From the Department of Immunology, Medical College, Ahwaz University of Medical Sciences
Abstract: (4055 Views)
The purpose of this study was to investigate and compare whether the explant
supernatants prepared from endometrial tissues during the proliferative phase,
secretory phase and early pregnancy differ in immunosuppressive activity.
Specimens of nonpregnant endometrium from hysterectomies and normal first
trimester decidua following elective aspiration termination of pregnancy were
obtained. Supernatants from culture of endometrium or decidual fragments were
prepared after 24, 48 and 72 hours. The effect of the supernatants on mitogeninduced
lymphoproliferation in vitro was assessed. The percentage of suppression
was calculated and then data were evaluated using Student's t-test. The results
confinned that endometrial immunosuppressive activity exists throughout the
reproductive cycle and confirm that early pregnancy decidua is a source of
immunoregulatory factors. Immunosuppressive activity was increased in early
pregnancy decidua compared with secretory phase endometrium but the results did
not reach statistical signifIcance. In contrast, the difference in immunosuppressive
activity between proliferative endometrium and early pregnancy decidua was
highly significant. In conclusion, the high frequency of early embryonic loss
before implantation and the low success rate of in vitro fertilization (IVF), embryo
transfer and pathological pregnancy in humans can be explained in part by lack of
suppressor activity in the endometrium.