Infertility and Health Reproductive Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Immunoregulation Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Reprod Sci. 2021 Jul;28(7):1939-1944. doi: 10.1007/s43032-020-00431-z. Epub 2021 Jan 15.
Most of the findings have focused on the importance of CD4HLA-G and CD8HLA-G regulatory T cells (Treg) during pregnancy. It has been demonstrated that these HLA-G T cell subsets could induce maternal immune tolerance against semi-allogenic conceptus during pregnancy. There are only a few experiments regarding the Treg cells in the context of unexplained infertility (UI). Thirty-five participants including 18 primary unexplained infertile and 17 fertile females were enrolled in this study. A total of 3-5 ml blood samples were taken, and peripheral blood mononuclear cells (PBMCs) were separated by using Ficoll. Using a flow cytometer, the frequency of CD4HLA-G and CD8 HLA-G T cells was assessed in the peripheral blood samples of primary unexplained infertile and fertile females. Our results showed that the frequency of CD8HLA-G Treg cells was significantly lower in primary unexplained infertile females than fertile females (P = 0.048). Although the frequency of CD4HLA-G Treg cells in the primary unexplained infertile females was lower than fertile females, the difference was not statistically significant (P = 0.25). Regarding the important role of CD8HLA-G Treg cells during pregnancy and its decrease in females with primary UI, it seems that reduced CD8 HLA-G Treg cells could be a leading immunological factor in the context of infertility. Nevertheless, more researches are needed in this field.
大多数研究结果都集中在 CD4 HLA-G 和 CD8 HLA-G 调节性 T 细胞(Treg)在妊娠期间的重要性上。已经证明,这些 HLA-G T 细胞亚群可以在妊娠期间诱导母体对半同种异体胚胎的免疫耐受。关于不明原因不孕(UI)背景下的 Treg 细胞,仅有少数实验研究。本研究纳入了 35 名参与者,包括 18 名原发性不明原因不孕和 17 名生育女性。总共采集了 3-5ml 血样,并使用 Ficoll 分离外周血单核细胞(PBMC)。使用流式细胞仪评估原发性不明原因不孕和生育女性外周血中 CD4 HLA-G 和 CD8 HLA-G T 细胞的频率。我们的结果表明,原发性不明原因不孕女性 CD8 HLA-G Treg 细胞的频率明显低于生育女性(P=0.048)。尽管原发性不明原因不孕女性 CD4 HLA-G Treg 细胞的频率低于生育女性,但差异无统计学意义(P=0.25)。鉴于 CD8 HLA-G Treg 细胞在妊娠期间的重要作用及其在原发性 UI 女性中的减少,似乎减少的 CD8 HLA-G Treg 细胞可能是不孕背景下的一个主要免疫因素。然而,该领域仍需要更多的研究。