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American journal of reproductive immunology (New York, N.Y. : 1989) · 2025

Distinct Suppression of Prednisone on Endometrial Immune Cells in Women With Reproductive Failure.

СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Chen Lu, Chen Xiaoyan, Xu Qianhan, Li Joshua Jing Xi, Yang Wen-Jui, Wu Hanbin, Wang Chi Chiu, Fan Xiaodan, Ji Jie, Chung Jacqueline Pui Wah, Li Mingqing, Li Tin Chiu, Zhang Tao

Аннотация

RESEARCH QUESTION: For women with reproductive failure, prednisone is widely used but remains controversial as a therapy for improving clinical outcomes. This study aimed to investigate the impact of prednisone on various endometrial immune cells.

DESIGN: A total of 24 women with repeated implantation failure and recurrent miscarriage underwent their first endometrial biopsy precisely 7 days after luteinizing hormone surge (LH surge +7). Prednisone was administered from the first day of the subsequent menstrual cycle, followed by the second endometrial sampling on day LH surge +7 again. The density and cell-cell clustering of CD3-CD56+CD16- NK cells, CD3-CD56+CD16+ NK cells, CD68+CD16- macrophages, CD68+CD16+ macrophages, CD3+CD56- T cells, and CD3+CD56+ NK-T cells were analyzed by multiplex staining and compared before and after prednisone treatment.

RESULTS: Following prednisone treatment, a significant decrease in the percentage of CD3-CD56+CD16- NK cells (p < 0.001), CD68+CD16- macrophages (p = 0.007), and their clustering degree (p = 0.038) was observed. No significant changes were noted in CD3-CD56+CD16+ NK cells, CD68+CD16+ macrophages, CD3+CD56- T cells, CD3+CD56+ NK-T cells, and their cell-cell clustering.

CONCLUSION: Prednisone does not generally reduce all endometrial immune cells; instead, it selectively suppresses specific immune cell subtypes in women with reproductive failure.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты