Anti‐Ro/SSA and/or anti‐La/SSB antibodies are associated with adverse endometrial status

Problem Anti‐Ro/SSA and/or anti‐La/SSB (anti‐SSA/SSB) antibodies impair pregnancy outcomes, including embryo implantation and pregnancy maintenance. Optimal endometrial immune status is essential for successful pregnancy. However, whether these antibodies affect endometrial immune status is still un...

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Veröffentlicht in:American journal of reproductive immunology (1989) 2023-06, Vol.89 (6), p.e13630-n/a
Hauptverfasser: Lu, Fangting, Wang, Yanshi, Fang, Xuhui, Jin, Rentao, Xu, Bo, Qiu, Qiannan, Wu, Li
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container_issue 6
container_start_page e13630
container_title American journal of reproductive immunology (1989)
container_volume 89
creator Lu, Fangting
Wang, Yanshi
Fang, Xuhui
Jin, Rentao
Xu, Bo
Qiu, Qiannan
Wu, Li
description Problem Anti‐Ro/SSA and/or anti‐La/SSB (anti‐SSA/SSB) antibodies impair pregnancy outcomes, including embryo implantation and pregnancy maintenance. Optimal endometrial immune status is essential for successful pregnancy. However, whether these antibodies affect endometrial immune status is still unclear. Menstrual blood can be collected non‐invasively, differs from peripheral blood, and can reflect the endometrial immune status. We herein focused on changes in subsets of natural killer (NK) cells and T cells in menstrual blood. Methods of study Menstrual blood samples from anti‐SSA/SSB antibody–positive (n = 18) and anti‐SSA/SSB antibody–negative control (n = 8) women were collected, and the profile of lymphocyte subsets was analyzed. The phenotypes of menstrual blood CD49a− and CD49a+ NK cells were compared, and the abundance of NK and CD49a+ NK cells in menstrual blood of the two groups was assessed. Additionally, CD4+T and CD8+T cells were investigated for their ability to secret functional cytokines. Results Menstrual blood contains a large number of (mostly CD49a+) NK cells, which exhibited a more exhausted phenotype with greater expression of the immune checkpoint molecules programmed cell death protein 1 and Tim‐3 compared to CD49a− conventional NK cells. CD8+T cells in menstrual blood from anti‐SSA/SSB antibody–positive women produced a stronger response after stimulation, accompanied by increased interferon‐γ, tumor necrosis factor–α, and granzyme B secretion (P < 0.05, separately). Conclusion Menstrual blood cell composition differs between anti‐SSA/SSB antibody–positive women and normal controls, especially in terms of CD49a+ NK cells and CD8+T cells, unbalancing the immune cell composition and inflammatory uterine microenvironment and possibly contributing to adverse pregnancy outcomes.
doi_str_mv 10.1111/aji.13630
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Optimal endometrial immune status is essential for successful pregnancy. However, whether these antibodies affect endometrial immune status is still unclear. Menstrual blood can be collected non‐invasively, differs from peripheral blood, and can reflect the endometrial immune status. We herein focused on changes in subsets of natural killer (NK) cells and T cells in menstrual blood. Methods of study Menstrual blood samples from anti‐SSA/SSB antibody–positive (n = 18) and anti‐SSA/SSB antibody–negative control (n = 8) women were collected, and the profile of lymphocyte subsets was analyzed. The phenotypes of menstrual blood CD49a− and CD49a+ NK cells were compared, and the abundance of NK and CD49a+ NK cells in menstrual blood of the two groups was assessed. Additionally, CD4+T and CD8+T cells were investigated for their ability to secret functional cytokines. Results Menstrual blood contains a large number of (mostly CD49a+) NK cells, which exhibited a more exhausted phenotype with greater expression of the immune checkpoint molecules programmed cell death protein 1 and Tim‐3 compared to CD49a− conventional NK cells. CD8+T cells in menstrual blood from anti‐SSA/SSB antibody–positive women produced a stronger response after stimulation, accompanied by increased interferon‐γ, tumor necrosis factor–α, and granzyme B secretion (P &lt; 0.05, separately). Conclusion Menstrual blood cell composition differs between anti‐SSA/SSB antibody–positive women and normal controls, especially in terms of CD49a+ NK cells and CD8+T cells, unbalancing the immune cell composition and inflammatory uterine microenvironment and possibly contributing to adverse pregnancy outcomes.