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Hum. Reprod. Advance Access published online on February 12, 2004

Human Reproduction, doi:10.1093/humrep/deh159
© 2004 by European Society of Human Reproduction and Embryology
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Received July 28, 2003
Accepted January 5, 2004

Article

No difference in natural killer or natural killer T-cell population, but aberrant T-helper cell population in the endometrium of women with repeated miscarriage

Shigeki Shimada 1, Emi Hirayama Kato 1, Mamoru Morikawa 1, Kazuya Iwabuchi 2, Ryutaro Nishida 1, Reiko Kishi 3, Kazunori Onoé 2, Hisanori Minakami 1, and Hideto Yamada 4*

1 Deartment of Obstetrics and Gynecology, Hokkaido University, Sapporo, Japan
2 Division of Immunobiology, Research Section of Pathophysiology, Institute for Genetic Medicine, Hokkaido University, Sapporo, Japan
3 Department of Public Heath, Hokkaido University Graduate School of Medicine, Hokkaido University, Sapporo, Japan
4 Deartment of Obstetrics and Gynecology, Hokkaido University, Sapporo, Japan; Department of Obstetrics and Gynecology, Graduate School of Medicine, Hokkaido University, Kita-ku N15 W7, Sapporo 060-8638, Japan

* To whom correspondence should be addressed. E-mail: yhideto{at}med.hokudai.ac.jp.


   Abstract

BACKGROUND: The aim of this study was to assess the natural killer (NK) cell and natural killer T (NKT) cell populations and cytokine expression of T-helper (Th) cells in the endometrium of women who suffered from unexplained repeated miscarriage (RM). METHODS: The percentages of NK cells, NKT cells and CD4+ cells expressing intracellular interferon (IFN)-{gamma}, interleukin (IL)-4 and tumour necrosis factor (TNF)-{alpha} were measured by flow cytometry in the endometrium of 20 RM women and 17 fertile control women in the mid-luteal phase of the menstrual cycle. RESULTS: No significant differences in CD56+ NK cell or CD3+CD4-CD8-V{alpha}24+V{beta}11+ NKT cell percentages were found between RM and control women. However, in RM women compared with control women, the percentages of CD3+ cells (mean 40.3 versus 56.5%), CD4+IFN-{gamma}+ cells (28.4 versus 39.5%) and CD4+TNF-{alpha}+ cells (32.9 versus 45.8%) were significantly lower. The Th1/Th2 cell balance in RM women did not differ from that of controls. CONCLUSIONS: Immunodystrophism detected as diminution of the Th cell population rather than Th1 predominance, NK cell or NKT cell accentuation in the endometrium might underlie the pathophysiology of unexplained RM. This finding provokes an additional controversy on the Th1/Th2 balance concerning RM aetiology.

Key words: Key words: immunodystrophism/natural killer cell/natural killer T cell/recurrent miscarriage/Th cytokine


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