The remission of rheumatoid arthritis during pregnancy

被引:127
作者
Ostensen, Monika [1 ]
Villiger, Peter M. [1 ]
机构
[1] Univ Hosp Bern, Clin Rheumatol & Clin Immunol, CH-3010 Bern, Switzerland
关键词
pregnancy; rheumatoid arthritis; hormones; immune response; microchimerism;
D O I
10.1007/s00281-007-0072-5
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Rheumatoid arthritis ( RA) is an autoimmune disease that is favorably influenced by pregnancy but relapses after delivery. A variety of circulating factors has been considered as candidates for inducing gestational improvement of RA; however, the factors/ pathways responsible remain still elusive. This review discusses recent research on the effect of pregnancy on RA with a focus on immunregulation, cytokine secretion, HLA antigens, microchimerism, and innate immunity. The complex hormonal and immunological alterations of pregnancy may temporarily correct the disturbed immunregulation of RA.
引用
收藏
页码:185 / 191
页数:7
相关论文
共 81 条
[1]   The effects of apoptotic, deported human placental trophoblast on macrophages: Possible consequences for pregnancy [J].
Abumaree, M. H. ;
Stone, P. R. ;
Chamley, L. W. .
JOURNAL OF REPRODUCTIVE IMMUNOLOGY, 2006, 72 (1-2) :33-45
[2]  
ADAMS KM, 2006, PLACENTA, V27, P7003
[3]  
Alavi A, 2000, J RHEUMATOL, V27, P1379
[4]   Regulatory T cells mediate maternal tolerance to the fetus [J].
Aluvihare, VR ;
Kallikourdis, M ;
Betz, AG .
NATURE IMMUNOLOGY, 2004, 5 (03) :266-271
[5]  
Austgulen R, 1998, SCAND J RHEUMATOL, P18
[6]   CD4+CD25high regulatory cells in human peripheral blood [J].
Baecher-Allan, C ;
Brown, JA ;
Freeman, GJ ;
Hafler, DA .
JOURNAL OF IMMUNOLOGY, 2001, 167 (03) :1245-1253
[7]  
Barrett JH, 2000, ARTHRITIS RHEUM, V43, P1010, DOI 10.1002/1529-0131(200005)43:5<1010::AID-ANR8>3.0.CO
[8]  
2-O
[9]  
Barrett JH, 1999, ARTHRITIS RHEUM, V42, P1219, DOI 10.1002/1529-0131(199906)42:6<1219::AID-ANR19>3.0.CO
[10]  
2-G