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胚胎移植后使用免疫抑制治疗对提高活产率的影响。

The impact of the use of immunosuppressive treatment after an embryo transfer in increasing the rate of live birth.

作者信息

Andreescu Mihaela

机构信息

Department of Hematology, Colentina Clinical Hospital, Bucharest, Romania.

Titu Maiorescu University, Bucharest, Romania.

出版信息

Front Med (Lausanne). 2023 Jun 27;10:1167876. doi: 10.3389/fmed.2023.1167876. eCollection 2023.

Abstract

The tolerance of the immune system for the semi-allogeneic embryo is promoted by several factors and the cells involved in the immune system and factors in the mother during pregnancy. The dysregulation of the immune responses between the mother and fetus is a risk factor that raises the likelihood of rejection of the embryo and reproductive failure. To safeguard embryos and prevent immunological attacks, it is critical to suppress immunological rejection and encourage immunological tolerance. Based on current medical literature, it seems that immune cell management through immunosuppressive therapies can address reproductive failures. Immunosuppressive treatment has demonstrated encouraging results in terms of enhancing outcomes related to pregnancy and rates of live birth by regulating the immune responses of mothers and positively impacting the reproductive processes of humans. Currently, there is scarcity of high-quality data regarding the safety and efficacy of immunosuppressive therapies for children and mothers. Therefore, it is important to exercise caution while selecting use of any immunosuppressive therapy in pregnancy. This mini review provides a comprehensive overview of the existing literature regarding the impact of Calcineurin Inhibitors and anti-TNF treatment on improving the live birth rate following embryo transfer.

摘要

免疫系统对半同种异体胚胎的耐受性是由多种因素以及孕期免疫系统中的细胞和母体中的因素所促进的。母婴之间免疫反应的失调是一个风险因素,会增加胚胎排斥和生殖失败的可能性。为了保护胚胎并防止免疫攻击,抑制免疫排斥并促进免疫耐受至关重要。根据当前医学文献,通过免疫抑制疗法进行免疫细胞管理似乎可以解决生殖失败问题。免疫抑制治疗在通过调节母亲的免疫反应并对人类生殖过程产生积极影响来提高妊娠相关结局和活产率方面已显示出令人鼓舞的结果。目前,关于免疫抑制疗法对儿童和母亲的安全性和有效性的高质量数据稀缺。因此,在孕期选择使用任何免疫抑制疗法时务必谨慎。本综述简要全面概述了现有文献中关于钙调神经磷酸酶抑制剂和抗TNF治疗对提高胚胎移植后活产率的影响。

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