Výsledky léčby u vybraných infertilních pacientek s vysokou denzitou endometriálních NK buněk CD56+ a CD16+ Druhá část
[Results of the treatment in selected infertile patients with high density of endometrial NK cells CD56+ and CD16+ Second part]
Language Czech Country Czech Republic Media print
Document type Journal Article
PubMed
29869509
PII: 63775
- Keywords
- immunoglobulins, infertility, natural killer cells endometrium., treatment,
- MeSH
- CD56 Antigen immunology MeSH
- Killer Cells, Natural immunology MeSH
- Chorionic Gonadotropin MeSH
- Adult MeSH
- Endometrium pathology MeSH
- Fertilization in Vitro * MeSH
- Immunomodulation * MeSH
- Humans MeSH
- Receptors, IgG immunology MeSH
- Pregnancy MeSH
- Infertility, Female drug therapy MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Names of Substances
- CD56 Antigen MeSH
- Chorionic Gonadotropin MeSH
- Receptors, IgG MeSH
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.