比较白细胞介素 33 血清水平与 C 反应蛋白、免疫球蛋白 G、免疫球蛋白 A 和免疫球蛋白 M 血清水平在复发性妊娠失败中的组合:病例对照研究

Hossein Ali Khazaei, Farahnaz Farzaneh, Saeedeh Sarhadi, J. Haghighi, Forough Forghani, Vahid Sheikhi, B. Khazaei, Lida Asadollahi
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引用次数: 0

摘要

背景:免疫因素是导致反复妊娠流产的重要原因之一,而有效的预防或治疗是认识其原因的必要条件。研究目的在本研究中,我们试图评估与复发性妊娠失败有关的一些免疫因素。材料和方法:本病例对照研究的对象是 2019 年 8 月至 12 月期间转诊至伊朗扎黑丹阿里-伊本-阿比-塔勒布医院妇产科诊所的 66 名 18-35 岁女性。白细胞介素 33(IL-33)血清水平采用酶联免疫吸附测定法进行测定。免疫球蛋白 G、免疫球蛋白 A、免疫球蛋白 M (IgM) 和 C 反应蛋白水平通过血清学和血液学方法进行测定。结果病例组血清 IL-33 平均值为 318.5±254.1 pg/ml,低于对照组(354.2±259.9 pg/ml),差异无统计学意义(P = 0.52)。病例组和对照组的 C 反应蛋白水平无显著差异(p = 0.27),病例组和对照组的免疫球蛋白 A 和免疫球蛋白 G 也无显著差异(分别为 p = 0.46 和 p = 0.16),但病例组和对照组的 IgM 水平存在显著差异(p= 0.003)。结论在病例组最后一次人工流产后至少 4-6 个月和对照组最后一次活产后 4-6 个月内,IL-33 血清水平均无统计学差异。相比之下,IgM 的血清水平在统计学上有显著差异。最后,根据该领域以往研究的不同结果,我们认为有必要进行更多的研究。关键词:白细胞介素-33白细胞介素-33 流产 IgG IgA IgM
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Comparison of serum levels of interleukin 33 in combination with serum levels of C-reactive protein, Immunoglobulin G, Immunoglobulin A, and Immunoglobulin M in recurrent pregnancy loss: A case-control study
Background: One of the critical cases of recurrent pregnancy loss is immunological factors, whereas obtaining effective prevention or treatment is necessary for cognition of reasons. Objective: In this study, we tried to evaluate some immunological factors related to recurrent pregnancy loss. Materials and Methods: This case-control study was conducted on 66 women at the age of 18–35 yr who were referred to the Clinic of Gynecology and Obstetrics, Ali Ibn Abi Taleb hospital, Zahedan, Iran, from August-December 2019. Interleukin 33 (IL-33) serum levels were measured using enzyme-linked immunosorbent assay. Immunoglobulin G, Immunoglobulin A, Immunoglobulin M (IgM), and C-reactive protein levels were measured by serology and hematology methods. Results: The mean age of total participants was 30.8 ± 3.80 yr. The mean serum IL-33 in the case group was 318.5± 254.1 pg/ml and was lower than the control group (354.2± 259.9 pg/ml), which was not statistically significant (p = 0.52). The level of C-reactive protein in the case and control was not significantly different (p = 0.27), and Immunoglobulin A and Immunoglobulin G in the case and control were also not significantly different) p = 0.46, and p = 0.16, respectively), but there were significant differences (p= 0.003) between the level of the IgM in the case and control groups. Conclusion: No statistically significant difference was observed in the IL-33 serum level, for at least 4–6 months after the last abortion in the case group and the final live birth in the control group. In contrast, serum levels of IgM were statistically significant. Finally, the need for more studies is felt according to the different results of the previous studies in this field. Key words: Interleukin-33, Abortion, IgG, IgA, IgM.
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