Rheumatoid arthritis ( RA) is an autoimmune disease that is favorably influenced by pregnancy but relapses after delivery. A variety of circulating factors has been considered as candidates for inducing gestational improvement of RA; however, the factors/ pathways responsible remain still elusive. This review discusses recent research on the effect of pregnancy on RA with a focus on immunregulation, cytokine secretion, HLA antigens, microchimerism, and innate immunity. The complex hormonal and immunological alterations of pregnancy may temporarily correct the disturbed immunregulation of RA.
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St Antonius Hosp, NL-3430 EM Nieuwegein, Netherlands
Erasmus MC, Dept Rheumatol, Univ Med Ctr Rotterdam, Rotterdam, NetherlandsSt Antonius Hosp, NL-3430 EM Nieuwegein, Netherlands
de Man, Yael A.
Dolhain, Radboud J. E. M.
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Erasmus MC, Dept Rheumatol, Univ Med Ctr Rotterdam, Rotterdam, NetherlandsSt Antonius Hosp, NL-3430 EM Nieuwegein, Netherlands
Dolhain, Radboud J. E. M.
Hazes, Johanna M. W.
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Erasmus MC, Dept Rheumatol, Univ Med Ctr Rotterdam, Rotterdam, NetherlandsSt Antonius Hosp, NL-3430 EM Nieuwegein, Netherlands
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Univ London, Barts & London Sch Med & Dent, London, EnglandBarking Havering & Redbridge Univ Hosp NHS Trust, King George Hosp, Dept Rheumatol & Rehabil, London IG3 8YB, England
Partlett, Rosamund
Roussou, Euthalia
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Barking Havering & Redbridge Univ Hosp NHS Trust, King George Hosp, Dept Rheumatol & Rehabil, London IG3 8YB, England
Univ London, Barts & London Sch Med & Dent, London, EnglandBarking Havering & Redbridge Univ Hosp NHS Trust, King George Hosp, Dept Rheumatol & Rehabil, London IG3 8YB, England
机构:
Division of Rheumatology, University of California Los Angeles and the Veterans Association (VA), Greater Los Angeles Health System, Los Angeles, CADivision of Rheumatology, University of California Los Angeles and the Veterans Association (VA), Greater Los Angeles Health System, Los Angeles, CA
Shammas R.M.
Ranganath V.K.
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Division of Rheumatology, University of California Los Angeles, Los Angeles, CADivision of Rheumatology, University of California Los Angeles and the Veterans Association (VA), Greater Los Angeles Health System, Los Angeles, CA
Ranganath V.K.
Paulus H.E.
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机构:Division of Rheumatology, University of California Los Angeles and the Veterans Association (VA), Greater Los Angeles Health System, Los Angeles, CA