Document Detail


Uterine cervical inflammatory cytokines, interleukin-6 and -8, as predictors of miscarriage in recurrent cases.
MedLine Citation:
PMID:  17845205     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PROBLEM: Inflammatory changes frequently occur in cases of second trimester miscarriage or pre-term delivery, but little attention has been paid to this association with recurrent miscarriage. As interleukin-6 and interleukin-8 are inflammatory cytokines reported to be associated with bacterial vaginosis, intrauterine infections, and pre-term delivery, we here investigated whether they might have predictive value for spontaneous abortion in recurrent cases. METHOD OF STUDY: Cervical mucus and sera were collected at 4-5 weeks' gestation from a total of 59 patients with a history of two or more unexplained consecutive first trimester miscarriages, and examined by enzyme-linked immunosorbent assay. Patients then were followed up without medication and their pregnancy outcomes were compared with the test results. RESULTS: Of a total of 59 patients, 13 (22%) miscarried subsequently. Both IL-6 and IL-8 in cervical mucus were significantly higher in patients who miscarried subsequently than in those who had a live birth. In addition, there was no correlation between cervical mucus and serum concentrations of IL-6 and IL-8 take at the same time, and there was no relation with serum IL-6 and IL-8 levels between the two groups. CONCLUSION: Cervical IL-6 and IL-8 might have predictive value for cases of recurrent miscarriage.
Authors:
Yukio Hattori; Tamao Nakanishi; Yasuhiko Ozaki; Kyoko Nozawa; Takeshi Sato; Mayumi Sugiura-Ogasawara
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of reproductive immunology (New York, N.Y. : 1989)     Volume:  58     ISSN:  1046-7408     ISO Abbreviation:  Am. J. Reprod. Immunol.     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-11     Completed Date:  2007-10-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8912860     Medline TA:  Am J Reprod Immunol     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  350-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Nagoya City University Medical School, Nagoya, Japan. yahttori@med.nagoya-cu.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Abortion, Habitual / diagnosis*,  metabolism
Adult
Cervix Mucus / chemistry*
Cervix Uteri / chemistry*
Female
Humans
Interleukin-6 / analysis*,  blood
Interleukin-8 / analysis*,  blood
Live Birth
Predictive Value of Tests
Pregnancy
Pregnancy Trimester, First / metabolism
Sensitivity and Specificity
Up-Regulation
Chemical
Reg. No./Substance:
0/IL6 protein, human; 0/Interleukin-6; 0/Interleukin-8

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