Intravenous immunoglobulin therapy influences T cell adhesion to extracellular matrix in women with a history of recurrent spontaneous abortions

MALG JERZAK, A GÓRSKI… - American Journal of …, 2000 - Wiley Online Library
MALG JERZAK, A GÓRSKI, MALG JERZAK, T RECHBERGER, A GÓRSKI
American Journal of Reproductive Immunology, 2000Wiley Online Library
PROBLEM: To determine activated T cell adhesion level to extracellular matrix (ECM) in non‐
pregnant women with a history of recurrent spontaneous abortions (RSA). In addition, to
evaluate a small‐dose intravenous immunoglobulin (IVIG) therapy influences on T cell
adhesion to ECM. METHOD OF STUDY: Phytohemaglutinin (PHA) or phorbol myristate
acetate (PMA) activated T cell adhesion to the following extracellular matrix proteins:
collagen IV, fibronectin and elastin were studied in women with the history of RSA. In …
PROBLEM
To determine activated T cell adhesion level to extracellular matrix (ECM) in non‐pregnant women with a history of recurrent spontaneous abortions (RSA). In addition, to evaluate a small‐dose intravenous immunoglobulin (IVIG) therapy influences on T cell adhesion to ECM.

METHOD OF STUDY
Phytohemaglutinin (PHA) or phorbol myristate acetate (PMA) activated T cell adhesion to the following extracellular matrix proteins: collagen IV, fibronectin and elastin were studied in women with the history of RSA. In addition, IVIG immunotherapy influence on T cell adhesion was studied. Normal T cells adhesion values were established in non‐pregnant healthy women with the previous successful pregnancy outcome and in normal healthy pregnant women.

RESULTS
PHA activated T cell adhesion to collagen IV (P=0.04), fibronectin (P=0.0003) nad elastin (P=0.02) were significantly higher in women with the history of RSA when compared to non‐pregnant healthy women wit the previous successful pregancy outcome. IVIG immunotherapy normalized the T cell adhesion level and favored a successful pregnancy.

CONCLUSIONS
Increased T cell adhesion to collagen IV, fibronectin and elastin characterize women with the history of RSA. Decreased T cell adhesion to the main extracellular matrix components of human placenta may underlie possible effect of IVIG action.
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