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Erschienen in: Virchows Archiv 3/2006

01.03.2006 | Original Article

Serious foetal growth restriction is associated with reduced proportions of natural killer cells in decidua basalis

verfasst von: Irina P. Eide, Toril Rolfseng, Christina V. Isaksen, Reidun Mecsei, Borghild Roald, Stian Lydersen, Kjell Å. Salvesen, Nina K. Harsem, Rigmor Austgulen

Erschienen in: Virchows Archiv | Ausgabe 3/2006

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Abstract

Extravillous trophoblasts are major participants in placental development and remodelling of spiral arteries. Trophoblast invasion is regulated by maternal immune cells, and abnormal leucocyte subpopulation composition has been reported in implantation failure. In pre-eclampsia (PE), with or without foetal growth restriction (FGR), superficial trophoblast invasion and insufficient remodelling of spiral arteries are common findings. In the present study, we have compared spiral artery remodelling and leucocyte composition in decidual tissue from 30 cases (PE=8, FGR=5, PE + FGR=17) and 31 controls. Six histological remodelling criteria were established, and each pregnancy obtained a remodelling score. Numbers of natural killer (NK) cells (CD56+), T cells (CD3+) and activated (CD25+ or CD69+) leucocytes were determined and related to total leucocyte (CD45+) numbers in serial sections. Cases demonstrated significantly impaired spiral artery remodelling, inappropriate placental growth and reduced NK cell proportions, as compared to controls (P=0.02, P<0.001 and P=0.01, respectively). Reduced NK cell proportion was primarily found in pregnancies complicated by FGR, with or without PE, and a significant positive correlation was observed between NK cell proportion, trophoblast infiltration and placental growth. Our in vivo observations support the hypothesized association between NK cells, impaired placental development and pathogenesis of PE/FGR.
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Metadaten
Titel
Serious foetal growth restriction is associated with reduced proportions of natural killer cells in decidua basalis
verfasst von
Irina P. Eide
Toril Rolfseng
Christina V. Isaksen
Reidun Mecsei
Borghild Roald
Stian Lydersen
Kjell Å. Salvesen
Nina K. Harsem
Rigmor Austgulen
Publikationsdatum
01.03.2006
Verlag
Springer-Verlag
Erschienen in
Virchows Archiv / Ausgabe 3/2006
Print ISSN: 0945-6317
Elektronische ISSN: 1432-2307
DOI
https://doi.org/10.1007/s00428-005-0107-z

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