重新审视因子XII与重复流产之间的联系:一个范围审查
Emma Bundgaard1, Malene Kræpping Pedersen2, Pinar Bor1,3
1Department of Gynecology and Obstetrics, Aarhus University Hospital, Aarhus, Denmark.
概括
复发性流产可能与凝血因子XII (FXII) 功能障碍有关. 较低的FXII水平或FXII抗体可能会增加RPL风险,这表明存在前血栓机制. 需要进一步的研究.
科学领域:
- 生殖医学 生殖医学
- 血液学 血液学 血液学
- 遗传学 是一个遗传学.
背景情况:
- 复发性流产 (RPL) 影响1%-3%的女性,并且经常有无法解释的原因.
- 凝血因子XII (FXII) 是接触激活途径的一部分,与RPL病变发生有关.
- 低水平的FXII可能会导致胎盘问题和高凝血,增加流产风险.
研究的目的:
- 审查凝血因子XII (FXII) 水平与复发性流产 (RPL) 之间的关联.
主要方法:
- 在PubMed和EMBASE数据库的系统文献搜索.
- 包括1992年至2015年间发表的12项研究,涉及2362名RPL患者.
- 与RPL相关的FXII活性,C46T多态性和FXII自身抗体的分析.
主要成果:
- 有证据表明,FXII水平降低,FXII抗体和RPL之间存在潜在的联系.
- 研究表明,这种关联背后可能存在一种原血栓性机制.
- 审查的数据主要来自于10-30年前进行的研究.
结论:
- 在FXII因子和RPL之间存在潜在的关联,可能是通过前血栓路径.
- 目前的证据虽然有点暗示,但需要进行更近期和更广泛的研究.
- 进一步调查至关重要,以澄清FXII在生殖健康和怀孕结果中的作用.
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