Cytomegalovirus and the expression of immunological markers in reproductive failure
Objective: To assess the relation of cytomegalovirus (CMV) infection and serum interleukin 10 (IL-10), tumor necrosis factor-α (TNF-α) and soluble intercellular adhesion molecule 1 (sICAM-1) with reproductive failure. Design: Prospective study. Setting: Department of Obstetrics and Gynaecology, Depa...
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Published in | Middle East Fertility Society journal Vol. 11; no. 2 |
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Main Author | |
Format | Journal Article |
Published |
Egypt
Middle East Fertility Society
03.11.2006
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Subjects | |
Online Access | Get full text |
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Summary: | Objective: To assess the relation of cytomegalovirus (CMV) infection
and serum interleukin 10 (IL-10), tumor necrosis factor-α
(TNF-α) and soluble intercellular adhesion molecule 1 (sICAM-1)
with reproductive failure. Design: Prospective study. Setting:
Department of Obstetrics and Gynaecology, Department of Medical
Microbiology and Immunology, Faculty of Medicine, Alexandria
University. Subjects: Twenty patients with unexplained infertility,
twenty recurrent aborters and twenty fertile controls. Interventions:
Serum concentrations of IL-10, TNF-α, sICAM-1 and anti-CMV IgG and
IgM antibodies were measured by ELISA. Main outcome measure:
Reproductive failure. Results: Levels of serum IL-10 and sICAM-1 were
significantly lower in unexplained infertility and recurrent
miscarriage patients compared to controls (P < 0.00001, P <
0.0001 respectively). In contrast, levels of TNF-α were
significantly higher in patient groups compared to controls (P <
0.00001). There were no significant correlations between the three
biochemical parameters in each of the three studied groups. Moreover,
there was no significant difference in the incidence of IgG and IgM
anti-CMV antibodies between groups. Conclusions: Serum IL-10,
TNF-α and sICAM-1 are immunomodulatory factors which may play an
essential role in the pathophysiology of reproductive failure. However,
CMV infection does not seem to be a major abortion related factor. |
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ISSN: | 1110-5690 |