Heparin and low-dose aspirin restore placental human chorionic gonadotrophin secretion abolished by antiphospholipid antibody-containing sera

被引:53
作者
DiSimone, N [1 ]
Ferrazzani, S [1 ]
Castellani, R [1 ]
DeCarolis, S [1 ]
Mancuso, S [1 ]
Caruso, A [1 ]
机构
[1] UNIV CATTOLICA SACRO CUORE, DEPT OBSTET & GYNECOL, I-00168 ROME, ITALY
关键词
acetylsalicylic acid; antiphospholipid antibodies; HCG; heparin; trophoblast;
D O I
10.1093/humrep/12.9.2061
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
This study was conducted to determine whether drugs used for conventional treatments of pregnant women with antiphosholipid syndrome might be able to restore the gonadotrophin-releasing hormone (GnRH)-induced secretion of placental human chorionic gonadotrophin (HCG) in vitro, We tested this hypothesis using a modified enzyme-linked immunosorbent assay (ELISA) and an in-vitro placental culture system. Pharmacological dose of low molecular weight heparin (20 IU/ml) significantly (P < 0.02) reduced the antiphospholipid antibody (aPL) binding in the ELISA and was able to restore GnRH-induced HCG secretion (P < 0.05) in presence of aPL-containing sera, Low-dose aspirin (0.03 M) did not modify aPL binding in the ELISA, but partially restored HCG secretion (P < 0.05). These observations may help to explain the role of these treatments in antiphospholipid syndrome.
引用
收藏
页码:2061 / 2065
页数:5
相关论文
共 26 条
[1]  
ADLER RR, 1994, AM J REPROD IMMUNOL, V31, P241
[2]  
ALARCONSEGOVIA D, 1989, J RHEUMATOL, V16, P482
[3]  
ALVING BM, 1985, THROMB HAEMOSTASIS, V54, P709
[4]   ANTI-BETA(2)-GLYCOPROTEIN-I ANTIBODIES - A MARKER OF ANTIPHOSPHOLIPID SYNDROME [J].
BALESTRIERI, G ;
TINCANI, A ;
SPATOLA, L ;
ALLEGRI, F ;
PRATI, E ;
CATTANEO, R ;
VALESINI, G ;
DELPAPA, N ;
MERONI, P .
LUPUS, 1995, 4 (02) :122-130
[5]   Reproductive failure due to spontaneous abortion and recurrent miscarriage [J].
Bulletti, C ;
Flamigni, C ;
Giacomucci, E .
HUMAN REPRODUCTION UPDATE, 1996, 2 (02) :118-136
[6]  
Christiansen OB, 1995, HUM REPROD, V10, P3077, DOI 10.1093/oxfordjournals.humrep.a135853
[7]   A fresh look at the causes and treatments of recurrent miscarriage, especially its immunological aspects [J].
Christiansen, OB .
HUMAN REPRODUCTION UPDATE, 1996, 2 (04) :271-293
[8]  
DAWES J, 1986, HAEMOSTASIS, V16, P116
[9]   LOW-DOSE ASPIRIN IN THE PREVENTION OF PREECLAMPSIA AND FETAL GROWTH-RETARDATION - RATIONALE, MECHANISMS, AND CLINICAL-TRIALS [J].
DEKKER, GA ;
SIBAI, BM .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1993, 168 (01) :214-227
[10]   IN-VITRO EFFECT OF ANTIPHOSPHOLIPID ANTIBODY-CONTAINING SERA ON BASAL AND GONADOTROPIN-RELEASING HORMONE-DEPENDENT HUMAN CHORIONIC-GONADOTROPIN RELEASE BY CULTURED TROPHOBLAST CELLS [J].
DISIMONE, N ;
DECAROLIS, S ;
LANZONE, A ;
RONSISVALLE, E ;
GIANNICE, R ;
CARUSO, A .
PLACENTA, 1995, 16 (01) :75-83