Hum. Reprod. Advance Access originally published online on June 8, 2006
Human Reproduction 2006 21(9):2281-2289; doi:10.1093/humrep/del176
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Identification of estrogen receptor
-positive intraepithelial lymphocytes and their possible roles in normal and tubal pregnancy oviducts
1 Division of Histology and Cell Biology, Department of Developmental and Reconstructive Medicine, Nagasaki University Graduate School of Biomedical Sciences 2 Department of Obstetrics and Gynecology, Nagasaki University School of Medicine and 3 Division of Oral Pathology and Bone Metabolism, Department of Developmental and Reconstructive Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
4 To whom correspondence should be addressed at: Division of Histology and Cell Biology, Department of Developmental and Reconstructive Medicine, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki 852-8523, Japan. E-mail: tkoji{at}net.nagasaki-u.ac.jp
5 Present address: Sasebo Chuo Hospital, Sasebo, Nagasaki, Japan
BACKGROUND: Although intraepithelial lymphocytes (IELs) in human oviductal epithelium have been implicated in the regulation of local immunity, the precise kinetics and mechanism of steroid regulation of IEL are largely unknown. METHODS: We examined the localization of estrogen receptors (ERs) and progesterone receptors (PRs) in 41 human oviducts by immunohistochemistry. These tissues were obtained from various menstrual cycles, also from both post-menopausal women and tubal pregnancies. The expressions of ER
mRNA and membrane (m)PR mRNA were examined by in situ hybridization and RTPCR, respectively. RESULTS: Most of the IEL expressed ER
at both mRNA and protein levels. The number of ER
-positive IEL, which were identified as CD8-positive T lymphocytes and also were mPR positive, was increased in the late proliferative, the mid-secretory and late secretory phases in normally cycling women (P < 0.05). Interestingly, in tubal pregnancy, ER
-positive IELs were consistently abundant. In addition, we found a high Ki-67-labelling index for IEL, although ER
was entirely absent in the tubal pregnancy oviducts. CONCLUSIONS: These results suggest that the number of IEL fluctuated because of estrogen and progesterone levels probably through ER
and mPR, respectively. ER
-positive IEL may be involved in regulating immune tolerance in tubal pregnancy oviducts.
Key words: estrogen receptors/human oviduct/intraepithelial lymphocytes/membrane progesterone receptor/tubal pregnancy
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