PMID- 24689450 OWN - NLM STAT- MEDLINE DCOM- 20150519 LR - 20140423 IS - 1447-0756 (Electronic) IS - 1341-8076 (Linking) VI - 40 IP - 5 DP - 2014 May TI - Recurrent miscarriage is associated with a decline of decidual natural killer cells expressing killer cell immunoglobulin-like receptors specific for human leukocyte antigen C. PG - 1288-95 LID - 10.1111/jog.12329 [doi] AB - AIM: To investigate the relationship between natural killer (NK) cell phenotype and recurrent miscarriage (RM). METHODS: We studied killer cell immunoglobulin-like receptor (KIR) expression on decidual NK cells in women with RM. RESULTS: The expression of KIR2DL1/S1 on CD56(+) CD16(-) NK cells in the deciduas of these women was significantly lower than in that of control subjects (P = 0.026). There was a significant decline in the frequency of CD56(+) CD16(-) NK cells staining for KIR2DL1/S1 and KIR2DL2/S2/L3 throughout the first trimester in patients (P < 0.05). Furthermore, by stratification of the women in three groups according to gestational stage, it was found that KIR2DL1/S1 expressing NK cells were significantly decreased in all groups, especially around gestational days 50-70 (P = 0.010). CONCLUSION: This is the first report to demonstrate that RM is associated with a decline in the frequency of decidual NK cells expressing KIR specific for human leukocyte antigen (HLA)-C, and in which gestational stage was considered. The results suggest that KIR phenotype contributes to the pathogenesis of the disease, and that assessment of KIR may serve as a diagnostic tool. CI - (c) 2014 The Authors. Journal of Obstetrics and Gynaecology Research (c) 2014 Japan Society of Obstetrics and Gynecology. FAU - Wang, Shan AU - Wang S AD - Department of Obstetrics and Gynecology, Provincial Hospital Affiliated to Shandong University, Jinan, China. FAU - Li, Yan-Ping AU - Li YP FAU - Ding, Bo AU - Ding B FAU - Zhao, Yue-Ran AU - Zhao YR FAU - Chen, Zi-Jiang AU - Chen ZJ FAU - Xu, Cheng-Yan AU - Xu CY FAU - Fu, Yi-Bing AU - Fu YB FAU - Wang, Xie-Tong AU - Wang XT LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140402 PL - Australia TA - J Obstet Gynaecol Res JT - The journal of obstetrics and gynaecology research JID - 9612761 RN - 0 (HLA-C Antigens) RN - 0 (Receptors, KIR) SB - IM MH - Abortion, Habitual/*etiology/immunology MH - Adult MH - Decidua/*immunology MH - Female MH - Fluorescent Antibody Technique MH - Gestational Age MH - HLA-C Antigens/*metabolism MH - Humans MH - Immunophenotyping MH - Killer Cells, Natural/*immunology MH - Pregnancy MH - Receptors, KIR/*analysis OTO - NOTNLM OT - decidua OT - human OT - killer cell immunoglobulin-like receptor OT - natural killer cells OT - recurrent miscarriage EDAT- 2014/04/03 06:00 MHDA- 2015/05/20 06:00 CRDT- 2014/04/03 06:00 PHST- 2013/02/05 00:00 [received] PHST- 2013/10/12 00:00 [accepted] PHST- 2014/04/03 06:00 [entrez] PHST- 2014/04/03 06:00 [pubmed] PHST- 2015/05/20 06:00 [medline] AID - 10.1111/jog.12329 [doi] PST - ppublish SO - J Obstet Gynaecol Res. 2014 May;40(5):1288-95. doi: 10.1111/jog.12329. Epub 2014 Apr 2.