</description><identifier>ISSN: 1046-7408</identifier><identifier>EISSN: 1600-0897</identifier><identifier>DOI: 10.1111/aji.13630</identifier><identifier>PMID: 36181668</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>adverse pregnancy outcomes ; Antibodies ; Antibodies, Antinuclear - metabolism ; anti‐SSA/SSB antibodies ; Apoptosis ; Blood ; CD4 antigen ; CD49a+ NK cells ; CD8 antigen ; CD8+T cells ; Cell death ; Endometrium ; Endometrium - metabolism ; Female ; Granzyme B ; Humans ; Immune checkpoint ; Immune status ; Implantation ; Inflammation ; Integrin alpha1 ; Killer Cells, Natural - metabolism ; Lymphocytes ; Lymphocytes T ; menstrual blood ; Menstruation ; Microenvironments ; Natural killer cells ; PD-1 protein ; Peripheral blood ; Phenotypes ; Pregnancy ; Pregnancy Outcome ; Ro(SSA) antigen</subject><ispartof>American journal of reproductive immunology (1989), 2023-06, Vol.89 (6), p.e13630-n/a</ispartof><rights>2022 John Wiley &amp; Sons A/S. 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Optimal endometrial immune status is essential for successful pregnancy. However, whether these antibodies affect endometrial immune status is still unclear. Menstrual blood can be collected non‐invasively, differs from peripheral blood, and can reflect the endometrial immune status. We herein focused on changes in subsets of natural killer (NK) cells and T cells in menstrual blood. Methods of study Menstrual blood samples from anti‐SSA/SSB antibody–positive (n = 18) and anti‐SSA/SSB antibody–negative control (n = 8) women were collected, and the profile of lymphocyte subsets was analyzed. The phenotypes of menstrual blood CD49a− and CD49a+ NK cells were compared, and the abundance of NK and CD49a+ NK cells in menstrual blood of the two groups was assessed. Additionally, CD4+T and CD8+T cells were investigated for their ability to secret functional cytokines. Results Menstrual blood contains a large number of (mostly CD49a+) NK cells, which exhibited a more exhausted phenotype with greater expression of the immune checkpoint molecules programmed cell death protein 1 and Tim‐3 compared to CD49a− conventional NK cells. CD8+T cells in menstrual blood from anti‐SSA/SSB antibody–positive women produced a stronger response after stimulation, accompanied by increased interferon‐γ, tumor necrosis factor–α, and granzyme B secretion (P &lt; 0.05, separately). Conclusion Menstrual blood cell composition differs between anti‐SSA/SSB antibody–positive women and normal controls, especially in terms of CD49a+ NK cells and CD8+T cells, unbalancing the immune cell composition and inflammatory uterine microenvironment and possibly contributing to adverse pregnancy outcomes.</description><subject>adverse pregnancy outcomes</subject><subject>Antibodies</subject><subject>Antibodies, Antinuclear - metabolism</subject><subject>anti‐SSA/SSB antibodies</subject><subject>Apoptosis</subject><subject>Blood</subject><subject>CD4 antigen</subject><subject>CD49a+ NK cells</subject><subject>CD8 antigen</subject><subject>CD8+T cells</subject><subject>Cell death</subject><subject>Endometrium</subject><subject>Endometrium - metabolism</subject><subject>Female</subject><subject>Granzyme B</subject><subject>Humans</subject><subject>Immune checkpoint</subject><subject>Immune status</subject><subject>Implantation</subject><subject>Inflammation</subject><subject>Integrin alpha1</subject><subject>Killer Cells, Natural - metabolism</subject><subject>Lymphocytes</subject><subject>Lymphocytes T</subject><subject>menstrual blood</subject><subject>Menstruation</subject><subject>Microenvironments</subject><subject>Natural killer cells</subject><subject>PD-1 protein</subject><subject>Peripheral blood</subject><subject>Phenotypes</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Ro(SSA) antigen</subject><issn>1046-7408</issn><issn>1600-0897</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM1OGzEUha2qiABl0ReoRuqmLCbxv51lQEBBkZCg3VWy7PGN6mgyTu2ZInY8Qp-RJ8EkoQsk7ubce_Tp6Oog9JngMSkzscswJkwy_AEdEIlxjfVUfSw75rJWHOsROsx5iXHxmdpHIyaJJlLqA_Rr1vXh6fHfbZzc3c0q2_lJTEU25twW83RzuegD5MomqGzOsQm2B1_dh_53Zf1fSBkq6HxcQZ-Cbavc237In9DewrYZjnd6hH5enP84-17Pby6vzmbzumGC4bqhINXUEblYOG-5wFJ5bad-qrVilDohGLfCOQZaeAycSmcdVoI7z4n3lB2hb9vcdYp_Bsi9WYXcQNvaDuKQDVUUc4YpYQX9-gZdxiF15TtDNeFUcUFFoU62VJNizgkWZp3CyqYHQ7B5qdyUys2m8sJ-2SUObgX-P_nacQEmW-A-tPDwfpKZXV9tI58BiqKK9Q</recordid><startdate>202306</startdate><enddate>202306</enddate><creator>Lu, Fangting</creator><creator>Wang, Yanshi</creator><creator>Fang, Xuhui</creator><creator>Jin, Rentao</creator><creator>Xu, Bo</creator><creator>Qiu, Qiannan</creator><creator>Wu, Li</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8681-597X</orcidid><orcidid>https://orcid.org/0000-0002-2842-2219</orcidid></search><sort><creationdate>202306</creationdate><title>Anti‐Ro/SSA and/or anti‐La/SSB antibodies are associated with adverse endometrial status</title><author>Lu, Fangting ; Wang, Yanshi ; Fang, Xuhui ; Jin, Rentao ; Xu, Bo ; Qiu, Qiannan ; Wu, Li</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3530-c2e679b16ffbda45067d8a9d9887322b5534a5bb3e85d0e426bab0754bd41dd23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>adverse