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Hum. Reprod. Advance Access published online on October 27, 2005

Human Reproduction, doi:10.1093/humrep/dei369
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© The Author 2005. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Received August 16, 2005
Revised September 17, 2005
Accepted September 26, 2005

Article

Antiphospholipid antibodies in serum and follicular fluid--is there a correlation with IVF implantation failure?

K.L. Buckingham 1*, P.R. Stone 2, J.F. Smith 3, and L.W. Chamley 1

1 Department of Obstetrics and Gynaecology, University of Auckland, Private Bag 92019, Auckland 1001, New Zealand; Fertility Plus, Greenlane Clinical Centre, Private Bag 92189, Auckland 1003, New Zealand
2 Department of Obstetrics and Gynaecology, University of Auckland, Private Bag 92019, Auckland 1001, New Zealand
3 Reproductive Technologies Group, AgResearch Limited, Ruakura Research Centre, Private Bag 3123, Hamilton 2001, New Zealand

* To whom correspondence should be addressed.
K.L. Buckingham, E-mail: karen{at}onlinecom.co.nz


   Abstract

BACKGROUND: Antiphospholipid antibodies (aPLs) are associated with infertility, but the mechanism underlying this statistical association is currently obscure. We aimed to investigate the finding that aPLs are concentrated in follicular fluid and to establish if this is associated with a poorer outcome from IVF. METHODS AND RESULTS: In 19.2% of 99 women undergoing IVF, at least one aPL was detected in their serum and/or follicular fluids, but the antibody levels in follicular fluid were not higher than in serum. Women with aPLs had a lower implantation rate (14%) than women without these antibodies (24.1%), but this difference was not significant (P = 0.127). There was also a non-significant reduction in the live birth rate for women with aPLs. In a parallel investigation, 10 sheep immunized with {beta}2 glycoprotein I ({beta}2GPI) or irrelevant control antigens showed strong immune responses, but there were no significant differences between the levels of antibodies in the follicular fluid or serum from {beta}2GPI or control immunized sheep. CONCLUSION: aPLs do not appear to be selectively concentrated in follicular fluids and, when present, do not adversely affect the reproductive outcome of women undergoing IVF.

Keywords: anticardiolipin/antiphosphatidylserine/antiphospholipid antibodies/{beta}2 glycoprotein I/IVF.
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