Evaluation of peripheral natural killer cell as a risk factor for women with spontaneous abortion
DOI:
https://doi.org/10.32792/jeps.v13i2.294Abstract
Background: Spontaneous abortion (SA) is one of the major pregnancy disorders and poses a serious risk
to both the mother and the fetus. A large number of evidence confirms that there may be an immune
background to SA. The major possibility of apparently unexplained SA is thought to be caused by an
imbalance of immunological tolerance, a condition in which Natural killer NK cells may play an
important role. Increased peripheral Natural Killer Cell (pNK) activity may cause SA. The aim of the
current study is to find out whether natural killer cells have a role in abortion in women by measuring
their concentration in the blood using the ELISA technique.
Materials and methods: The current study includes 50 samples from spontaneous abortion SA women
and 30 samples from healthy pregnancy outcomes (control). Where it was collected from: Babylon
Teaching Hospital for Maternity and Children and AL-Imam AL-Sadiq Teaching Hospital in Hilla City
during the period from October 2022 to December 2022. When an ultrasound scan confirmed the death of
the fetus and the signs of SA appeared on the patient, 3 ml of venous blood from patients and healthy
controls were collected by the physician, and the samples were used for immunological detection of pNK
cell levels by the ELISA method.
Results: Depending on the data that appeared in the work, there is a discrepancy in the concentrations
between patients and controls, but it doesn't reach the degree of significance. The statistical analysis
showed that the concentration of NK cells in patients was not significant compared with the controls'
means (107.33 and 80.229) respectively and the standard deviation (46.64 and 23.73).
Conclusion: Results from this study suggest that the NK cells themselves may not cause SA, but rather
that this rise may be due to another cause. This is because the concentration of natural killer cells isslightly elevated in the peripheral blood of aborted women compared to healthy women, and it is only
associated with cases of recurrent spontaneous abortion.
References
Fu, Y.-Y., Ren, C.-E., Qiao, P.-Y. and Meng, Y.-H. (2021), Uterine natural killer cells and recurrent
spontaneous abortion. Am J Reprod Immunol, 86: e13433.
Fan Hao, Xiangyu Zhou, Liping Jin, (2020), Natural killer cells: functional differences in recurrent
spontaneous abortion, Biology of Reproduction, Vol.102, NO.3, PP. 524–531.
Rougang, Y., Xiaoli, Z., & Xinwen, Z. (2023). Research progress in the mechanism of action of NK
cell-related receptors during recurrent spontaneous abortion. Academic Journal of Medicine & Health
Sciences, Vol.4, No.3
Salazar, M. D., Wang, W. J., Skariah, A., He, Q., Field, K., Nixon, M. & Kwak-Kim, J. (2022). Posthoc
evaluation of peripheral blood natural killer cell cytotoxicity in predicting the risk of recurrent
pregnancy losses and repeated implantation failures. Journal of Reproductive Immunology, 150, 103487.
El-Badawy, O., Helmy, A. S., Abbas, A. M., Zahran, A. M., Afifi, N. A., & Abdel-Rahim, M. H.
(2020). Concordance between peripheral and decidual NK cell subsets and killer immunoglobulin-like
receptors in women with recurrent spontaneous miscarriages. Journal of Reproductive Immunology, 140,
Zhang, X., & Wei, H. (2021). Role of decidual natural killer cells in human pregnancy and related
pregnancy complications. Frontiers in immunology, Vol.12, 728291.
Wang XQ, Zhou WJ, Hou XX, Fu Q, Li DJ. (2018), Trophoblast-derived CXCL16 induces M2
macrophage polarization that in turn inactivates NK cells at the maternal-fetal interface. Cell Mol
Immunol; Vol.15:PP.1038–1046
Donskoi, B. V., Osypchuk, D. V., Baksheev, S. M., Sudoma, I. O., Goncharova, Y. O., Palyha, I. E. &
Shapovalenko, N. O. (2022). A blinded multicenter investigation: Accentuated NK lymphocyte CD335
(NKp46) expression predicts reproductive failures after IVF. Immunology Letters, 251, 47-55.
Rougang, Y., Xiaoli, Z., & Xinwen, Z. (2023). Research progress in the mechanism of action of NK
cell-related receptors during recurrent spontaneous abortion. Academic Journal of Medicine & Health
Sciences, Vol.4, No.3
Guerrero, B., Hassouneh, F., Delgado, E., Casado, J. G., & Tarazona, R. (2020). Natural killer cells in
recurrent miscarriage: An overview. Journal of Reproductive Immunology, Vol.142, 103209
Toth, B., Vomstein, K., Togawa, R., Böttcher, B., Hudalla, H., Strowitzki, T. & Kuon, R. J. (2019).
The impact of previous live births on peripheral and uterine natural killer cells in patients with recurrent
miscarriage. Reproductive Biology and Endocrinology, Vol.17, PP. 1-8.
Dons’ koi, B., Onyshchuk, O., Kononenko, I., Sirenko, V., Bodnar, N., Serbyn, A. & Chernychov, V.
(2022). Accentuated peripheral blood NK cytotoxicity forms an unfavorable background for embryo
implantation and gestation. Diagnostics, Vol.12, No.4, P.908.
Hou, Y., Liu, Q., Jin, D., Li, J., Huang, L., & Qiao, C. (2022). The predictive value of NKG2C+ NK
cells and LILRB1+ NK cells in recurrent spontaneous abortion. American Journal of Reproductive
Immunology, e13627.
Bai, K., Li, X., Zhong, J., Ng, E. H., Yeung, W. S., Lee, C. L., & Chiu, P. C. (2021). Placenta-derived exosomes as a
modulator in maternal immune tolerance during
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Journal of Education for Pure Science- University of Thi-Qar
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Authors understand that, the copyright of the articles shall be assigned to Journal of education for Pure Science (JEPS), University of Thi-Qar as publisher of the journal.
Copyright encompasses exclusive rights to reproduce and deliver the article in all form and media, including reprints, photographs, microfilms and any other similar reproductions, as well as translations. The reproduction of any part of this journal, its storage in databases and its transmission by any form or media, such as electronic, electrostatic and mechanical copies, photocopies, recordings, magnetic media, etc. , will be allowed only with a written permission from Journal of education for Pure Science (JEPS), University of Thi-Qar.
Journal of education for Pure Science (JEPS), University of Thi-Qar, the Editors and the Advisory International Editorial Board make every effort to ensure that no wrong or misleading data, opinions or statements be published in the journal. In any way, the contents of the articles and advertisements published in the Journal of education for Pure Science (JEPS), University of Thi-Qar are sole and exclusive responsibility of their respective authors and advertisers.