ISSN: 0973-7510

E-ISSN: 2581-690X

Research Article | Open Access
Islam Khaled Ali Harby1, Ola Ibrahim Ahmed1, Wafaa K. Zaki1, Mohammed Ahmed Faris2 and Noha Nagi Salah El-Deen1
1Medical Microbiology and Immunology Department, Faculty of Medicine, Ain Shams University, Abbasya, Cairo – 11591, Egypt.
2Obstetrics and Gynaecology Department, Faculty of Medicine, Ain Shams University, Abbasya, Cairo – 11591, Egypt.
J Pure Appl Microbiol. 2022;16(2):1307-1317 | Article Number: 7574
https://doi.org/10.22207/JPAM.16.2.59 | © The Author(s). 2022
Received: 27/01/2022 | Accepted: 28/03/2022 | Published online: 01/06/2022
Issue online: June 2022
Abstract

This study aimed at assessing the correlations between gene expression of TNF-α, IFN-γ, TGF-β in peripheral lymphocytes from women suffering from repeated implantation failure before and after intravenous Intra-lipid (IL) therapy, and correlation between changes in gene expression with IL infusion and success rate of IVF cycles. Twenty-three women complaining of unexplained infertility without history of autoimmune disorders, or immunodeficient diseases were included. All women included aged <40 years, BMI <28 with history of recurrent IVF cycles failure, seeking medical advice for new IVF trial. All were average responders to induction of ovulation (≥5 oocytes in each cycle) with good quality embryos transferred to uterus at proper time. Included women received 200 ml of 10% IL slowly intravenous. Two venous blood samples were taken from all candidates, one before IL infusion and the second was at day of embryo transfer. The current study detected a significant reduction of expression in TNF-α and increased expression of TGF-β, while non-significant reduction in expression of IFN-γ after treatment. Significant associations between reduction of TNF-α, IFN-γ expression and positive clinical and ongoing pregnancy were observed, while increased TGF-β expression was associated with only positive ongoing pregnancy. In conclusion, IL therapy might have a positive impact on IVF pregnancy rates via alterations in peripheral cytokines expression mainly reduction of TNF-α mRNA expression and increased TGF-β mRNA expression.

Keywords

Intralipid Therapy, IVF failure, IFN-γ, TNF-α, TGF-β

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