Granulocyte colony-stimulating factor and reproductive medicine: A review.

Marcelo Borges Cavalcante, Fabrício DA Silva Costa, Ricardo Barini, E Araujo Júnior
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Abstract

Background: Recently, the use of granulocyte colony-stimulating factor (G-CSF) has been proposed to improve pregnancy outcomes in reproductive medicine.

Objective: A systematic review of the current use of G-CSF in patients who have difficulty conceiving and maintaining pregnancy was performed.

Materials and methods: Two electronic databases (PubMed/ Medline and Scopus) were searched. Study selection, data extraction and quality assessment were performed in duplicate. The subject codes used were granulocyte colony-stimulating factor, G-CSF, recurrent miscarriage, IVF failure, and endometrium.

Results: The search of electronic databases resulted in 215 citations (PubMed/ Medline: 139 and Scopus: 76), of which 38 were present in both databases. Of the remaining 177 publications, seven studies were included in the present review.

Conclusion: Treatment with G-CSF is a novel proposal for immune therapy in patients with recurrent miscarriage and implantation failure following cycles of IVF. However, a larger number of well-designed studies are required for this treatment to be established.

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粒细胞集落刺激因子与生殖医学研究进展。
背景:近年来,粒细胞集落刺激因子(G-CSF)在生殖医学中被提出用于改善妊娠结局。目的:系统回顾目前在妊娠和维持妊娠困难患者中使用G-CSF的情况。材料与方法:检索PubMed/ Medline和Scopus两个电子数据库。研究选择、数据提取和质量评估一式两份。使用的受试者代码是粒细胞集落刺激因子、G-CSF、复发性流产、IVF失败和子宫内膜。结果:在电子数据库中检索到215篇引文(PubMed/ Medline: 139篇,Scopus: 76篇),其中38篇在两个数据库中均存在。在其余177份出版物中,本综述包括了7份研究报告。结论:G-CSF治疗是体外受精周期后复发性流产和着床失败患者的一种新的免疫治疗方案。然而,要建立这种治疗方法,还需要大量精心设计的研究。
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93
审稿时长
6-12 weeks
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