Volume 3, Issue 2 (2018)                   SJMR 2018, 3(2): 93-97 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Roumandeh N, Saremi A, Sanaye Naderi M, Younesi B, Arasteh J, Zare A. Comparison of Cytokines Levels Released from Th17 and Regulatory T Cells in Patients with Recurrent Spontaneous Abortions and Healthy Women. SJMR 2018; 3 (2) :93-97
URL: http://saremjrm.com/article-1-60-en.html
1- *“Sarem Fertility & Infertility Research Center (SAFIR), Sarem Cell Research Center (SCRC)” Sarem Women’s Hospital” and “Asthma and Allergy Immunology Research Center, Tehran University of Medical Sciences”, Tehran, Iran
2- “Sarem Fertility & Infertility Research Center (SAFIR)” and “Sarem Cell Research Center (SCRC)”, Sarem Women’s Hospital, Tehran, Iran
3- Sarem Fertility & Infertility Research Center (SAFIR), Sarem Women’s Hospital, Tehran, Iran
4- Sarem Women’s Hospital, Tehran, Iran
5- Biology Department, Basic Sciences Faculty, Central Tehran Branch, Islamic Azad University, Tehran, Iran
6- *“Sarem Fertility & Infertility Research Center (SAFIR), Sarem Cell Research Center (SCRC)” Sarem Women’s Hospital” and “Asthma and Allergy Immunology Research Center, Tehran University of Medical Sciences”, Tehran, Iran , zare-a@alumnus.tums.ac.ir
Abstract:   (4627 Views)

Aims: Unexplained recurrent spontaneous abortion (URSA) might be caused by an immunological rejection of fetus due to the immune dysregulation during pregnancy. It is supposed that the balance between Th17 and regulatory T cells (Treg) is one of the immune system regulatory mechanisms for pregnancy. The objective of the present study was to evaluate the Treg and Th17 cytokines in the women with URSA compared to healthy women.
Materials and Methods: This case-control study was carried out on 30 women with a history of three or more URSA (case group) and 28 normal healthy women with at least one successful delivery (control group) in Sarem women hospital (Tehran, Iran). The levels of IL-17, IL-21, IL-10 and TGF-β were measured in the serum samples by ELISA method and compared between two groups. The data were analyzed by Mann-Whitney U test and Spearman's rank correlation coefficient using SPSS 22 software.
Findings: The level of IL-17 in the case group was significantly higher than the control group (p<0.001). Also, the level of TGF-β in the control group was significantly higher than URSA patients (p=0.001). The serum level of IL-17 showed a positive correlation with TGF-β in URSA group (r=0.554; p=0.002). There were no significant differences in IL-21 and IL-10 levels between two groups (p>0.05).
Conclusion: The level of IL-17 in patients with URSA is higher than normal healthy women, however, the concentration of TGF-β in women with URSA is lower than healthy women; these findings show that Th17 immunity and regulatory T cell-mediated immune regulation are involved in the pathogenesis of URSA.

Full-Text [PDF 538 kb]   (1361 Downloads) |   |   Full-Text (HTML)  (377 Views)  
Article Type: Original Research | Subject: Reproduction
Received: 2017/02/8 | Accepted: 2017/06/28 | Published: 2018/08/23

