Stavros Sofoklis, Panagopoulos Periklis, Machairiotis Nikolaos, Potiris Anastasios, Mavrogianni Despoina, Sfakianakis Antonios, Drakaki Eirini, Christodoulaki Chrysi, Panagiotopoulos Dimitrios, Sioutis Dimos, Karampitsakos Theodoros, Antonakopoulos Nikolaos, Christopoulos Panagiotis, Drakakis Peter
Third Department of Obstetrics and Gynecology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, Athens, Greece.
First Department of Obstetrics and Gynecology, Alexandra Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Int J Gynaecol Obstet. 2024 Oct;167(1):45-57. doi: 10.1002/ijgo.15575. Epub 2024 May 6.
Cytokines are a type of protein that play an important role in the immune response and can also affect many physiological processes in the body. Cytokine polymorphisms refer to genetic variations or mutations that occur within the genes that code for cytokines, which may affect the level of cytokine production and function. Some cytokine polymorphisms have been associated with an increased risk of developing certain diseases, while others may be protective or have no significant effect on health. In recent years, the role of cytokine polymorphisms in the development of recurrent pregnancy loss (RPL) has been studied. RPL or miscarriage is defined as the occurrence of two or more consecutive pregnancy losses before the 20th week of gestation. There are diverse causes leading to RPL, including genetic, anatomical, hormonal, and immunological factors. With regard to cytokine polymorphisms, a few of them have been found to be associated with an increased risk of RPL, for instance, variations in the genes that code for interleukin-6, tumor necrosis factor-alpha, and interleukin-10. The exact mechanisms by which cytokine polymorphisms affect the risk of recurrent miscarriage are still being studied, and further research is essential to fully understand this complex condition. This brief review aims to summarize the recent literature on the association between cytokine polymorphisms and RPL.
细胞因子是一类在免疫反应中起重要作用的蛋白质,也会影响身体的许多生理过程。细胞因子多态性是指编码细胞因子的基因内发生的基因变异或突变,这可能会影响细胞因子的产生水平和功能。一些细胞因子多态性与患某些疾病的风险增加有关,而另一些可能具有保护作用或对健康无显著影响。近年来,细胞因子多态性在复发性流产(RPL)发生中的作用已得到研究。RPL或流产定义为妊娠20周前连续发生两次或更多次妊娠丢失。导致RPL的原因多种多样,包括遗传、解剖、激素和免疫因素。关于细胞因子多态性,已发现其中一些与RPL风险增加有关,例如,编码白细胞介素-6、肿瘤坏死因子-α和白细胞介素-10的基因变异。细胞因子多态性影响复发性流产风险的确切机制仍在研究中,进一步的研究对于全面了解这种复杂情况至关重要。本简要综述旨在总结近期关于细胞因子多态性与RPL之间关联的文献。