The impact of leukemia inhibitory factor in uterine flushing on the reproductive potential of infertile women--a prospective study.

Am J Reprod Immunol 2007 Jul;58(1):65-74

Division of Reproduction, Department of Obstetrics and Gynecology, University of Medical Sciences, Poznan, Poland.

Problem: To determine the value of leukemia inhibitory factor (LIF) assessment for predicting the reproductive outcome.

Method Of Study: Two phase study. Phase I: assessment of LIF in uterine flushing. Phase II: 1,5 years after examining the last patient, a questionnaire was sent to all participants of the phase I. Phase I: Uterine flushing and endometrial samples were collected during implantation window from infertile patients with stage I/II endometriosis (n = 14), patients with idiopathic infertility (n = 27), luteal phase deficiency (n = 13), and fertile control (n = 21). LIF was assessed in uterine flushings in all patients by ELISA. In endometrium, semiquantitative RT-PCR was performed for LIF mRNA expression. Phase II: questionnaire has been sent to all infertile women taking part in the first phase of the experiment, regarding their reproductive outcome.

Results: 65.4% patients who had returned the questionnaire did get pregnant. LIF concentration at a cut-off point of 2.31 pg/ml had a 95.7% sensitivity and 81.8% specificity in predicting the reproductive outcome.

Conclusion: This prospective study for the first time in literature indicates that the LIF assessment can be used as a predictor of reproductive success.

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http://dx.doi.org/10.1111/j.1600-0897.2007.00492.xDOI Listing
July 2007
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