References
1. Tripathi S, Guleria I. Role of PD1/PDL1 pathway, and TH17 and treg cells in maternal tolerance to the fetus. Biomed J. 2015;38(1):25-31. [Link] [DOI:10.4103/2319-4170.143511] [PMID]
2. Bao SH, Wang XP, De Lin Q, Wang WJ, Yin GJ, Qiu LH. Decidual CD4+CD25+CD127dim/- regulatory T cells in patients with unexplained recurrent spontaneous miscarriage. Eur J Obstet, Gynecol, Reprod biol. 2011;155(1):94-8. [Link] [DOI:10.1016/j.ejogrb.2010.11.007] [PMID]
3. Pandey MK, Rani R, Agrawal S. An update in recurrent spontaneous abortion. Arch Gynecol Obstet. 2005;272(2):95-108. [Link] [DOI:10.1007/s00404-004-0706-y] [PMID]
4. Somerset DA, Zheng Y, Kilby MD, Sansom DM, Drayson MT. Normal human pregnancy is associated with an elevation in the immune suppressive CD25+ CD4+ regulatory T-cell subset. Immunol. 2004;112(1):38-43. [Link] [DOI:10.1111/j.1365-2567.2004.01869.x] [PMID] [PMCID]
5. Fu B, Tian Z, Wei H. TH17 cells in human recurrent pregnancy loss and pre-eclampsia. Cell Mol Immunol. 2014;11(6):564-70. [Link] [DOI:10.1038/cmi.2014.54] [PMID] [PMCID]
6. Xiong H, Zhou C, Qi G. Proportional changes of CD4+CD25+Foxp3+ regulatory T cells in maternal peripheral blood during pregnancy and labor atterm and preterm. Clin Invest Med Med. 2010;33(6):E422. [Link] [DOI:10.25011/cim.v33i6.14594]
7. Steinborn A, Haensch GM, Mahnke K, Schmitt E, Toermer A, Meuer S, et al. Distinct subsets of regulatory T cells during pregnancy: is the imbalance of these subsets involved in the pathogenesis of preeclampsia?. Clin Immunol. 2008;129(3):401-12. [Link] [DOI:10.1016/j.clim.2008.07.032] [PMID]
8. Santner Nanan B, Peek MJ, Khanam R, Richarts L, Zhu E, Fazekas de St Groth B, et al. Systemic increase in the ratio between Foxp3+ and IL-17-producing CD4+ T cells in healthy pregnancy but not in preeclampsia. J Immunol. 2009;183(11):7023-30. [Link] [DOI:10.4049/jimmunol.0901154] [PMID]
9. Wang WJ, Hao CF, Qu QL, Wang X, Qiu LH, Lin QD. The deregulation of regulatory T cells on interleukin-17-producing T helper cells in patients with unexplained early recurrent miscarriage. Hum Reprod. 2010;25(10):2591-6. [Link] [DOI:10.1093/humrep/deq198] [PMID]
10. Wang WJ, Hao CF, Yi L, Yin GJ, Bao SH, Qiu LH, et al. Increased prevalence of T helper 17 (Th17) cells in peripheral blood and decidua in unexplained recurrent spontaneous abortion patients. J Reprod Immunol. 2010;84(2):164-70. [Link] [DOI:10.1016/j.jri.2009.12.003] [PMID]
11. Lee SK, Kim JY, Hur SE, Kim CJ, Na BJ, Lee M, et al. An imbalance in interleukin-17-producing T and Foxp3(+) regulatory T cells in women with idiopathic recurrent pregnancy loss. Hum Reprod. 2011;26(11):2964-71. [Link] [DOI:10.1093/humrep/der301] [PMID]
12. Arruvito L, Sanz M, Banham AH, Fainboim L. Expansion of CD4+CD25+and FOXP3+ regulatory T cells during the follicular phase of the menstrual cycle: Implications for human reproduction. J Immunol. 2007;178(4):2572-8. [Link] [DOI:10.4049/jimmunol.178.4.2572]
13. Sasaki Y, Sakai M, Miyazaki S, Higuma S, Shiozaki A, Saito S. Decidual and peripheral blood CD4+CD25+ regulatory T cells in early pregnancy subjects and spontaneous abortion cases. Mol Hum Reprod. 2004;10(5):347-53. [Link] [DOI:10.1093/molehr/gah044] [PMID]
14. Liu YS, Wu L, Tong XH, Wu LM, He GP, Zhou GX, et al. Study on the relationship between Th17 cells and unexplained recurrent spontaneous abortion. Am J Reprod Immunol. 2011;65(5):503-11. [Link] [DOI:10.1111/j.1600-0897.2010.00921.x] [PMID]
15. Piccinni MP. T cell tolerance towards the fetal allograft. J Reprod Immunol. 2010;85(1):71-5. [Link] [DOI:10.1016/j.jri.2010.01.006] [PMID]
16. Winger EE, Reed JL. Low circulating CD4(+) CD25(+) Foxp3(+) T regulatory cell levels predict miscarriage risk in newly pregnant women with a history of failure. Am J Reprod Immunol. 2011;66(4):320-8. [Link] [DOI:10.1111/j.1600-0897.2011.00992.x] [PMID]
17. Sereshki N, Gharagozloo M, Ostadi V, Ghahiri A, Roghaei MA, Mehrabian F, et al. Variations in T-helper 17 and regulatory T cells during the menstrual cycle in peripheral blood of women with recurrent spontaneous abortion. Int J fertil steril. 2014;8(1):59-66. [Link] [PMID] [PMCID]
18. Saini V, Arora S, Yadav A, Bhattacharjee J. Cytokines in recurrent pregnancy loss. Int J Clin Chemist. 2011;412(9-10):702-8. [Link] [DOI:10.1016/j.cca.2011.01.002]
19. Lee SK, Kim JY, Lee M, Gilman Sachs A, Kwak Kim J. Th17 and regulatory T cells in women with recurrent pregnancy loss. Am J Reprod Immunol. 2012;67(4):311-8. [Link] [DOI:10.1111/j.1600-0897.2012.01116.x] [PMID]
20. Yang H, Qiu L, Chen G, Ye Z, Lu C, Lin Q. Proportional change of CD4+CD25+ regulatory T cells in decidua and peripheral blood in unexplained recurrent spontaneous abortion patients. Fertil Steril. 2008;89(3):656-61. [Link] [DOI:10.1016/j.fertnstert.2007.03.037] [PMID]
21. Mei S, Tan J, Chen H, Chen Y, Zhang J. Changes of CD4+ CD25high regulatory T cells and FOXP3 expression in unexplained recurrent spontaneous abortion patients. Fertil Steril. 2010;94(6):2244-7. [Link] [DOI:10.1016/j.fertnstert.2009.11.020] [PMID]
22. Saifi B, Rezaee SA, Tajik N, Ahmadpour ME, Ashrafi M, Vakili R, et al. Th17 cells and related cytokines in unexplained recurrent spontaneous miscarriage at the implantation window. Reprod Biomed Online. 2014;29(4):481-9. [Link] [DOI:10.1016/j.rbmo.2014.06.008] [PMID]
23. Yue CY, Zhang B, Ying CM. Elevated serum level of IL-35 associated with the maintenance of maternal-fetal immune tolerance in normal pregnancy. Plos One. 2015;10(6):e0128219. [Link] [DOI:10.1371/journal.pone.0128219] [PMID] [PMCID]

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | {Sarem Journal of Medical Research}

Designed & Developed by : Yektaweb