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학술저널
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연세대학교 의과대학 Yonsei Medical Journal Yonsei Medical Journal 제49권 제3호
발행연도
2008.1
수록면
366 - 371 (6page)

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Purpose: The aim of this study was to evaluate the changes of the regulatory T cell subset in peripheral blood caused by gestational age and premature rupture of membranes (PROM) with or without labor to verify the role of regulatory T cells in pregnancy. Patients and Methods: We investigated regulatory T cell distribution in the peripheral blood of pregnancies during the first trimester (group I, n=2), the second trimester (group II, n=12), and the third trimester without PROM and labor (group III, n=15). In addition, we evaluated pregnancies in the third trimester complicated by PROM (group IV, n= 4) and labor with no complication by PROM (Group V, n= 5). Comparisons were made with non-pregnant controls (group VI, n=4) using flow cytometry. Results: During uncomplicated pregnancy, the CD4+CD25bright regulatory T cell population decreased with advancing gestational age (group I=3.35±0.47, group II=2.91±1.44, group III=2.81 ±1.36, group VI=2.52±0.71, p=NS). When we compared group IV with group III and V to evaluate the changes of the regulatory T cells with PROM, the CD4+CD25bright regulatory T cell population was significantly decreased in group IV compared to group III (p=0.001) and group V (p=0.026). Conclusion: The present results revealed that the regulatory T cell population increased in early pregnancy but decreased in pregnancies complicated by PROM, indicating that regulatory T cells might be related to the maintenance of pregnancy.

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