• Activity of natural killer cells in the eutopic endometrium AT adenomyosis in women with different implantation characteristics
en To content

Activity of natural killer cells in the eutopic endometrium AT adenomyosis in women with different implantation characteristics

HEALTH OF WOMAN. 2016.5(111):117–119 
 

Activity of natural killer cells in the eutopic endometrium AT adenomyosis in women with different implantation characteristics


Nosenko O. M., Moskalenko T. Ya., Kosyuga O. M.

Odessa national medical University

РІ «City clinical hospital №1», city of Odessa


The objective: of the study was a comparative study of the number and distribution of NK-cells in eutopic endometrium at adenomyosis in women with different implantation characteristics.


Patients and methods. A comparative analysis of 32 endometrial samples from non-pregnant women of reproductive age with adenomyosis and a history of miscarriage, 30 non-pregnant women with adenomyosis who desired pregnancy ended in childbirth, and there were no episodes of spontaneous abortion, and 10 conditionally gynecologically healthy non-pregnant women without adenomyosis, who desired pregnancy ended in childbirth. It was investigated endometrium content of NK-cells using liquid murine monoclonal antibodies to the antigens CD16 + and CD56 + by immunohistochemistry.


Results. It was found that infiltration of eutopic endometrial by NK-cells in women with adenomyosis exceeds that of conventionally healthy fertile persons. At adenomyosis the number of CD56+NK-cells in eutopic endometrium in women with implantation failure exceeds that in patients with implantation competence in 6.8 times (p<0,01), CD16+NK-cells – in 7.1 times (p<0,01).


Conclusion. Determination of NK-cells in eutopic endometrium of women with adenomyosis can be used at the stage of the pre-gravid preparation for the forecast of implantation success and carry out the necessary immune correction.

 

Key words: adenomyosis, eutopic endometrium, immunohistochemistry, natural killer cells, implantation failure.


REFERENCES

1. Garavaglia E, Audrey S, Annalisa I et al. 2015. Adenomyosis and its impact on women fertility. Iran J. Reprod. Med. 13;6:327–336. PMid:26330846 PMCid:PMC4555051

2. Benagiano G, Brosens I, Habiba M. 2014. Structural and molecular features of the endomyometrium in endometriosis and adenomyosis. Hum. Reprod. Update. 20;3:386–402. http://dx.doi.org/10.1093/humupd/dmt052.

3. Maheshwari A, Gurunath S, Fatima F et al. 2012. Adenomyosis and subfertility: a systematic review of prevalence, diagnosis, treatment and fertility outcomes. Hum. Reprod. 18:374–392. http://dx.doi.org/10.1093/humupd/dms006; PMid:22442261

4. Robertson SA, Moldenhauer LM. 2014. Immunological determinants of implantation success. Int. J. Dev. Biol. 58;2–4:205–217. http://dx.doi.org/10.1387/ijdb.140096sr.

5. Liu B, Mariee N, Laird S et al. 2014. The prognostic value of uNK cell count and histological dating in the mid-luteal phase of women with reproductive failure. Теxt. Eur. J. Obstet. Gynecol. Reprod. Biol. 181:171–175. http://dx.doi.org/10.1016/j.ejogrb.2014.07.010.

6. Chayka VK, Chayka AV, Nosenko EN, Suslikova LV, Gyulmamedova ID, Doroshenko VE, Saenko AI, Postolyuk IG, Parnitskaya OI. 2011. Retseptivnost endometriya u patsientok s besplodiem. Tekst : monografiya. Donetsk, Izd-vo «Noulidzh»:243.

7. Nosenko EN, Saenko AI, Postolyuk IG. 2012. Immunnaya reaktivnost endometriya u patsientok s neudachnyimi popyitkami vspomogatelnyih reproduktivnyih tehnologiy v anamneze. Tekst. TavrIyskiy mediko-bIologIchniy vIsnik 15;2; 2(58):157–159.

8. Tuckerman E, Laird SM, Prakash A et al. 2007. Prognostic value of the measurement of uterine natural killer cells in the endometrium of women with recurrent miscarriage. Тext. Hum. Reprod. 22;8:2208–2213. http://dx.doi.org/10.1093/humrep/dem141; PMid:17656418

9. Backstrцm E, Kristensson K, Ljunggren HG. 2004. Activation of natural killer cells: underlying molecular mechanisms revealed. Scand. J. Immunol. 60;1–2:14–22. http://dx.doi.org/10.1111/j.0300-9475.2004.01475.x; PMid:15238069