Muzikova E, Clark D A
Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
Am J Reprod Immunol. 1995 Jan;33(1):81-5. doi: 10.1111/j.1600-0897.1995.tb01142.x.
Recurrent spontaneous resorption in DBA/2-mated CBA/J mice has been attributed to damage by NK-lineage cells and TNF-alpha beginning several days after implantation. However, some recent data have suggested CBA/J female mice have a high proportion of preimplantation embryo abnormalities resulting in defective in vitro implantation and impaired trophoblast outgrowth. Could spontaneous abortion be due to a defective embryo ("seed") rather than a hostile post-implantation uterine lining ("soil").
Mated CBA/J females were manipulated so as to have high spontaneous abortion rates and a high percent abnormal embryos, or low resorption rates and a low percent abnormal embryos. Embryos from low aborting females were transferred into high aborting female recipients that were pseudopregnant, and vice versa.
Abnormal embryos from females with high abortion rates implanted in low aborting females and did not show any greater tendency to resorb than normally developed embryos in these recipients. By contrast, normal embryos to some extent and abnormal embryos to a much greater extent, gave a high abortion rate when the recipient female was a high aborter.
Properties of the "soil" into which embryos implant determines the likelihood of success or failure (abortion). Abnormal pre-implantation embryos can be "rescued" by "good soil"; "sick soil" damages both normal and abnormal embryos. Defining the cellular and molecular mechanisms may be useful in understanding basic mechanisms leading to aborting and nonaborting pregnancy.
DBA/2 与 CBA/J 小鼠交配后出现的反复自发性吸收现象,被认为是由于植入后数天开始,NK 细胞系细胞和肿瘤坏死因子-α(TNF-α)造成的损伤所致。然而,最近的一些数据表明,CBA/J 雌性小鼠有很大比例的植入前胚胎异常,导致体外植入缺陷和滋养层生长受损。自然流产是否可能是由于胚胎(“种子”)缺陷,而非植入后子宫内膜(“土壤”)不利所致?
对交配后的 CBA/J 雌性小鼠进行处理,使其具有高自然流产率和高比例异常胚胎,或低吸收率和低比例异常胚胎。将低流产率雌性小鼠的胚胎移植到假孕的高流产率雌性受体中,反之亦然。
高流产率雌性小鼠的异常胚胎植入低流产率雌性小鼠体内后,与这些受体中正常发育的胚胎相比,并没有表现出更高的吸收倾向。相比之下,当受体雌性为高流产率时,正常胚胎在一定程度上,异常胚胎在更大程度上,都会导致高流产率。
胚胎植入的“土壤”特性决定了成功或失败(流产)的可能性。植入前异常胚胎可被“优质土壤”“拯救”;“病态土壤”会损害正常和异常胚胎。明确细胞和分子机制可能有助于理解导致流产和不流产妊娠的基本机制。