pregnancy outcomes</topic><topic>Antibodies</topic><topic>Antibodies, Antinuclear - metabolism</topic><topic>anti‐SSA/SSB antibodies</topic><topic>Apoptosis</topic><topic>Blood</topic><topic>CD4 antigen</topic><topic>CD49a+ NK cells</topic><topic>CD8 antigen</topic><topic>CD8+T cells</topic><topic>Cell death</topic><topic>Endometrium</topic><topic>Endometrium - metabolism</topic><topic>Female</topic><topic>Granzyme B</topic><topic>Humans</topic><topic>Immune checkpoint</topic><topic>Immune status</topic><topic>Implantation</topic><topic>Inflammation</topic><topic>Integrin alpha1</topic><topic>Killer Cells, Natural - metabolism</topic><topic>Lymphocytes</topic><topic>Lymphocytes T</topic><topic>menstrual blood</topic><topic>Menstruation</topic><topic>Microenvironments</topic><topic>Natural killer cells</topic><topic>PD-1 protein</topic><topic>Peripheral blood</topic><topic>Phenotypes</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Ro(SSA) antigen</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lu, Fangting</creatorcontrib><creatorcontrib>Wang, Yanshi</creatorcontrib><creatorcontrib>Fang, Xuhui</creatorcontrib><creatorcontrib>Jin, Rentao</creatorcontrib><creatorcontrib>Xu, Bo</creatorcontrib><creatorcontrib>Qiu, Qiannan</creatorcontrib><creatorcontrib>Wu, Li</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of reproductive immunology (1989)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lu, Fangting</au><au>Wang, Yanshi</au><au>Fang, Xuhui</au><au>Jin, Rentao</au><au>Xu, Bo</au><au>Qiu, Qiannan</au><au>Wu, Li</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anti‐Ro/SSA and/or anti‐La/SSB antibodies are associated with adverse endometrial status</atitle><jtitle>American journal of reproductive immunology (1989)</jtitle><addtitle>Am J Reprod Immunol</addtitle><date>2023-06</date><risdate>2023</risdate><volume>89</volume><issue>6</issue><spage>e13630</spage><epage>n/a</epage><pages>e13630-n/a</pages><issn>1046-7408</issn><eissn>1600-0897</eissn><abstract>Problem Anti‐Ro/SSA and/or anti‐La/SSB (anti‐SSA/SSB) antibodies impair pregnancy outcomes, including embryo implantation and pregnancy maintenance. Optimal endometrial immune status is essential for successful pregnancy. However, whether these antibodies affect endometrial immune status is still unclear. Menstrual blood can be collected non‐invasively, differs from peripheral blood, and can reflect the endometrial immune status. We herein focused on changes in subsets of natural killer (NK) cells and T cells in menstrual blood. Methods of study Menstrual blood samples from anti‐SSA/SSB antibody–positive (n = 18) and anti‐SSA/SSB antibody–negative control (n = 8) women were collected, and the profile of lymphocyte subsets was analyzed. The phenotypes of menstrual blood CD49a− and CD49a+ NK cells were compared, and the abundance of NK and CD49a+ NK cells in menstrual blood of the two groups was assessed. Additionally, CD4+T and CD8+T cells were investigated for their ability to secret functional cytokines. Results Menstrual blood contains a large number of (mostly CD49a+) NK cells, which exhibited a more exhausted phenotype with greater expression of the immune checkpoint molecules programmed cell death protein 1 and Tim‐3 compared to CD49a− conventional NK cells. CD8+T cells in menstrual blood from anti‐SSA/SSB antibody–positive women produced a stronger response after stimulation, accompanied by increased interferon‐γ, tumor necrosis factor–α, and granzyme B secretion (P &lt; 0.05, separately). Conclusion Menstrual blood cell composition differs between anti‐SSA/SSB antibody–positive women and normal controls, especially in terms of CD49a+ NK cells and CD8+T cells, unbalancing the immune cell composition and inflammatory uterine microenvironment and possibly contributing to adverse pregnancy outcomes.</abstract><cop>Denmark</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36181668</pmid><doi>10.1111/aji.13630</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-8681-597X</orcidid><orcidid>https://orcid.org/0000-0002-2842-2219</orcidid></addata></record>
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subjects adverse pregnancy outcomes
Antibodies
Antibodies, Antinuclear - metabolism
anti‐SSA/SSB antibodies
Apoptosis
Blood
CD4 antigen
CD49a+ NK cells
CD8 antigen
CD8+T cells
Cell death
Endometrium
Endometrium - metabolism
Female
Granzyme B
Humans
Immune checkpoint
Immune status
Implantation
Inflammation
Integrin alpha1
Killer Cells, Natural - metabolism
Lymphocytes
Lymphocytes T
menstrual blood
Menstruation
Microenvironments
Natural killer cells
PD-1 protein
Peripheral blood
Phenotypes
Pregnancy
Pregnancy Outcome
Ro(SSA) antigen
title Anti‐Ro/SSA and/or anti‐La/SSB antibodies are associated with adverse endometrial status
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