Results of the treatment in selected infertile patients with high density of endometrial NK cells CD56+ and CD16+ Second part

INTRODUCTION: This statements follows the first part of our publication entitled Screening of endometrial NK cells in selected infertile patients (First part - Methods and current results), where we dealt with methodology and endometrial findings of the natural killer cells CD16+ and CD56+. These cells are among the most important in preimplantaion, and in implantation period, in early pregnancy too, but can also negatively influence above mentioned processes.

OBJECTIVE: We focused on the immunomodulatory treatment with intramuscular immunoglobulins in 21 infertile patients with a high density of endometrial NK cells CD16+ and CD56+.

DESIGN: Original work-prospective study.

SETTING: Genetics-Pilsen.

METHODS: From the originally investigated 57 women aged 25-41 (average 34) years with their history of 3-9 abortions, we target on a high selective subgroup of 21 infertile patients with pathological density of endometrial NK cells CD56+ and CD16+.

RESULTS: Twelve patients underwent immunomodulatory treatment with intramuscular immunoglobulin in time of positive HCG and went on the therapeutic scheme, nine infertile women continued with IVF-ET but did not achieve HCG positivity despite of initial treatment with immunoglobulins. Of the 12 treated patients, seven of them gave a birth to healthy babies, as to the next five pregnancies - one was extrauterine pregnancy, one genetically defective fetus, three pregnancies go on successfully.Nine women from the IVF program did not get pregnat.

CONCLUSION: Immunomodulatory treatment with immunoglobulins also influences endometrial NK cells CD56+ and CD16+ associating with an overproduction of embryocytoxic cytokines. Treatment of our patients with the pathological endometrial density of NK cells must be solved strictly individually.

Medienart:

Artikel

Erscheinungsjahr:

Summer

2023

Erschienen:

Summer

Enthalten in:

Zur Gesamtaufnahme - volume:83

Enthalten in:

Ceska gynekologie - 83(2023), 2 vom: 18., Seite 115-118

Sprache:

Tschechisch

Weiterer Titel:

Výsledky léčby u vybraných infertilních pacientek s vysokou denzitou endometriálních NK buněk CD56+ a CD16+ Druhá část

Beteiligte Personen:

Ulčová-Gallová, Z [VerfasserIn]
Pešek, M [VerfasserIn]
Haschová, M [VerfasserIn]
Chaloupka, P [VerfasserIn]
Mukenšnabl, P [VerfasserIn]
Cibulka, J [VerfasserIn]
Lošan, P [VerfasserIn]
Bibková, K [VerfasserIn]
Mičanová, Z [VerfasserIn]

Themen:

CD56 Antigen
Chorionic Gonadotropin
Immunoglobulins
Infertility
Journal Article
Natural killer cells endometrium.
Receptors, IgG
Treatment

Anmerkungen:

Date Completed 07.08.2018

Date Revised 02.12.2018

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM285145029