2013, Number 1
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Rev Mex Med Repro 2013; 5.6 (1)
Determination of Natural Killer (NK CD56 + CD16 +) by Monoclonal Antibodies in Endometrium of Patients with Unknown Recurrent Pregnancy Loss
López NJA, Chávez OA, Ríos MS, Ramos SP, Cubillo J
Language: Spanish
References: 37
Page: 3-8
PDF size: 198.97 Kb.
ABSTRACT
Objective: To determine concentrations of natural killer (NK) cells
CD56+CD16+ by monoclonal antibodies in the endometrium of
patients with unexplained recurrent abortion.
Patients and method: A prospective, longitudinal and descriptive
study was done in which 20 patients with recurrent pregnancy
loss of unknown origin were included. Endometrial biopsy was
performed on day 21 to 26 of the menstrual cycle to assess the
concentration of NK cells CD56+CD16+ by monoclonal antibodies.
The results were compared with normal standards biopsies
reported in fertile women. Statistical analysis included measures
of central tendency, mean and proportions.
Results: Of 20 patients studied, 8 (40%) had elevated NK cells.
In 3 (15%) levels were highly positive. In 12 (60%) levels were
normal.
Conclusions: This study provides essential information about
the importance and frequency of NK cells CD56+16+ in patients
with recurrent pregnancy loss of unknown origin, and that in
light of current knowledge are known to play a key role in the
process of abortion. In this study we found that 40% of women
with recurrent pregnancy loss had, in greater or lesser degree,
these endometrial cells level.
REFERENCES
American Society for Reproductive Medicine. Recurrent pregnancy loss. Patient’s fact sheet. Disponible en: http:// www.asrm.org/Patients/FactSheets/recurrent_preg_loss.pdf Obtenido el 30 de marzo de 2009.
Frequently asked questions about infertility. American Society for Reproductive Medicine, 2006.
Warburton D, Fraser FC. Spontaneous abortion risk in women data from reproductive histories collected in a medical genetics unit. Am J Hum Genet 1964:16:1-25.
Boue A, Boue J, Cropp A. Cytogenetics of pregnancy wastage. Adv Hum Genet 1985;14:1-57.
Hill JA, Polgar K, Harlow BL, Anderson DJ. Evidence of embryo- and trophoblast-toxic cellular immune response(s) in women with recurrent spontaneous abortion. Am J Obstet Gynecol 1992;166:1044-1052.
Beer AE. Is your body baby-friendly. Unexplained infertility miscarriage and IVF failure. Chicago: AJR Publishing, 2006.
Stern J, Coulam C. Current status of immunologic recurrent pregnancy loss. Obstet Gynecol 1993;5:252-259.
Aoki K, Kajiura S, Matsumoto Y, Ogasawara M, et al. Preconceptional natural-killer-cell activity as a predictor of miscarriage. Lancet 1995;345:1340-1342.
Beer AE, Kwak JY, Ruiz JE. Immunophenotypic profiles of peripheral blood lymphocytes in women with recurrent pregnancy losses and in infertile women with multiple failed in vitro fertilization cycles. Am J Reprod Immunol 1996;35:376-382.
Shakhar K, Ben-Eliyahu S, Loewenthal R, Rosenne E, Carp H. Differences in number and activity of peripheral natural killer cells in primary versus secondary recurrent miscarriage. Fertil Steril 2003;80:368-375.
Yamada H, Morikawa M, Kato EH, Shimada S, et al. Preconceptional natural killer cell activity and percentage as predictors of biochemical pregnancy and spontaneous abortion with normal chromosome karyotype. Am J Reprod Immunol 2003;50:351-354.
Clifford K, Flanagan AM, Regan L. Endometrial CD56+ natural killer cells in women with recurrent miscarriage: a histomorphometric study. Hum Reprod 1999;14:2727-2730.
Quenby S, Bates M, Doig T, Brewster J, et al. Pre-implantation endometrial leukocytes in women with recurrent miscarriage. Hum Reprod 1999;14:2386-2391.
de Fougerolles AR, Barnes MG. Modulation of the natural killer cell activity in pregnant mice alters the spontaneous abortion rate. J Reprod Immunol 1987;11:147-153.
Bulmer JN, Morrison L, Longfellow M, et al. Granulated lymphocytes in human endometrium. histochemical and immunohistochemical studies. Hum Reprod 1991;6:791-798.
