 00:00:00
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journal_title:Immunologic research
pub_type: 杂志文章
doi:10.1385/IR:30:2:191
更新日期:2004-01-01 00:00:00