Journals / Medicine Science / 2021 / Cilt: 10 - Sayı: 1

Investigation of antiphospholipid antibody syndrome markers in the etiology of recurrent miscarriage

Pages
184–190
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Among the subgroups of these antibodies, ACA and anti-annexin V can serve as highly appropriate diagnostic markers in recurrent miscarriage.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This study aimed to determine the markers of antiphospholipid antibody syndrome (APS), which has an important place in the etiology of recurrent miscarriage, and to provide guidance for the treatment of the related disorders.
📊
Key Findings & Data:This prospective observational study was performed on 120 female patients admitted to the Obstetrics and Gynecology outpatient clinics due to recurrent pregnancy loss.
💡
Conclusion & Impact:Among the subgroups of these antibodies, ACA and anti-annexin V can serve as highly appropriate diagnostic markers in recurrent miscarriage.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

This study aimed to determine the markers of antiphospholipid antibody syndrome (APS), which has an important place in the etiology of recurrent miscarriage, and to provide guidance for the treatment of the related disorders. This prospective observational study was performed on 120 female patients admitted to the Obstetrics and Gynecology outpatient clinics due to recurrent pregnancy loss. Blood samples were analyzed using the Enzyme-Linked Immunosorbent Assay (ELISA) technique to find out the levels of APS-associated anticardiolipin (ACA), anti-beta2-glycoprotein I (aβ2GPI), anti-annexin V (aANXV), anti-prothrombin (aPT), and antiphosphatidylserine (aPS) antibodies. A statistically significant difference was found between increased age groups and the number of miscarriages (p=0.03, p<0.05). There were no significant differences between the age groups by the time of miscarriage (p=0.35, p<0.05). ACA positivity (75%, n = 90) and anti-annexin V positivity (50.8%, n = 61) were higher than the positive results found in other tests(p=0.01, p<0.05). Antiphospholipid antibodies (APAs) showed significantly different positivity levels by the age groups (p=0.01, p<0.05). The positivity levels of APAs were significantly different by the number of miscarriages (p=0.01, p<0.05). Other antibody levels were not statistically significantly different. The frequency of positive APA levels increases with advancing age and a high number of miscarriages in association with the etiology of recurrent miscarriage. Among the subgroups of these antibodies, ACA and anti-annexin V can serve as highly appropriate diagnostic markers in recurrent miscarriage.

🔖

Cite This Article

GÖRGÜLÜ, V., AKTEPE, O. C., ŞAFAK, B. (2021). Investigation of antiphospholipid antibody syndrome markers in the etiology of recurrent miscarriage. Medicine Science, Cilt: 10 - Sayı: 1, 184–190. https://ajindex.com/articles/276741

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Schreiber K, Hunt BJ. Managing antiphospholipid syndrome in pregnancy. Thromb Res. 2019;181:41-6
  2. Jinfeng Xu, Daijuan Chen, Xia Duan, et al. The Association Between Antiphospholipid Antibodies and Late Fetal Loss: A Systematic Review and Meta-Analysis. Acta Obstet Gynecol Scand. 2019;98:1523-33
  3. Prine LW, MacNaughton H. Office management of early pregnancy loss. Am Fam Physician. 2011;84:75-82
  4. Grimstad F, Krieg S. Immunogenetic contributions to recurrent pregnancy loss. Assist Reprod Genet. 2016;33:833-47
  5. Wackenheim C, Hoffman P, Dumestre-Pérard C et al. [Prevalence and characteristics of serum autoantibodies in patients followed for infertility at Grenoble University Hospital]. Presse Med. 2019;48:307-15
  6. Zhu H, Wang M, Dong Y et al. Detection of non-criteria autoantibodies in women without apparent causes for pregnancy loss. Clin Lab Anal. 2019;33:e22994
  7. Krivonos MI, Kh Khizroeva J, Zainulina MS et al. The role of lymphocytic cells in infertility and reproductive failures in women with antiphospholipid antibodies. J Matern Fetal Neonatal Med. 2020;25:1-7
  8. Litvinova E, Darnige L, Kirilovsky A et al. Prevalence and Significance of Non-conventional Antiphospholipid Antibodies in Patients With Clinical APS Criteria. Front Immunol. 2018;14:2971
  9. Rai RS. Antiphospholipid syndrome and recurrent miscarriage. J Postgrad Med. 2002;48:3-4
  10. Franklin RD, Kutteh WH. Antiphospholipid antibodies (APA) and recurrent pregnancy loss: treating a unique APA positive population. Hum Reprod. 2002;17:2981-5
  11. Van den Boogaard E, Cohn DM, Korevaar JC et al. Number and sequence of preceding miscarriages and maternal age for the prediction of antiphospholipid syndrome in women with recurrent miscarriage. Fertil Steril. 2013;99:188-92
  12. Gris JC, Bouvier S, Nouvellon E et al. Antiphospholid antibodies and the risk of pregnancy complications. Thromb Res. 2017;151:34-7
  13. Nielsen HS, Christiansen OB. Prognostic impact of anticardiolipin antibodies in women with recurrent miscarriage negative for the lupus anticoagulant. Hum Reprod. 2005;20:1720-8
  14. Kelchtermans H, Pelkmans L, de Laat B et al. IgG/IgM antiphospholipid antibodies present in the classification criteria for the antiphospholipid syndrome: a critical review of their association with thrombosis. J Thromb Haemost. 2016;14:1530-48
  15. Meijide H, Sciascia S, Sanna G et al. The clinical relevance of IgA anticardiolipin and IgA anti-β2 glycoprotein I antiphospholipid antibodies: a sys