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
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