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复发性流产中胎盘白细胞介素-15 的表达。

Placental interleukin-15 expression in recurrent miscarriage.

机构信息

Department of Gynecological Endocrinology and Fertility Disorders, Ruprechts-Karls University, Heidelberg, Germany.

出版信息

Am J Reprod Immunol. 2010 Dec;64(6):402-10. doi: 10.1111/j.1600-0897.2010.00879.x.

DOI:10.1111/j.1600-0897.2010.00879.x
PMID:20560915
Abstract

PROBLEM

Cytokines play a fundamental role at the feto-maternal interface. A dysregulation of the cytokine profile could be linked with fetal rejection. This study investigated differences in the expression of the Th1 cytokine interleukin-15 (IL-15) of normal and disturbed pregnancy.

METHOD OF STUDY

Analysis of IL-15 expression by immunohistochemistry and real-time RT-PCR in placental tissue from normal pregnancies, spontaneous miscarriage and recurrent miscarriage (RM) was performed.

RESULTS

Expression of IL-15 was upregulated on mRNA and protein level in the placenta of miscarriage patients, especially in patients with RM. Immunohistochemistry and immunofluorescence double staining revealed extravillous trophoblast cells (EVT) as IL-15-expressing cells. Staining results were confirmed by real-time PCR (TaqMan).

CONCLUSION

Increased expression of IL-15 in the decidua of patients with RM may be linked to disturbed implantation and vascularization with consecutive placental and fetal rejection.

摘要

问题

细胞因子在胎-母界面中起着至关重要的作用。细胞因子谱的失调可能与胎儿排斥有关。本研究旨在探讨正常妊娠和异常妊娠(如自然流产和复发性流产)中 Th1 细胞因子白细胞介素-15(IL-15)表达的差异。

方法

通过免疫组织化学和实时 RT-PCR 分析正常妊娠、自然流产和复发性流产患者胎盘组织中 IL-15 的表达。

结果

流产患者胎盘组织中 IL-15 的 mRNA 和蛋白水平均呈上调表达,尤其是复发性流产患者。免疫组织化学和免疫荧光双重染色显示,绒毛外滋养层细胞(EVT)是 IL-15 的表达细胞。实时 PCR(TaqMan)验证了染色结果。

结论

复发性流产患者蜕膜中 IL-15 的表达增加可能与着床和血管化异常有关,进而导致胎盘和胎儿的排斥。

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