Association between chronic endometritis and uterine natural killer cell density in women with recurrent miscarriage: clinical implications

复发性流产妇女慢性子宫内膜炎与子宫自然杀伤细胞密度的关系:临床意义

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作者:Xiaoyan Chen, Yingyu Liu, Yiwei Zhao, Wing Ching Cheung, Tao Zhang, Ruofan Qi, Jacqueline Pui Wah Chung, Chi Chiu Wang, Tin Chiu Li

Aim

This aim of this study was to determine the association between uterine natural killer (uNK) cell density and chronic endometritis (CE).

Conclusion

To conclude, there was a significant association between high uNK cell density and CE. In women with high uNK cell density, plasma cell should be examined to determine if the underlying cause is associated with CE.

Methods

Endometrial biopsies from 135 women with recurrent miscarriage were obtained precisely 7 days after luteinizing hormone surge in natural cycles. Endometrial sections were immunostained for CD56 for uNK cells and CD138 for plasma cells, respectively. Uterine NK cell counting was performed according to a standardized protocol and

Results

The uNK cells density in women with CE (median, 5.1%; range, 3.4-8.8%) was significantly (P < 0.05) higher than that of those without CE (median, 3.8%; range, 1.2%-7.3%). The prevalence of high uNK cell density in women with CE (11/29, 37.9%) was significantly (P < 0.05) higher than that of women without CE (8/106, 7.5%).

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