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有复发性流产病史的非孕女性中白细胞介素-2受体水平异常。

Abnormal IL-2 receptor levels in non-pregnant women with a history of recurrent miscarriage.

作者信息

Wilson R, Moore J, Jenkins C, Miller H, Maclean M A, McInnes I B, Walker J J

机构信息

University Departments of Medicine, Glasgow Royal Infirmary, UK.

出版信息

Hum Reprod. 2003 Jul;18(7):1529-30. doi: 10.1093/humrep/deg287.

Abstract

BACKGROUND

Immunological abnormalities have been found in pregnant women with a history of recurrent miscarriage. This study compared interleukin-2 receptor (IL-2R) levels in non-pregnant women with a history of recurrent miscarriage with those found in serum from a non-pregnant group with no such history.

METHODS

Group 1 comprised 49 non-pregnant women with a history of recurrent miscarriage (at least three consecutive miscarriages). Group 2 comprised 22 non-pregnant women with no history of miscarriage. Serum IL-2R levels were measured in all patients.

RESULTS

The results obtained showed that although all women were not pregnant at the time of sampling, IL-2R levels were significantly higher in women in Group 1 compared with those in Group 2 (1589 +/- 1289 versus 1082 +/- 823 pg/ml; P < 0.05). Follow-up data were available for 21 women from Group 1. The next pregnancy ended successfully for 14 of these women, while seven miscarried again. The IL-2R levels obtained pre-pregnancy were not significantly different between the two groups (1480 +/- 910 versus 1356 +/- 716 pg/ml).

CONCLUSION

This study has shown that non-pregnant women with a history of recurrent miscarriage have raised IL-2R levels. These increased pre-pregnancy IL-2R levels did not necessarily predict miscarriage for the next pregnancy.

摘要

背景

在有复发性流产病史的孕妇中发现了免疫异常。本研究比较了有复发性流产病史的非孕妇与无此病史的非孕组血清中的白细胞介素-2受体(IL-2R)水平。

方法

第1组包括49名有复发性流产病史(至少连续三次流产)的非孕妇。第2组包括22名无流产病史的非孕妇。测定了所有患者的血清IL-2R水平。

结果

结果显示,虽然所有女性在采样时均未怀孕,但第1组女性的IL-2R水平显著高于第2组(1589±1289对1082±823 pg/ml;P<0.05)。有21名第1组女性的随访数据可用。其中14名女性下次妊娠成功,而7名再次流产。两组妊娠前获得的IL-2R水平无显著差异(1480±910对1356±716 pg/ml)。

结论

本研究表明,有复发性流产病史的非孕妇IL-2R水平升高。这些妊娠前升高的IL-2R水平不一定能预测下次妊娠是否会流产。

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