Evaluation of pro-inflammatory cytokine level in cases of idiopathic recurrent spontaneous miscarriage in Saudi Arabia

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10 Scopus citations

Abstract

Background: A balanced stimulation and action of T-helper type 2 (Th2) and type 1 (Th1) immune response is required for a successful embryo implantation and positive outcomes of pregnancy while specific pro-inflammatory cytokine levels either belong to Th1 or Th2 profile which may deteriorate the pregnancy causing miscarriage. Methods: This research study comprised two groups: Group I-pregnant women with a history of recurrent spontaneous miscarriage (RSM, n = 50) and Group II-healthy pregnant controls (n = 50). Blood was collected, and serum was analyzed for interleukin (IL)-6, IL-8, IL-12, IL-18, TNF-, and interferon (IFN)-γ using ELISA kit. Results: Th1 activity (IL-8, IL-12, IL-18, TNF-, and IFN-γ) was higher in study Group I irrespective of whether continuing their pregnancy or aborting in comparison to Group II controls (P < 0.001). On the other hand, Th2 activity (IL-6) was decreased in Group I patients (P < 0.001) as compared with normal control Group II. Conclusions: Patients with a history of RSM have significantly increased Th1 activity and decrease in Th2 activity in comparison to normal pregnant women without any history of spontaneous miscarriage in their past.

Original languageEnglish
Pages (from-to)225-231
Number of pages7
JournalBiomedical and Biotechnology Research Journal
Volume4
Issue number3
DOIs
StatePublished - 1 Jul 2020

Keywords

  • Immunoregulatory pregnancy
  • interleukin profile
  • pro-inflammatory cytokines
  • recurrent spontaneous miscarriages
  • T-helper cells

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