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2009 | 50 | 4 |

Tytuł artykułu

Frequencies of killer immunoglobulin-like receptor genotypes influence susceptibility to spontaneous abortion

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Natural killer (NK) cells are the most abundant lymphocyte population in the decidua. These cells express killer immunoglobulin-like receptors (KIRs), which upon recognition of HLA class I molecules on tropho- blasts may either stimulate NK cells (activating KIRs) or inhibit them (inhibitory KIRs) to produce soluble factors necessary for the maintenance of pregnancy. KIR genes exhibit extensive haplotype polymorphism; individuals differ in both the number and kind (activating vs. inhibitory) of KIR genes. This polymorphism affects NK cell reactivity and susceptibility to diseases, including gynecological disorders. Therefore we ATR-genotyped 149 spontaneously aborting women and 117 control multiparae (at least 2 healthy-born children). Several genotypes (i.e. combinations of various KIR genes) were differently distributed among the patients and control subjects. Differences were observed in the numbers and the ratios of activating to inhibitory KIRs between patients and healthy women: (i) genotypes containing 6 activating KIR genes were less frequent and those containing 6 inhibitory KIR genes were more frequent in patients than in control subjects, and (ii) an excess of inhibitory KIRs (activating-to-inhibitory KIR gene ratios of 0.33 to 0.83) was associated with miscarriage, whereas ratios close to equilibrium (0.86-1.25) seemed to be protective. In addition, the results suggest for the first time that sporadic and recurrent spontaneous abortions as well as miscarriage in the presence or absence of autoantibodies may have different KIR genotypie backgrounds.

Wydawca

-

Rocznik

Tom

50

Numer

4

Opis fizyczny

p.391-398,fig.,ref.

Twórcy

autor
  • Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Rudolfa Weigla 12, 53-114 Wroclaw, Poland
autor
  • Polish Mother's Memorial Hospital - Research Institute, Łódź, Poland
  • Polish Mother's Memorial Hospital - Research Institute, Łódź, Poland
autor
  • Medical University of Warsaw, Poland
  • Polish Mother's Memorial Hospital - Research Institute, Łódź, Poland
autor
  • Wrocław Medical University, Poland
autor
  • Institute of Human Genetics, Polish Academy of Sciences, Poznań, Poland
autor
  • Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Rudolfa Weigla 12, 53-114 Wroclaw, Poland
autor
  • Polish Mother's Memorial Hospital - Research Institute, Łódź, Poland
  • Wrocław Medical University, Poland
autor
  • Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Rudolfa Weigla 12, 53-114 Wroclaw, Poland
autor
  • Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Rudolfa Weigla 12, 53-114 Wroclaw, Poland
autor
  • City of Hope National Medical Center, Duarte, CA, USA
autor
  • City of Hope National Medical Center, Duarte, CA, USA
  • Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Rudolfa Weigla 12, 53-114 Wroclaw, Poland
  • Jan Długosz Pedagogical University, Częstochowa, Poland

Bibliografia

  • Croy BA, van den Heuvel MJ, Borzychowski AM, Tayade C, 2006. Uterine natural killer cells: a specialized differentiation regulated by ovarian hormones. Immunol Rev 214: 161-185.
  • Hanna J, Goldman-Wohl D, Hamani Y, Avraham I, Greenfield C, Natanson-Yaron S, et al. 2006. Decidual NK cells regulate key developmental processes at the human fetal-maternal interface. Nat Med 12: 1065-1074.
  • Hiby SE, Regan L, Lo W, Farrell L, Carrington M, Moffett A, 2008. Association of maternal killer-cell immunoglobulin-like receptors and parental HLA-C genotypes with recurrent miscarriage. Hum Reprod 23: 972-976.
  • Hiby SE, Walker JJ, O'Shaughnessy KM, Redman CWG, Carrington M, Trowsdale J, et al. 2004. Combinations of maternal KIR and fetal HLA-C genes influence the risk of preeclampsia and reproductive success. J Exp Med 200: 957-965.
  • Kitawaki J, Xu B, Ishihara H, Fukui M, Hasegawa G, Nakamura N, et al. 2007. Association of killer cell immunoglobulin-like receptor genotypes with susceptibility to endometriosis. Am J Reprod Immunol 58:481-486.
  • Koopman LA, Kopcow HD, Rybalov B, Boyson JE, Orange JS, Schatz F, et al. 2003. Human decidual natural killer cells are a unique NK cell subset with immunomodulatory potential. J Exp Med 198: 1201-1212.
  • Parham P, 2005. MHC class I molecules and KIRs in human history, health and survival. Nature Rev Immunol 5: 201-214.
  • Parham P, 2004. NK cells and trophoblasts: partners in pregnancy. J Exp Med 200: 951-955.
  • Rajalingam R, 2007. Killer cell immunoglobulin-like receptors influence the innate and adaptive immune responses. Iran J Immunol 4: 61-78.
  • Saito S, Nakashima A, Myojo-Higuma S, Shiozaki A, 2008. The balance between cytotoxic NK cells and regulatory NK cells in human pregnancy. J Reprod Immunol 77: 14-22.
  • Santoni A, Zingoni A, Carboni C, Gismondi A, 2007. Natural killer (NK) cells from killers to regulators: Distinct features between peripheral blood and decidual NK cells. Am J Reprod Immunol 58: 280-288.
  • Sun JY, Gaidulis L, Miller MM, et al. 2004. Development of a multiplex PCR-SSP method for killer-cell immunoglobulin-like receptor genotyping. Tissue Antigens 64: 462-468.
  • Trundley A, Moffett A, 2004. Human uterine leukocytes and pregnancy. Tissue Antigens 63: 1-12.
  • Varla-Leftherioti M, Spyropoulou-Vlachou M, Keramitsoglou T, Papadimitropoulos M, Tsekoura C, Graphou O, etal. 2005. Lackofthe appropriate natural killer cell inhibitory receptors in women with spontaneous abortion. Hum Immunol 66: 65-71.
  • Wilczyński JR, 2006. Immunological analogy between allograft rejection, recurrent abortion and pre-eclampsia - the same basic mechanism? Hum Immunol 67: 492-511.
  • Witt CS, Goodridge J, Gerbase-DeLima MG, Daher S, Christiansen FT, 2004. Maternal KIR repertoire is not associated with recurrent spontaneous abortion. Hum Reprod 19: 2653-2657.

Typ dokumentu

Bibliografia

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Identyfikator YADDA

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