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Human Reproduction, Vol. 10, No. suppl_2, pp. 55-58, 1995
© 1995 European Society of Human Reproduction and Embryology

Immuno–endocrine interactions in early pregnancy

Gérard Chaouat, Elisabeth Menu, Genevieve Delage, Jean Francois Moreau, Lakshmi Khrishnan1,2, Lin Hui2, Aines Assal Meliani3, Jacques Martal3, Raj Raghupathy1, Christophe Lelaidier, Catherine Bertrand, Sayonara Freitas, Edouard Hambartsumian, Thomas G. Wegmann2 and René Frydman

INSERM CJF 92-09 and Department of Obstetrics and Gynaecology, Hospital Béclére Clamart 92140 1 Department of Microbiology, Faculty of Medicine, Kuwait University PO Box 24 923, Safat, Kuwait 13110 2 University of Alberta, Department of Immunology Edmonton, Alberta, Canada TAG 2H7 3 Endocrinologie de I'Embryon 75350 Jouy en Josas Cedex, France

First we recall briefly the status of inflammatory cytokines in the early implantation period. We then describe the status of leukaemia inhibiting factor (LEF) production in an in-vitro, relatively short-term, human decidual explant culture system. We show that in most infertile women with recurrent implantation failure following successful in-vitro fertilization, LIF production is statistically much lower than normal. Other parameters of LIF production in vitro are summarized briefly, and the effects of RU486 are shown. The TH2 status of normal pregnancy is described, together with the production of TH2 cytokines by decidua and placenta. These cytokines are deficient in the CBAXDBA/2 model of murine spontaneous early pregnancy loss. The defect can be corrected by alloimmunization, and more importantly by the injection of tau interferon. The significance of these data for early pregnancy signalling is discussed.

Key words: cytokines/implantation/inhibiting factor/tau interferon/TH2


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