Journal of International Reproductive Health/Family Planning ›› 2020, Vol. 39 ›› Issue (6): 445-449.

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Detection of Antinuclear Antibodies, Anticardiolipin Antibodies, and Anti-β2-Glycoprotein 1 Antibodies in Non-Elderly Patients with Diminished Ovarian Reserve

ZHANG Yuan,XIA Xin-ru,JIANG Chun-yan,SHU Li,WU Wei,GAO Yan,HUANG Jie,MAO Yun-dong,LIU Jia-yin,MA Xiang   

  1. Department of Reproductive Medicine,The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China
  • Received:2020-05-06 Revised:2020-08-24 Published:2020-11-15 Online:2020-11-15
  • Contact: MA Xiang,E-mail:sxmaxiang@126.com E-mail:sxmaxiang@126.com

Abstract: Objective: To investigate whether antinuclear antibody (ANA), anticardiolipin antibody (aCL) and anti-β2-glycoprotein1 antibody (aβ2GP1) can be used as the screening markers in non-elderly patients with diminished ovarian reserve (DOR) before their IVF/ICSI treatment. Methods:From January 2018 to April 2019, 127 non-elderly DOR patients (non-elderly DOR group, 127 cases) and 82 women who were planned to undertake IVF/ICSI treatment due to male factors (control group, 82 cases) were collected as the subjects. Sera ANA was detected by immunofluorescence, aCL and aβ2GP1 antibodies were detected by enzyme-linked immunosorbent assay. Results:The total positive rate of at least one of the three antibodies in the non-elderly DOR group (24.41%, 31/127) was significantly higher than that in the control group (12.20%, 10/82), the difference was statistically significant (P<0.05). The total positive rate of ANA in the non-elderly DOR group (3.15%, 4/127) was slightly higher than that in the control group (1.22%, 1/82), the difference was not statistically significant (P>0.05). The difference of the total positive rate of aCL was not significant between the non-elderly DOR group (8.66%, 11/127) and the control group (6.10%, 5/82) (P>0.05). The total positive rate of aβ2GP1 in the non-elderly DOR group (15.75%, 20/127) was significantly higher than that in the control group (6.10%, 5/82), the difference was statistically significant (P<0.05). Conclusions:The combined screening of serum ANA, aCL and aβ2GP1 can be recommended for non-elderly patients with diminished ovarian reserve before IVF/ICSI treatment. 

Key words: Antibodies, antinuclear;, Antibodies, anticardiolipin;, Anti-β2-glycoprotein 1 antibody;, Diminished ovarian reserve;, Enzyme-linked immunosorbent assay;, Fluoroimmunoassay