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Medicina (Kaunas). 2019 May 16;55(5). pii: E144. doi: 10.3390/medicina55050144.

Unique Associations between Insulin-Like Growth Factor Binding Protein-1, Insulin-Like Growth Factor-1 and T Cell Immunoglobulin Mucin 3 in Successful Twin Pregnancies Conceived with Donor Oocytes.

Author information

1
Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, The Bronx, NY 10451, USA. gsisti83@gmail.com.
2
Department of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY 10065, USA. gsisti83@gmail.com.
3
Department of Health Sciences, Obstetrics and Gynecology Branch, University of Florence, 50134 Florence, Italy. mariarosaria.ditommaso@unifi.it.
4
Department of Health Sciences, University of Florence, 50134 Florence, Italy. sara.paccosi@unifi.it.
5
Department of Health Sciences, University of Florence, 50134 Florence, Italy. astrid.parenti@unifi.it.
6
Department of Health Sciences, Obstetrics and Gynecology Branch, University of Florence, 50134 Florence, Italy. viola.seravalli@unifi.it.
7
Department of Health Sciences, Obstetrics and Gynecology Branch, University of Florence, 50134 Florence, Italy. roberta.cuzzola@gmail.com.
8
Department of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY 10065, USA. switkin@med.cornell.edu.
9
Institute of Tropical Medicine, University of Sao Paulo Medical School, Sao Paulo 05403-000, Brazil. switkin@med.cornell.edu.

Abstract

Background and Objectives: To investigate if pregnancies conceived using an oocyte donor necessitate an alteration in immune regulation, we compared concentrations of insulin-like growth factor binding protein (IGFBP)-1, insulin-like growth factor (IGF)-1 and T cell immunoglobulin mucin-3 (Tim-3) in women with ongoing successful twin pregnancies conceived spontaneously, using assisted reproductive technologies that utilized homologous oocytes or with donor oocytes. Differences in levels of these immune modulatory proteins may be magnified and easier to detect in twin as compared to singleton pregnancies. Methods: In this prospective study IGFBP-1 and IGF-1 were measured in sera and Tim-3 in lysates of peripheral blood mononuclear cells (PBMCs) by ELISA. Results: Median IGFBP-1 levels were lower in women with donor oocytes (41.4 ng/ml) as compared to those with a spontaneous conception (51.2 ng/mL) or who conceived with various assisted reproduction protocols using homologous oocytes (52.4 ng/mL) (p < 0.001). IGF-1 and Tim-3 levels were comparable in each group. The IGFBP-1 level was inversely correlated to the IGF-1 concentration only in women with donor oocytes (p = 0.032). IGFBP-1 and Tim-3 levels were similarly negatively correlated in the donor oocyte group (p = 0. 012). Women in the assisted reproduction group who conceived following intracytoplasmic sperm injection were the only other group in which IGFBP-1 and Tim-3 were negatively correlated (p = 0.018). Conclusions: Down-regulation of IGFBP-1 production in pregnancies conceived with donor oocytes may reduce the extent of pro-inflammatory immunity and contribute to successful outcome in totally allogeneic pregnancies.

KEYWORDS:

T cell immunoglobulin mucin-3; donor oocytes; in vitro fertilization; insulin-like growth factor binding protein-1; insulin-like growth factor-1; pregnancy outcome

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