Alloimmune and Autoimmune Background in Recurrent Pregnancy Loss – Successful Immunotherapy by Intravenous Immunoglobulin

Authors


Dr Beatrix Kotlan, National Medical Center, Institute of Haematology and Immunology, Budapest 1135, Szabolcs 33-35, Hungary.
E-mail: kotlanb@netscape.net

Abstract

Problem

Immunotherapies [leukocyte immunization, intravenous immunoglobulin (IVIG)] introduced to treat women with recurrent spontaneous abortions (RSA) have still controversial results in most clinical trials. A selection of these patients would be advantageous for higher efficacy.

Method of study

A complex immunological panel assay was offered to patients with reproductive failure without any other known cause. We focused here on the cellular immunological parameters.

Results

High cytotoxic T lymphocyte precursor frequency and cell-mediated cytotoxic activity and a rather high natural killer cell activity were found in alloimmune RSA patients. Thirty-two patients were investigated by immunological assays and in 78% of the women an alloimmune background could be defined. The efficacy of IVIG treatment was 96% in this group.

Conclusions

The novel cellular immunological assays proved to be favourable for the indication of RSA patients and showed the usefulness of this selection process for effective immunotherapy.

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