Evidence map›Paper›PMID 40390909›Full record

ArticleJournal of obstetrics and gynaecology of India2025

The Role of Adalimumab in Recurrent Pregnancy Loss Due Immune Dysregulation: A Case Series Report.

Aruna Rajan, S Ramakrishnan, Madhumitha, Mohini Sethi Kara, Jabacsmick Sharmila, Priyanka Raghunathan, Mangayarkarasi, Sofia Mercy

Abstract readCase Reports
In one paragraph

Article in Journal of obstetrics and gynaecology of India, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Aruna RajanA4 Fertility Centre, No 87 Arcot Road, AVM Avenue, VirugambakkamVadapalani, Chennai, 600092 India.ORCID 0009-0004-2492-9612
S RamakrishnanSenior Consultant Rheumatologist, Apollo Medical Centre, Anna Nagar, Chennai, 600102 India.
MadhumithaA4 Fertility Centre, No 87 Arcot Road, AVM Avenue, VirugambakkamVadapalani, Chennai, 600092 India.
Mohini Sethi KaraA4 Fertility Centre, No 87 Arcot Road, AVM Avenue, VirugambakkamVadapalani, Chennai, 600092 India.
Jabacsmick SharmilaA4 Fertility Centre, No 87 Arcot Road, AVM Avenue, VirugambakkamVadapalani, Chennai, 600092 India.
Priyanka RaghunathanA4 Fertility Centre, No 87 Arcot Road, AVM Avenue, VirugambakkamVadapalani, Chennai, 600092 India.
MangayarkarasiA4 Fertility Centre, No 87 Arcot Road, AVM Avenue, VirugambakkamVadapalani, Chennai, 600092 India.
Sofia MercyA4 Fertility Centre, No 87 Arcot Road, AVM Avenue, VirugambakkamVadapalani, Chennai, 600092 India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumor necrosis factor-alpha, a multifunctional T-helper 1 (Th1) cytokine, plays a significant role in placentation and embryonic development. Altered expression of TNF-α has been implicated in adverse pregnancy outcomes such as recurrent pregnancy loss (RPL) and pre-eclampsia (PE). The use of TNF-α inhibitors (TNFi) like Adalimumab (AD) has garnered attention for its ability to traverse the placental barrier, and modulating maternal immune responses during pregnancy. In this article, we have discussed two patients in whom the immunological factors have been identified in otherwise unexplained RPL and how the use of TNFi could be of help to achieve a viable pregnancy.

Indexed as

AdalimumabAutoimmuneRecurrent pregnancy loss (RPL)Tumor necrosis factor alpha blocker TNFi

Identifiers

PMID40390909
PMCPMC12085429

What OpenQuestion holds

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