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Article ; Online: Obesity and recurrent miscarriage: The interconnections between adipose tissue and the immune system.

Gonçalves, Cristiano César Rodrigues Augusto / Feitosa, Beatriz Memória / Cavalcante, Beatriz Vieira / Lima, André Lucas Grangeiro de Barreto / de Souza, Caroline Martins / Joventino, Larissa Brandão / Cavalcante, Marcelo Borges

American journal of reproductive immunology (New York, N.Y. : 1989)

2023  Volume 90, Issue 3, Page(s) e13757

Abstract: Currently, obesity is considered a global public health problem. It is the main risk factor for noncommunicable diseases and reproductive complications, such as recurrent miscarriage (RM). RM affects approximately 1% of couples of reproductive age, and ... ...

Abstract Currently, obesity is considered a global public health problem. It is the main risk factor for noncommunicable diseases and reproductive complications, such as recurrent miscarriage (RM). RM affects approximately 1% of couples of reproductive age, and recent studies suggest that its prevalence is increasing. Immunological abnormalities may be responsible for a significant number of cases of unexplained RM. Obesity is recognized as a chronic low-grade inflammatory condition. The accumulation of fat in obese adipose tissue promotes changes in the local and systemic immune response. Adipokines, exosomes, micro-RNAs, lipids, and other factors released or secreted by adipose tissue are responsible for the interconnection between obesity and the immune system. Obesity-induced dysregulation of the innate and acquired immune response is also involved in the immunopathology of pregnancy loss in patients with unexplained RM. Therefore, understanding the communication pathways between maternal adipose tissue and the immune response in women living with obesity and RM is an important objective. Thus, diagnostic tools and new immunomodulatory therapies may be proposed for the management of patients with concurrent obesity and RM.
MeSH term(s) Pregnancy ; Humans ; Female ; Abortion, Habitual/epidemiology ; Obesity/epidemiology ; MicroRNAs ; Immune System ; Adipose Tissue
Chemical Substances MicroRNAs
Language English
Publishing date 2023-08-29
Publishing country Denmark
Document type Journal Article ; Review
ZDB-ID 604542-x
ISSN 1600-0897 ; 0271-7352 ; 8755-8920 ; 1046-7408
ISSN (online) 1600-0897
ISSN 0271-7352 ; 8755-8920 ; 1046-7408
DOI 10.1111/aji.13757
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