Intralipid treatment for women with reproductive failures
- PMID: 32567756
- DOI: 10.1111/aji.13290
Intralipid treatment for women with reproductive failures
Abstract
Does intravenous intralipid treatment for reproductive failure enhance live births? The answer to this question is yes, BUT only in patients that have a diagnosis of recurrent implantation failure (RIF) or recurrent pregnancy loss (RPL) loss AND demonstrate elevated NK (natural killer) cell density in their endometrial biopsy. Live birth rates have been reported between 33% and 42% among women displaying elevated NK activity with a diagnosis of RIF and 75% and 91% among women experiencing RPL after intralipid infusion. When the pregnancy outcomes of women with a history of reproductive failure and elevated NK cells treated with intralipid were evaluated, the overall live birth rate per cycle of treatment was 61%. The results of published studies suggest that intralipid can be used successfully as a therapeutic option to modulate abnormal NK activity in women with reproductive problems.
Keywords: RIF; RPL; intralipid; reproductive failure.
© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
References
REFERENCES
-
- Clark DA. The power of observation. Am J Reprod Immunol. 2011;66:71-75.
-
- Ford HB, Schust D. Recurrent pregnancy loss: etiology, diagnosis, and therapy. Rev Obstet Gynecol. 2009;2:76-83.
-
- Roussev RG, Acacio B, Ng SC, Coulam CB. Duration of Intralipid’s suppressive effect on NK cell’s functional activity. Am J Reprod Immunol. 2008;60:258-263.
-
- Roussev RG, Ng SC, Coulam CB. Natural Killer cell functional activity suppression by Intravenous Immunoglobulin, Intralipid and soluble Human Leukocyte Antigen-G. Am J Reprod Immunol. 2007;57:262-269.
-
- Niavarani S, Lawson C, Bakos O, et al. Lipid accumulation impairs natural killer cell cytotoxicity and tumor control in the postoperative period. BMC Cancer. 2019;19:823-828.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical