Are naïve T cells and class-switched memory (IgD− CD27+) B cells not essential for establishment and maintenance of pregnancy? Insights from a case of common variable immunodeficiency with pregnancy

The disruption of adaptive immune response has adverse effects on the establishment and maintenance of pregnancy. The adaptive immune system is regulated by several types of immune cells. However, there is limited information about cell hierarchy in the adaptive immune response to the establishment...

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Veröffentlicht in:Medical hypotheses 2018-12, Vol.121, p.36-41
Hauptverfasser: Shigeta, Naoya, Nakamura, Hitomi, Kumasawa, Keiichi, Imai, Kohsuke, Saito, Shigeru, Sakaguchi, Shimon, Kimura, Tadashi
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container_end_page 41
container_issue
container_start_page 36
container_title Medical hypotheses
container_volume 121
creator Shigeta, Naoya
Nakamura, Hitomi
Kumasawa, Keiichi
Imai, Kohsuke
Saito, Shigeru
Sakaguchi, Shimon
Kimura, Tadashi
description The disruption of adaptive immune response has adverse effects on the establishment and maintenance of pregnancy. The adaptive immune system is regulated by several types of immune cells. However, there is limited information about cell hierarchy in the adaptive immune response to the establishment and maintenance of pregnancy in women. The assessment of the outcome of pregnancy in primary immunodeficiency diseases could help in understanding the cell hierarchy in the adaptive immune system during pregnancy. Common variable immunodeficiency (CVID) is a heterogeneous adaptive immune system disorder characterized by primary hypogammaglobulinemia. A few studies have previously reported the assessment of the T and B cell subpopulations in CVID patients. However, an assessment of the subpopulations of T and B cells and the outcome of pregnancy in women with CVID has not been reported till date. Most CVID patients show a general decrease in the expression of CD27 in B cells. The assessment of pregnancy and the subpopulations of T and B cells in CVID women with severe reduction in the naïve T and switched B cells could help understand whether these cells are essential for the establishment and maintenance of pregnancy in women.
doi_str_mv 10.1016/j.mehy.2018.09.014
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subjects Adaptive immune system
Adult
Agammaglobulinemia - immunology
B-Lymphocytes - classification
B-Lymphocytes - immunology
CD4-Positive T-Lymphocytes - immunology
CD8-Positive T-Lymphocytes - immunology
Common variable immunodeficiency (CVID)
Common Variable Immunodeficiency - immunology
Female
Fetal Blood - immunology
Humans
Immunoglobulin Class Switching
Immunoglobulin D - immunology
Immunologic Memory
Infertility
Infertility, Female - immunology
Naïve T cell
Pregnancy
Pregnancy Complications
Pregnancy Outcome
Switched memory B cell
T-Lymphocytes - immunology
T-Lymphocytes, Regulatory - cytology
Tumor Necrosis Factor Receptor Superfamily, Member 7 - immunology
title Are naïve T cells and class-switched memory (IgD− CD27+) B cells not essential for establishment and maintenance of pregnancy? Insights from a case of common variable immunodeficiency with pregnancy
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