Barnie Prince A, Lin Xin, Liu Yueqin, Xu Huaxi, Su Zhaoliang
Department of Immunology, School of Medicine, Jiangsu University Zhenjiang 212013, PR China ; Department of Biomedical and Forensic Sciences, School of Biological Sciences, University of Cape Coast Ghana.
Department of Laboratory Medicine, The Fourth Affiliated Hospital of Jiangsu University Zhenjiang 212001, PR China.
Int J Clin Exp Pathol. 2015 Sep 1;8(9):11100-7. eCollection 2015.
In pregnancy, the immunologic system plays an important role that ensures normal pregnancy development and can as well promote the development of complications. Pregnancy success appears to rely on a discrete balance between the Th cytokines, which are involved in fetal growth and development. Preeclampsia and gestational diabetes are known complications associated with pregnancy. However, the source of the increased IL-17 cytokine in preeclampsia and other pregnancy associated diseases still remains unclear amidst numerous inconsistencies. The recent identification of innate lymphoid cells (ILC) has raised more doubts about the sources of most of the Th associated cytokines. We investigated the source of peripheral IL-17 levels in preeclamptic, gestational diabetics and chronic diabetics compared to healthy pregnancy subjects. To evaluate the source of the increased IL-17 cytokine among preeclampsia, chronic diabetic and gestational diabetic patients we investigated the proportion of Th17 cell populations in peripheral blood mononuclear cells using flow cytometry as well as analyzing levels of IFN-γ, IL-17, IL-1β and HMGB1. This study found that the Th17 cell populations in peripheral blood of preeclamptic, gestational nor chronic diabetes during pregnancy did not correlate with the increased IL-17. We report that the increased IL-17 levels observed in patients with preeclampsia, gestational diabetes and chronic diabetes are associated with innate lymphoid cells 3 (ILC3) and may pose threats to the fetus if disregulated.
在妊娠过程中,免疫系统发挥着重要作用,既能确保妊娠正常发展,也可能促进并发症的发生。妊娠成功似乎依赖于参与胎儿生长发育的Th细胞因子之间的微妙平衡。先兆子痫和妊娠期糖尿病是已知的与妊娠相关的并发症。然而,在众多相互矛盾的研究中,先兆子痫和其他妊娠相关疾病中白细胞介素-17(IL-17)细胞因子增加的来源仍不清楚。最近对先天性淋巴细胞(ILC)的鉴定,对大多数与Th相关的细胞因子的来源提出了更多疑问。我们研究了先兆子痫患者、妊娠期糖尿病患者和慢性糖尿病患者外周血IL-17水平的来源,并与健康妊娠受试者进行了比较。为了评估先兆子痫、慢性糖尿病和妊娠期糖尿病患者中IL-17细胞因子增加的来源,我们使用流式细胞术研究了外周血单个核细胞中Th17细胞群体的比例,并分析了干扰素-γ(IFN-γ)、IL-17、白细胞介素-1β(IL-1β)和高迁移率族蛋白B1(HMGB1)的水平。本研究发现,妊娠期间先兆子痫患者、妊娠期糖尿病患者和慢性糖尿病患者外周血中的Th17细胞群体与IL-17的增加无关。我们报告称,在先兆子痫、妊娠期糖尿病和慢性糖尿病患者中观察到的IL-17水平升高与先天性淋巴细胞3(ILC3)有关,如果调节失控,可能会对胎儿构成威胁。