PMID- 28478829 OWN - NLM STAT- MEDLINE DCOM- 20180301 LR - 20180301 IS - 1532-2777 (Electronic) IS - 0306-9877 (Linking) VI - 102 DP - 2017 May TI - The use of heparin in infertility and recurrent pregnancy loss: Are its antiviral properties at play? PG - 41-47 LID - S0306-9877(16)30513-8 [pii] LID - 10.1016/j.mehy.2017.03.009 [doi] AB - Recently, human herpesvirus 6 (HHV-6) has been implicated in cases of poor pregnancy outcomes. The ability of HHV-6 to disrupt endothelial cell functioning may inhibit the creation of an appropriate uterine environment for implantation and fetal development, resulting in infertility and pregnancy loss, among other complications. Heparin has been used to treat pregnant women who are predisposed to thrombosis, and it has also been used in some women with infertility or recurrent pregnancy loss without associated thrombotic events. Positive pregnancy outcomes after heparin treatment in these groups indicate that heparin may alter the uterine environment to make it more suitable for implantation and fetal growth. In this paper, we propose that in some cases, heparin may accomplish this by inhibiting HHV-6 transfer to the endometrium and/or by offsetting the virally-mediated effects of endothelial cell injury. CI - Copyright (c) 2017 Elsevier Ltd. All rights reserved. FAU - Eliassen, Eva AU - Eliassen E AD - HHV-6 Foundation, Santa Barbara, CA, United States. Electronic address: eva@hhv-6foundation.org. FAU - Marci, Roberto AU - Marci R AD - Obstetrics & Gynecology, University of Ferrera, Italy. FAU - Di Luca, Dario AU - Di Luca D AD - Department of Medical Sciences, Microbiology and Medical Genetics, University of Ferrara, Italy. FAU - Rizzo, Roberta AU - Rizzo R AD - Department of Medical Sciences, Microbiology, University of Ferrara, Italy. LA - eng PT - Journal Article DEP - 20170306 PL - United States TA - Med Hypotheses JT - Medical hypotheses JID - 7505668 RN - 0 (Anticoagulants) RN - 9005-49-6 (Heparin) SB - IM MH - Abortion, Habitual/*prevention & control/*virology MH - Anticoagulants/administration & dosage MH - Embryo Implantation/drug effects MH - Female MH - Heparin/*administration & dosage MH - Herpesvirus 6, Human/*drug effects/*physiology MH - Humans MH - Infertility, Female/*prevention & control/*virology MH - Models, Biological MH - Pregnancy MH - Pregnancy Outcome EDAT- 2017/05/10 06:00 MHDA- 2018/03/02 06:00 CRDT- 2017/05/09 06:00 PHST- 2016/08/27 00:00 [received] PHST- 2017/03/05 00:00 [accepted] PHST- 2017/05/09 06:00 [entrez] PHST- 2017/05/10 06:00 [pubmed] PHST- 2018/03/02 06:00 [medline] AID - S0306-9877(16)30513-8 [pii] AID - 10.1016/j.mehy.2017.03.009 [doi] PST - ppublish SO - Med Hypotheses. 2017 May;102:41-47. doi: 10.1016/j.mehy.2017.03.009. Epub 2017 Mar 6.