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Journal of the Royal Society of Medicine logoLink to Journal of the Royal Society of Medicine
. 1985 Aug;78(8):623–627. doi: 10.1177/014107688507800804

Prevention of recurrent spontaneous abortions by leukocyte transfusions.

C G Taylor, W P Faulk, J A McIntyre
PMCID: PMC1289832  PMID: 4020795

Abstract

One hundred and thirty-nine couples referred because of recurrent abortions with no obvious cause were assessed for genetic similarity using the HLA major histocompatibility system. Comparison with 103 fertile control couples demonstrated that a much higher proportion of couples in the abortion group shared two or more HLA antigens. Using this criterion, 44 wives out of the 139 couples referred, when compared with a child-bearing group, appeared to share a greater than expected number of histocompatibility antigens and were therefore considered suitable for treatment. Twenty-eight wives have received treatment with white cell infusions from erythrocyte-compatible donors and so far they have delivered 17 babies plus 2 second babies. Another 3 wives are pregnant beyond their previous dates for abortions (1 first and 2 second pregnancies). There have been 5 failures (4 first pregnancy and 1 second pregnancy); one of these was treated a second time and has now successfully delivered. Seven couples are awaiting conception. Of the patients who have become pregnant, 81.5% have had successful deliveries. No adverse transfusion reactions have been observed.

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Selected References

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  1. Bodmer W. F. HLA structure and function: a contemporary view. Tissue Antigens. 1981 Jan;17(1):9–20. doi: 10.1111/j.1399-0039.1981.tb00661.x. [DOI] [PubMed] [Google Scholar]
  2. Chaouat G., Voisin G. A. Regulatory T-cell subpopulations in pregnancy. II. Evidence for suppressive activity of the late phase of MLR. Immunology. 1980 Feb;39(2):239–248. [PMC free article] [PubMed] [Google Scholar]
  3. Faulk W. P., Hsi B. L., McIntyre J. A., Yeh C. J., Mucchielli A. Antigens of human extra-embryonic membranes. J Reprod Fertil Suppl. 1982 Nov;31:181–199. [PubMed] [Google Scholar]
  4. Faulk W. P., McIntyre J. A. Immunological studies of human trophoblast: markers, subsets and functions. Immunol Rev. 1983;75:139–175. doi: 10.1111/j.1600-065x.1983.tb01094.x. [DOI] [PubMed] [Google Scholar]
  5. Faulk W. P., McIntyre J. A. Trophoblast survival. Transplantation. 1981 Jul;32(1):1–5. [PubMed] [Google Scholar]
  6. Faulk W. P., Temple A. Distribution of beta2 microglobulin and HLA in chorionic villi of human placentae. Nature. 1976 Aug 26;262(5571):799–802. doi: 10.1038/262799a0. [DOI] [PubMed] [Google Scholar]
  7. Gill T. J., 3rd Immunogenetics of spontaneous abortions in humans. Transplantation. 1983 Jan;35(1):1–6. [PubMed] [Google Scholar]
  8. Jeannet M., Werner C., Ramirez E., Vassalli P., Faulk W. P. Anti-HLA, anti-human "Ia-like" and MLC blocking activity of human placental IgG. Transplant Proc. 1977 Jun;9(2):1417–1422. [PubMed] [Google Scholar]
  9. Komlos L., Halbrecht I. Repeated abortions and histocompatibility antigens. Can HLA antigen restricted gene dose effects influence the feto-maternal relationship? Med Hypotheses. 1979 Aug;5(8):901–908. doi: 10.1016/0306-9877(79)90078-1. [DOI] [PubMed] [Google Scholar]
  10. McIntyre J. A., Faulk W. P. Allotypic trophoblast-lymphocyte cross-reactive (TLX) cell surface antigens. Hum Immunol. 1982 Feb;4(1):27–35. doi: 10.1016/0198-8859(82)90047-7. [DOI] [PubMed] [Google Scholar]
  11. McIntyre J. A., Faulk W. P. HLA and the generation of diversity in human pregnancy. Placenta Suppl. 1982;4:1–11. [PubMed] [Google Scholar]
  12. McIntyre J. A., Faulk W. P. Histocompatibility and recurrent abortion. Fertil Steril. 1984 Apr;41(4):653–654. doi: 10.1016/s0015-0282(16)47796-4. [DOI] [PubMed] [Google Scholar]
  13. McIntyre J. A., Faulk W. P. Recurrent spontaneous abortion in human pregnancy: results of immunogenetical, cellular, and humoral studies. Am J Reprod Immunol. 1983 Dec;4(4):165–170. doi: 10.1111/j.1600-0897.1983.tb00272.x. [DOI] [PubMed] [Google Scholar]
  14. McIntyre J. A., Faulk W. P., Verhulst S. J., Colliver J. A. Human trophoblast-lymphocyte cross-reactive (TLX) antigens define a new alloantigen system. Science. 1983 Dec 9;222(4628):1135–1137. doi: 10.1126/science.6648525. [DOI] [PubMed] [Google Scholar]
  15. McIntyre J. A., McConnachie P. R., Taylor C. G., Faulk W. P. Clinical, immunologic, and genetic definitions of primary and secondary recurrent spontaneous abortions. Fertil Steril. 1984 Dec;42(6):849–855. [PubMed] [Google Scholar]
  16. Miller J. F., Williamson E., Glue J., Gordon Y. B., Grudzinskas J. G., Sykes A. Fetal loss after implantation. A prospective study. Lancet. 1980 Sep 13;2(8194):554–556. doi: 10.1016/s0140-6736(80)91991-1. [DOI] [PubMed] [Google Scholar]
  17. Rock J. A., Zacur H. A. The clinical management of repeated early pregnancy wastage. Fertil Steril. 1983 Feb;39(2):123–140. doi: 10.1016/s0015-0282(16)46809-3. [DOI] [PubMed] [Google Scholar]
  18. Rocklin R. E., Kitzmiller J. L., Carpenter C. B., Garovoy M. R., David J. R. Maternal-fetal relation. Absence of an immunologic blocking factor from the serum of women with chronic abortions. N Engl J Med. 1976 Nov 25;295(22):1209–1213. doi: 10.1056/NEJM197611252952201. [DOI] [PubMed] [Google Scholar]
  19. Sunderland C. A., Naiem M., Mason D. Y., Redman C. W., Stirrat G. M. The expression of major histocompatibility antigens by human chorionic villi. J Reprod Immunol. 1981 Dec;3(6):323–331. doi: 10.1016/0165-0378(81)90048-6. [DOI] [PubMed] [Google Scholar]
  20. Taylor C., Faulk W. P. Prevention of recurrent abortion with leucocyte transfusions. Lancet. 1981 Jul 11;2(8237):68–70. doi: 10.1016/s0140-6736(81)90413-x. [DOI] [PubMed] [Google Scholar]
  21. Unander A. M., Olding L. B. Habitual abortion: parental sharing of HLA antigens, absence of maternal blocking antibody, and suppression of maternal lymphocytes. Am J Reprod Immunol. 1983 Dec;4(4):171–178. doi: 10.1111/j.1600-0897.1983.tb00273.x. [DOI] [PubMed] [Google Scholar]

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