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]
Jazyk čeština Země Česko Médium print
Typ dokumentu časopisecké články
PubMed
29869509
PII: 63775
- Klíčová slova
- immunoglobulins, infertility, natural killer cells endometrium., treatment,
- MeSH
- antigen CD56 imunologie MeSH
- buňky NK imunologie MeSH
- choriogonadotropin MeSH
- dospělí MeSH
- endometrium patologie MeSH
- fertilizace in vitro * MeSH
- imunomodulace * MeSH
- lidé MeSH
- receptory IgG imunologie MeSH
- těhotenství MeSH
- ženská infertilita farmakoterapie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Názvy látek
- antigen CD56 MeSH
- choriogonadotropin MeSH
- receptory 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.