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Review

The Impact of Autoantibodies on IVF Treatment and Outcome: A Systematic Review

1
Department of Physiology, Medical School, National and Kapodistrian University of Athens, 75, Mikras Asias, 11527 Athens, Greece
2
Assisted Conception Unit, 2nd Department of Obstetrics and Gynecology, Aretaieion Hospital, Medical School, National and Kapodistrian University of Athens, 76, Vasilisis Sofias Avenue, 11528 Athens, Greece
3
Centre for Human Reproduction, Genesis Athens Clinic, 14-16, Papanikoli, 15232 Athens, Greece
4
Aberdeen Maternity Hospital, Fertility Center-Assisted Reproduction Unit, Aberdeen AB25 2ZL, UK
*
Author to whom correspondence should be addressed.
Int. J. Mol. Sci. 2019, 20(4), 892; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms20040892
Received: 31 January 2019 / Revised: 13 February 2019 / Accepted: 14 February 2019 / Published: 19 February 2019
(This article belongs to the Special Issue Reproductive Immunology: Cellular and Molecular Biology)
The role of autoantibodies in in vitro fertilization (IVF) has been discussed for almost three decades. Nonetheless, studies are still scarce and widely controversial. The aim of this study is to provide a comprehensive systematic review on the possible complications associated to autoantibodies (AA) impeding the chances of a successful IVF cycle. An Embase, PubMed/Medline and Cochrane Central Database search was performed on 1 December 2018, from 2006 until that date. From the 598 articles yielded in the search only 44 relevant articles ultimately fulfilled the inclusion criteria and were qualitatively analyzed. Five subsets of results were identified, namely, thyroid related AA, anti-phospholipid antibodies, anti-nuclear antibodies, AA affecting the reproductive system and AA related to celiac disease. It may be implied that the majority of auto-antibodies exert a statistically significant effect on miscarriage rates, whereas the effects on clinical pregnancy and live birth rates differ according to the type of auto-antibodies. While significant research is performed in the field, the quality of evidence provided is still low. The conduction of well-designed prospective cohort studies is an absolute necessity in order to define the impact of the different types of autoantibodies on IVF outcome. View Full-Text
Keywords: auto-antibodies; autoimmune disorders; assisted reproduction; in vitro fertilization auto-antibodies; autoimmune disorders; assisted reproduction; in vitro fertilization
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MDPI and ACS Style

Simopoulou, M.; Sfakianoudis, K.; Maziotis, E.; Grigoriadis, S.; Giannelou, P.; Rapani, A.; Tsioulou, P.; Pantou, A.; Kalampokas, T.; Vlahos, N.; Pantos, K.; Koutsilieris, M. The Impact of Autoantibodies on IVF Treatment and Outcome: A Systematic Review. Int. J. Mol. Sci. 2019, 20, 892. https://0-doi-org.brum.beds.ac.uk/10.3390/ijms20040892

AMA Style

Simopoulou M, Sfakianoudis K, Maziotis E, Grigoriadis S, Giannelou P, Rapani A, Tsioulou P, Pantou A, Kalampokas T, Vlahos N, Pantos K, Koutsilieris M. The Impact of Autoantibodies on IVF Treatment and Outcome: A Systematic Review. International Journal of Molecular Sciences. 2019; 20(4):892. https://0-doi-org.brum.beds.ac.uk/10.3390/ijms20040892

Chicago/Turabian Style

Simopoulou, Mara, Konstantinos Sfakianoudis, Evangelos Maziotis, Sokratis Grigoriadis, Polina Giannelou, Anna Rapani, Petroula Tsioulou, Agni Pantou, Theodoros Kalampokas, Nikolaos Vlahos, Konstantinos Pantos, and Michael Koutsilieris. 2019. "The Impact of Autoantibodies on IVF Treatment and Outcome: A Systematic Review" International Journal of Molecular Sciences 20, no. 4: 892. https://0-doi-org.brum.beds.ac.uk/10.3390/ijms20040892

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