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

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...

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Main Authors: Mara Simopoulou, Konstantinos Sfakianoudis, Evangelos Maziotis, Sokratis Grigoriadis, Polina Giannelou, Anna Rapani, Petroula Tsioulou, Agni Pantou, Theodoros Kalampokas, Nikolaos Vlahos, Konstantinos Pantos, Michael Koutsilieris
Format: Article
Language:English
Published: MDPI AG 2019-02-01
Series:International Journal of Molecular Sciences
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Online Access:https://www.mdpi.com/1422-0067/20/4/892
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author Mara Simopoulou
Konstantinos Sfakianoudis
Evangelos Maziotis
Sokratis Grigoriadis
Polina Giannelou
Anna Rapani
Petroula Tsioulou
Agni Pantou
Theodoros Kalampokas
Nikolaos Vlahos
Konstantinos Pantos
Michael Koutsilieris
author_facet Mara Simopoulou
Konstantinos Sfakianoudis
Evangelos Maziotis
Sokratis Grigoriadis
Polina Giannelou
Anna Rapani
Petroula Tsioulou
Agni Pantou
Theodoros Kalampokas
Nikolaos Vlahos
Konstantinos Pantos
Michael Koutsilieris
author_sort Mara Simopoulou
collection DOAJ
description 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.
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spelling doaj.art-2dcb5670a93542d2aab7efa7f432101e2022-12-22T02:34:38ZengMDPI AGInternational Journal of Molecular Sciences1422-00672019-02-0120489210.3390/ijms20040892ijms20040892The Impact of Autoantibodies on IVF Treatment and Outcome: A Systematic ReviewMara Simopoulou0Konstantinos Sfakianoudis1Evangelos Maziotis2Sokratis Grigoriadis3Polina Giannelou4Anna Rapani5Petroula Tsioulou6Agni Pantou7Theodoros Kalampokas8Nikolaos Vlahos9Konstantinos Pantos10Michael Koutsilieris11Department of Physiology, Medical School, National and Kapodistrian University of Athens, 75, Mikras Asias, 11527 Athens, GreeceCentre for Human Reproduction, Genesis Athens Clinic, 14-16, Papanikoli, 15232 Athens, GreeceDepartment of Physiology, Medical School, National and Kapodistrian University of Athens, 75, Mikras Asias, 11527 Athens, GreeceDepartment of Physiology, Medical School, National and Kapodistrian University of Athens, 75, Mikras Asias, 11527 Athens, GreeceDepartment of Physiology, Medical School, National and Kapodistrian University of Athens, 75, Mikras Asias, 11527 Athens, GreeceDepartment of Physiology, Medical School, National and Kapodistrian University of Athens, 75, Mikras Asias, 11527 Athens, GreeceDepartment of Physiology, Medical School, National and Kapodistrian University of Athens, 75, Mikras Asias, 11527 Athens, GreeceCentre for Human Reproduction, Genesis Athens Clinic, 14-16, Papanikoli, 15232 Athens, GreeceAberdeen Maternity Hospital, Fertility Center-Assisted Reproduction Unit, Aberdeen AB25 2ZL, UKAssisted Conception Unit, 2nd Department of Obstetrics and Gynecology, Aretaieion Hospital, Medical School, National and Kapodistrian University of Athens, 76, Vasilisis Sofias Avenue, 11528 Athens, GreeceCentre for Human Reproduction, Genesis Athens Clinic, 14-16, Papanikoli, 15232 Athens, GreeceDepartment of Physiology, Medical School, National and Kapodistrian University of Athens, 75, Mikras Asias, 11527 Athens, GreeceThe 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.https://www.mdpi.com/1422-0067/20/4/892auto-antibodiesautoimmune disordersassisted reproductionin vitro fertilization
spellingShingle Mara Simopoulou
Konstantinos Sfakianoudis
Evangelos Maziotis
Sokratis Grigoriadis
Polina Giannelou
Anna Rapani
Petroula Tsioulou
Agni Pantou
Theodoros Kalampokas
Nikolaos Vlahos
Konstantinos Pantos
Michael Koutsilieris
The Impact of Autoantibodies on IVF Treatment and Outcome: A Systematic Review
International Journal of Molecular Sciences
auto-antibodies
autoimmune disorders
assisted reproduction
in vitro fertilization
title The Impact of Autoantibodies on IVF Treatment and Outcome: A Systematic Review
title_full The Impact of Autoantibodies on IVF Treatment and Outcome: A Systematic Review
title_fullStr The Impact of Autoantibodies on IVF Treatment and Outcome: A Systematic Review
title_full_unstemmed The Impact of Autoantibodies on IVF Treatment and Outcome: A Systematic Review
title_short The Impact of Autoantibodies on IVF Treatment and Outcome: A Systematic Review
title_sort impact of autoantibodies on ivf treatment and outcome a systematic review
topic auto-antibodies
autoimmune disorders
assisted reproduction
in vitro fertilization
url https://www.mdpi.com/1422-0067/20/4/892
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