Document Detail


Immunologic abnormality of intrahepatic cholestasis of pregnancy.
MedLine Citation:
PMID:  20085564     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PROBLEM: Intrahepatic cholestasis of pregnancy (ICP) is a pregnancy risk because of the possibility of pre-term delivery and sudden intrauterine fetal death. Its pathogenesis is still under discussion. METHOD OF STUDY: The analysis of the recent findings on the complex immunologic events that occur in ICP were performed. RESULTS: In ICP, an increase of type 1 cytokine (TNF-alpha, IFN-gamma) associated with a decrease of type 2 cytokine (IL-4). The decreased production of the suppressor cytokine TGF-beta2 may increase the type 1 cytokine. Fas appeared to be increased and FasL appeared to be decreased in syncytiotrophoblasts of ICP. The human leukocyte antigen gene (HLA-G, E) in extravillous trophoblasts of ICP were significantly decreased. CONCLUSION: Th1/Th2 cytokine balance and HLA play important roles in the tolerance and maintenance of pregnancy. ICP may be resulting from breach of the maternal fetal immune tolerance during pregnancy.
Authors:
Hu Yayi; Wang Danqing; Liu Shuyun; Liu Jicheng
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-01-20
Journal Detail:
Title:  American journal of reproductive immunology (New York, N.Y. : 1989)     Volume:  63     ISSN:  1600-0897     ISO Abbreviation:  Am. J. Reprod. Immunol.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-06     Completed Date:  2010-04-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8912860     Medline TA:  Am J Reprod Immunol     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  267-73     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, The Second West China Hospital, Sichuan University, Chengdu, Sichuan, China.
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MeSH Terms
Descriptor/Qualifier:
Animals
Cholestasis, Intrahepatic / complications,  genetics,  immunology*
Cytokines / immunology
Female
HLA Antigens / genetics,  immunology
Humans
Immune Tolerance
Polymorphism, Genetic
Pregnancy
Pregnancy Complications / genetics,  immunology*,  pathology
Chemical
Reg. No./Substance:
0/Cytokines; 0/HLA Antigens

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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