Characteristics of the phenotype of peripheral blood lymphocytes in women with idiopathic recurrent miscarriage in relation to the outcome of pregnancy during immunocytotherapy

Krechetova L.V., Tetruashvili N.K., Vtorushina V.V., Nikolaeva M.A., Khachatryan N.A., Agadzhanova A.A., Vanko L.V., Ivanets T.Yu., Sukhikh G.T.

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow 117997, Ac. Oparina str. 4, Russia
Objective. To retrospectively analyze the subpopulation composition of peripheral blood lymphocytes in patients with idiopathic recurrent miscarriage (RM) with different outcomes in the first trimester of pregnancy occurring after pregestational alloimmunization.
Subjects and methods. The lymphocyte phenotype was determined in 36 patients with RM in non-pregnant and pregnant states during alloimmunization. Pregnancy in 30 patients resulted in the birth of a baby; 6 patients lost pregnancy.
Results. In the non-pregnant state, the patients with miscarriage had lower levels of NK cells. At 5–6 weeks’ gestation, the decrease in the content of CD3-CD16+, CD56+, CD45+CD56,16+ lymphocyte subpopulations below the threshold with 100% specificity can predict miscarriage.
Conclusion. The obtained result confirms the need for the proinflammatory state of the female immune system in the early stages of gestation to prolong pregnancy and enables the elaboration of approaches to choosing immunomodulatory therapy for patients with idiopathic RM.

Keywords

recurrent miscarriage
pregestational preparation
immunocytotherapy
subpopulation composition of lymphocytes
killer cells

Supplementary Materials

  1. Fig. 1. Dynamics of Treg, CD200 +, β-cells in peripheral blood of patients with a habitual miscarriage with various pregnancy outcomes against the background of allmunization
  2. Fig. 2. Dynamics of lymphocyte subpopulations with killer and cytotoxic function in peripheral blood of women with a habitual miscarriage with different pregnancy outcomes against alloimmunization

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Received 25.04.2017

Accepted 28.04.2017

About the Authors

Krechetova Lyubov V., Ph.D. in medical sciences, Head of Laboratory of Clinical Immunology, Research Center of Obstetrics, Gynecology and Perinatology,
Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954381183. E-mail: k_l_v_@mail.ru
Tetruashvili Nana K., Doctor of Medicine, Head of the Department of Pregnancy Loss Prevention and Therapy, Research Center of Obstetrics,
Gynecology and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954381183. E-mail: tetrauly@mail.ru
Vtorushina Valentina V., Ph.D. in medical sciences, doctor of laboratory diagnostics in Laboratory of Clinical Immunology, Research Center of Obstetrics,
Gynecology and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954381183. E-mail: vtorushina@inbox.ru
Nikolaeva Marina A., Doctor of Science, Leading researcher, Laboratory of Clinical Immunology, Research Center of Obstetrics, Gynecology and Perinatology,
Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954381183. E-mail: nikolaeva_ma@mail.ru
Khachatryan Nelly A., Graduate student, Department of Pregnancy Loss Prevention and Therapy, Research Center of Obstetrics, Gynecology and Perinatology,
Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954381477. E-mail: nelly1986@mail.ru
Agadzanova Anna, Doctor of Medicine, Doctor of Department of Pregnancy Loss Prevention and Therapy, Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954381183. E-mail: aagadjanova@mail.ru
Vanko L.V., doctor of medicine, professor, leading research worker of clinical immunology laboratory, Research Center of Obstetrics, Gynecology and Perinatology,
Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954381183. E-mail: lvanko@mail.ru.
Ivanets Tatiana Y., PhD. in medical sciences, Head of Clinical Diagnostic Laboratory, Research Center of Obstetrics, Gynecology and Perinatology,
Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954382566. E-mail: t_ivanets@oparina4.ru
Sukhikh Gennady T., MD, PhD, Academician of Russian Academy of Sciences, Professor, Director of Research Center of Obstetrics, Gynecology and Perinatology,
Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954381800. E-mail: gtsukhikh@mail.ru

For citations: Krechetova L.V., Tetruashvili N.K., Vtorushina V.V., Nikolaeva M.A., Khachatryan N.A., Agadzhanova A.A., Vanko L.V., Ivanets T.Yu., Sukhikh G.T. Characteristics of the phenotype of peripheral blood lymphocytes in women with idiopathic recurrent miscarriage in relation to the outcome of pregnancy during immunocytotherapy.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (7): 52-60. (in Russian)
http://dx.doi.org/10.18565/aig.2017.7.52-60

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