PMID- 26037627 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20161230 IS - 1476-4954 (Electronic) IS - 1476-4954 (Linking) VI - 29 IP - 7 DP - 2016 TI - T regulatory markers expression in unexplained recurrent spontaneous abortion. PG - 1175-80 LID - 10.3109/14767058.2015.1039507 [doi] AB - OBJECTIVE: To evaluate expression of glucocorticoid-induced tumor necrosis factor receptor (GITR), cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) and IL-10 in peripheral blood mononuclear cells (PBMCs) of 20 women with unexplained recurrent spontaneous abortion (URSA) compared to 20 normal non-pregnant women (NNP) during luteal phase in the window of implantation. METHODS: Quantitative real-time PCR (qRT-PCR) was performed using the Taqman method for expression of GITR and SYBR Green method for expression of CTLA-4 and IL-10. RESULTS: Expression of CTLA-4 in the NNPs (median; interquartile range; 3; 1.8-10) was significantly higher than the URSAs (0.72; 0.26-3.81, p = 0.015). Expression of GITR in the NNPs (53; 10-139) was significantly higher than the URSAs (6; 3-27, p = 0.005). However, IL-10 expression in the URSAs was significantly higher than the NNPs, did not meet a significant value. A significant correlation was found between CTLA-4 and GITR expression in the study population (p = 0.0001). CONCLUSIONS: Expression of CTLA-4 and GITR were significantly down-regulated in the URSAs compared to NNPs at the window of implantation, which shows the essential role of Treg cells in creating an immunological privileged site for fetus as an allograft at the maternal-fetal interface by high expression levels of CTLA-4 and GITR during a normal pregnancy. FAU - Saifi, Bita AU - Saifi B AD - a Department of Anatomical Sciences, Faculty of Medicine , Iran University of Medical Sciences , Tehran , Iran . AD - b Department of Anatomical Sciences, Mashhad Medical Science Branch , Islamic Azad University , Mashhad , Iran . FAU - Aflatoonian, Reza AU - Aflatoonian R AD - c Department of Endocrinology and Female Infertility at Reproductive Biomedicine Research Center , Royan Institute for Reproductive Biomedicine, ACECR , Tehran , Iran . FAU - Tajik, Nader AU - Tajik N AD - d Department of Immunology, Faculty of Medicine, Division of Immunogenetics , Iran University of Medical Sciences , Tehran , Iran . FAU - Erfanian Ahmadpour, Mahmood AU - Erfanian Ahmadpour M AD - b Department of Anatomical Sciences, Mashhad Medical Science Branch , Islamic Azad University , Mashhad , Iran . FAU - Vakili, Rosita AU - Vakili R AD - e Center of Pathological and Medical Diagnostic Services, Iranian Academic Center for Education, Culture & Research (ACECR), Mashhad Branch , Mashhad , Iran . FAU - Amjadi, Fatemehsadat AU - Amjadi F AD - a Department of Anatomical Sciences, Faculty of Medicine , Iran University of Medical Sciences , Tehran , Iran . FAU - Valizade, Narges AU - Valizade N AD - f Immunology Research Center , Faculty of Medicine , Mashhad University of Medical Sciences , Mashhad , Iran , and. FAU - Ahmadi, Sanaz AU - Ahmadi S AD - e Center of Pathological and Medical Diagnostic Services, Iranian Academic Center for Education, Culture & Research (ACECR), Mashhad Branch , Mashhad , Iran . FAU - Rezaee, Seyed Abdolrahim AU - Rezaee SA AD - f Immunology Research Center , Faculty of Medicine , Mashhad University of Medical Sciences , Mashhad , Iran , and. FAU - Mehdizadeh, Mehdi AU - Mehdizadeh M AD - g Cellular and Molecular Research Center, Faculty of Advanced Technologies in Medicine, Iran University of Medical Sciences , Tehran , Iran. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150602 PL - England TA - J Matern Fetal Neonatal Med JT - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians JID - 101136916 RN - 0 (Biomarkers) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (Glucocorticoid-Induced TNFR-Related Protein) RN - 0 (IL10 protein, human) RN - 0 (TNFRSF18 protein, human) RN - 130068-27-8 (Interleukin-10) SB - IM MH - Abortion, Habitual/blood/*metabolism MH - Adult MH - Biomarkers/*metabolism MH - CTLA-4 Antigen/blood/metabolism MH - Cells, Cultured MH - Cross-Sectional Studies MH - Embryo Implantation MH - Female MH - Glucocorticoid-Induced TNFR-Related Protein/blood/metabolism MH - Humans MH - Interleukin-10/blood/metabolism MH - Leukocytes, Mononuclear/*metabolism MH - Luteal Phase/blood/immunology MH - Pregnancy MH - T-Lymphocytes, Regulatory/*metabolism OTO - NOTNLM OT - CTLA-4 OT - GITR OT - IL-10 OT - unexplained recurrent spontaneous abortion EDAT- 2015/06/04 06:00 MHDA- 2016/12/15 06:00 CRDT- 2015/06/04 06:00 PHST- 2015/06/04 06:00 [entrez] PHST- 2015/06/04 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - 10.3109/14767058.2015.1039507 [doi] PST - ppublish SO - J Matern Fetal Neonatal Med. 2016;29(7):1175-80. doi: 10.3109/14767058.2015.1039507. Epub 2015 Jun 2.