The theory that the Th1 and Th2 cell ratio shifts towards Th2 dominance dur
ing pregnancy may improve fetal survival has gained support from recent stu
dies. Also, the variation in the Th1/Th2 cell ratio is reportedly associate
d with intrauterine growth retardation and preeclampsia. On the basis of th
ese findings, the analysis of the Th1/Th2 balance may be useful in predicti
ng severe complications during pregnancy. However, simple methods for the a
nalysis of Th1/Th2 balance are presently not available. Recently, it has be
en reported that regulation of CD26 cell surface expression correlates with
the production of Th1-like cytokines. On the other hand, previous studies
proposed that the sCD30 molecule is an activation marker useful for evaluat
ion of a Th2 immune response. It is, therefore, possible that the analysis
of the Th1/Th2 balance during pregnancy by measuring plasma sCD26 and sCD30
simultaneously is a simple and useful method. We herein demonstrate that c
ombined analysis of sCD26 and sCD30 is a potent surrogate tool to evaluate
the Th1/Th2 balance during pregnancy. Copyright (C) 2000 S. Karger AG, Base
l.