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Expression of L-selectin ligand MECA-79 as a predictive marker of human uterine receptivity.

Expression of L-selectin ligand MECA-79 as a predictive marker of human uterine receptivity. Research Abstract Details 

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  • Expression of L-selectin ligand MECA-79 as a predictive marker of human uterine receptivity. Abstract Text:

    russell a foulkRussell A Foulk,tamara zdravkovicTamara Zdravkovic,olga genbacevOlga Genbacev,akraporn prakobpholAkraporn Prakobphol,

    PROBLEM: Patients with repeated implantation failure (RIF) represent a subgroup of couples who suffer from unexplained infertility. Human blastocysts utilize L-selectin to initiate implantation by binding to endometrial ligands composed of oligosaccharide moieties on the surface glycoproteins. The absence of these ligands could lead to recurrent implantation failure (RIF) in some of these couples. METHODS: Twenty fertile women and 20 patients with RIF were tested for the presence of the L-selectin ligands by immunohistochemistry. Endometrial biopsies were obtained on the sixth day post ovulation. After fixation, they were dated according to Noyes. Immunolocalization was performed using the MECA-79 antibody which is directed against ligands of L-selectin. RESULTS: The fertile group all showed the presence of the L-selectin ligand. Of those with RIF, five were negative for the ligand and never, despite an average of five successive embryo transfers, became pregnant. Fifteen RIF patients were positive for the L-selectin ligand, of whom ten subsequently conceived. As a screening test for RIF patients who lack the ligand, the predictive value was 100% with a sensitivity of 50% and specificity of 100%. The positive predictive value was 100% and negative predictive value is 87%. CONCLUSIONS: L-selectin and its ligands play a vital role for early human implantation. Screening for the absence of the ligand may help many patients with RIF to avoid undergoing repeated failed treatment cycles.

    Expression of L-selectin ligand MECA-79 as a predictive marker of human uterine receptivity. Publishing Authors By Initials

    ra foulkRA Foulk,t zdravkovicT Zdravkovic,o genbacevO Genbacev,a prakobpholA Prakobphol,

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    Expression of L-selectin ligand MECA-79 as a predictive marker of human uterine receptivity. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Journal of assisted reproduction and genetics

    VOLUME: 24

    Page Numbers: 316-21

    Journal Abbreviation: J. Assist. Reprod. Genet.

    ISSN: 1058-0468

    DAY: 29

    MONTH: Jul

    YEAR: 2007

    Expression of L-selectin ligand MECA-79 as a predictive marker of human uterine receptivity. Information

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    LANGUAGE: eng

    NlmUniqueID: 9206495

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    Grant and Affiliation Information for Expression of L-selectin ligand MECA-79 as a predictive marker of human uterine receptivity.

    AFFILIATION: Department of Obstetrics/Gynecology, University of Nevada, Reno, NV, USA. DrFoulk@aol.com

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: J Assist Reprod Genet

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