Evidence map›Paper›PMID 29246150›Full record

ArticleReproductive biology and endocrinology : RB&E2017

Low-dose lymphocyte immunotherapy rebalances the peripheral blood Th1/Th2/Treg paradigm in patients with unexplained recurrent miscarriage.

Mengyuan Liu, Xin Zhen, Hongyan Song, Junhao Chen, Xiaoling Sun, Xiaoqin Li, Jianjun Zhou, Guijun Yan, Lijun Ding, Haixiang Sun

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Reproductive biology and endocrinology : RB&E, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03081325 (A Preliminary Study About Unexplained Recurrent Miscarriage and Repeated Implantation Failure Patients Treated With Low-dose Lymphocyte Immunotherapy), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03081325 phase1 / phase2completednot on this map

A Preliminary Study About Unexplained Recurrent Miscarriage and Repeated Implantation Failure Patients Treated With Low-dose Lymphocyte Immunotherapy

TypeinterventionalSponsorNanjing UniversityRan2015 to 2017Enrolled292ConditionsUnexplained Recurrent Miscarriage and Recurrent Implantation FailureArmslow-dose lymphocyte immunotherapy
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  6. Assessment of the risk of unexplained recurrent spontaneous abortion based on the proportion and correlation of NK cells and T cells in peripheral blood.Technology and health care : official journal of the European Society for Engineering and Medicine · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Mengyuan LiuDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Xin ZhenDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Hongyan SongDepartment of Clinical Laboratory, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Junhao ChenDepartment of Clinical Laboratory, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Xiaoling SunDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Xiaoqin LiDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Jianjun ZhouDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Guijun YanDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Lijun DingDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China. xmljding@163.com.ORCID http://orcid.org/0000-0002-6330-7945
Haixiang SunDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine, the Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China. stevensunz@163.com.
Nanjing Drum Tower Hospital · CN

Funding

Nanjing Medical Science Development Project JQ2014004Nanjing Medical Science Development Project ZKX16043National Natural Science Foundation of China 30640847National Natural Science Foundation of China 31564189National Natural Science Foundation of China 81564391Natural Science Foundation of Jiangsu Province BK20141087Natural Science Foundation of Jiangsu Province BL2014003
6 · The paper itself

Abstract

backgroundThe published results regarding lymphocytes immunotherapy for unexplained recurrent miscarriage (uRM) patients are conflicting due to different screening criteria and therapeutic protocols. The objective of the present study is to evaluate the effectiveness of immunotherapy using low-dose lymphocytes in patients with uRM and Th1/Th2/Treg paradigm disorders.

methodsSixty-four uRM patients who received low-dose lymphocytes immunotherapy served as the immunotherapy group, while the other 35 women who did not receive the treatment served as the control group. The proportions of peripheral blood Th1 cells, Th2 cells and Treg cells; and the concentration of TGF-β1 in serum were detected by flow cytometry and enzyme-linked immunosorbent assay (ELISA), respectively, before and after the immunotherapy.

resultsThe proportion of Th1 cells was significantly decreased while the proportions of Th2 cells and Treg cells were significantly increased in immunotherapy group patients after treatment. In addition, the concentration of TGF-β1 in serum was significantly higher after immunotherapy than before. Forty-three uRM patients achieved pregnancy after receiving immunotherapy and 5 patients underwent miscarriages in the immunotherapy group (11.6%, 5/43), while 8 of the 23 pregnant patients experienced a miscarriage in the control group (34.8%, 8/23; p < 0.05).

conclusionsLow-dose lymphocyte immunotherapy is beneficial for restoring balance in the Th1/Th2/Treg paradigm and improving pregnancy outcome in uRM patients.

trial registrationNCT03081325 . ClinicalTrials.gov . Retrospectively registered July 2015.

Indexed as

ImmunotherapyLymphocyte TransfusionTh1 CellsTh2 CellsT-Lymphocytes, RegulatoryAbortion, HabitualAdultFemaleHumansPregnancyPregnancy OutcomeTreatment OutcomeYoung AdultLymphocyte immunotherapyRecurrent miscarriageRegulatory T cellsTh1 cellsTh2 cells

Identifiers

PMID29246150
PMCPMC5732480
OpenAlexW2775524095

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.