Bulmer JN, Hollings D, Ritson A. Immunohistochemical evidence that endometrial stromal granulocytes are granulated lymphocytes. J Pathol 1987;153:281-288.
King A, Balendran N, Wooding P, et al. CD3-leukocytes present in the human uterus during early placentation phenotypic and morphologic characterization of the CD56+ population. Dev Immunol 1991;1:169-190.
Bulmer JN, Sunderland CA. Immunohistological characterization of lymphoid cell populations in the early human placental bed. Immunology 1984;52:349-357.
Ritson A, Bulmer JN. Endometrial granulocytes in human decidua react with a natural-killer (NK) cell marker, NKH1. Immunology 1987;62:329-331.
Starkey PM, Sargent IL, Redman CWG. Cell populations in human early pregnancy decidua. Characterization and isolation of large granular lymphocytes by flow cytometry. Immunology 1988;65:129-134.
Kwak-Kim JY, Chung-Bang HS, Ng SC, Ntrivalas EI, et al. Increased T helper 1 cytokine responses by circulating T cells are present in women with recurrent pregnancy losses and in infertile women with multiple implantation failures after IVF. Human Reprod 2003;18:767-773.
Beer AE, Kwak JY, Ruiz JE. Immunophenotypic profiles of peripheral blood lymphocytes in women with recurrent pregnancy losses and in infertile women with multiple failed in vitro fertilization cycles. Am J Reprod Immunol 1996;35:376-382.
Prado-Drayer A, Teppa J, Sánchez P, Camejo MI. Immunophenotype of peripheral T lymphocytes, NK cells and expression of CD69 activation marker in patients with recurrent spontaneous abortions, during the mid-luteal phase. Am J Reprod Immunol 2008;60:66-74.
Aoki K, Kajiura S, Matsumoto Y, Ogasawara M, et al. Preconceptional natural-killer-cell activity as a predictor of miscarriage. Lancet 1995;345:1340-1342.
Ntrivalas E, Kwak J, Gilman-sachs A, Chung-Bang H, et al. Status of peripheral blood natural killer cells in women with recurrent spontaneous abortions and infertility of unknown aetiology. Hum Reprod 2001;16:855-861.
Makida R, Minami M, Takamizawa M, Juji T, Mizuma M. Natural killer cell activity and immunotherapy for recurrent spontaneous abortion. Lancet 1991;338:579-580.
Moffett-King A. Natural killer cells and pregnancy. Nat Rev Immunol 2002;2:656-663.
Rai R, Sacks G, Trew G. Natural killer cells and reproductive failure theory, practice and prejudice. Hum Reprod 2005;20:1123-1126.
Hiby SE, Regan L, Lo W, Farrell L, et al. Association of maternal killer-cell immunoglobulin-like receptors and parental HLAC genotypes with recurrent miscarriage. Hum Reprod 2008;23:972-976.
Hong Y, Wang X, Lu P, Song Y, Lin Q. Killer immunoglobulinlike receptor repertoire on uterine natural killer cell subsets in women with recurrent spontaneous abortions. Eur J Obstet Gynecol Reprod Biol 2008;140:218-223.
Winger EE. CD57+ cells and recurrent spontaneous abortion. Am J Reprod Immunol 2007;58:311-314.
Beer A, Kwak J, Gilman-Sachs A, Beaman K. New horizons in the evaluation and treatment of recurrent pregnancy loss. In: Hunt J, editor. Immunobiology of reproduction. Boston, 1994.
Winger EE, Reed JL, Ashoush S, Sapna A, et al. Treatment with adalimumab (Humira) and intravenous immunoglobulin (IVIG) improves pregnancy rates in women undergoing IVF. Am J Reprod Immunol 2009;61:113-120.
Guía de práctica clínica para el diagnóstico y tratamiento del aborto espontáneo y recurrente. IMSS-088-08.
Noyes RW, Hertig AT, Rock J. Dating the endometrial biopsy. Am J Obstet Gynecol 1975;122:262-263.
Vassiliadou N, Bulmer JN. Immunohistochemical evidence for increased numbers of “classic” CD57+ natural killer cells in the endometrium of women suffering spontaneous early pregnancy loss. Human Reprod 1996;11:1569-1574.
Lédée N, Dubanchet S, Coulomb A, Durand, et al. A new role for natural killer cells interleukin (IL)-12, and IL-18 in repeated implantation failure after in vitro fertilization. Fertility paradigm of a complex interaction. Cytokine Growth Factor Rev 1997;8:181-188.