Endometrial lymphoid tissue in the timed endometrial biopsy: Morphometric and immunohistochemical aspects

OBJECTIVES: The purpose of this study was to provide a morphometric profile of endometrial granulated lymphocytes and to investigate qualitative and quantitative differences in leukocyte subsets in precisely timed luteal phase endometrial biopsies. STUDY DESIGN: Endometrial biopsies were obtained fr...

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Veröffentlicht in:American journal of obstetrics and gynecology 1992-09, Vol.167 (3), p.667-674
Hauptverfasser: Klentzeris, Lucas D., Bulmer, Judith N., Warren, Alistair, Morrison, Lynn, Li, Tin-Chin, Cooke, Ian D.
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container_end_page 674
container_issue 3
container_start_page 667
container_title American journal of obstetrics and gynecology
container_volume 167
creator Klentzeris, Lucas D.
Bulmer, Judith N.
Warren, Alistair
Morrison, Lynn
Li, Tin-Chin
Cooke, Ian D.
description OBJECTIVES: The purpose of this study was to provide a morphometric profile of endometrial granulated lymphocytes and to investigate qualitative and quantitative differences in leukocyte subsets in precisely timed luteal phase endometrial biopsies. STUDY DESIGN: Endometrial biopsies were obtained from 24 normal fertile women at 4, 7, 10, and 13 days after the luteinizing hormone surge. Endometrial granulated lymphocytes were assessed morphometrically in 2 μm resin sections. Eleven monoclonal antibodies were used to characterize leukocytes in frozen sections. Semiquantitation was performed with a Quantimet 970 image analyzer. Data were analyzed with one-way analysis of variance. RESULTS: CD8+ (T suppressor-cytotoxic) cells increased significantly from 4 to 7 days after the luteinizing hormone surge, whereas CD68+ macrophages increased from days 10 to 13. Lymphocytes with an unusual phenotype (CD56+, CD38+, CD2+) increased dramatically after 7 days. The volume fraction of endometrium occupied by the nuclei of endometrial granulated lymphocytes did not alter, but their mean nuclear diameter and axial ratio decreased from days 7 to 13. CONCLUSION: The morphometric findings indicate in situ proliferation of endometrial granulated lymphocytes rather than migration from the peripheral circulation. T lymphocytes, macrophages, and endometrial granulated lymphocytes increase significantly between certain stages of the luteal phase.
doi_str_mv 10.1016/S0002-9378(11)91568-3
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STUDY DESIGN: Endometrial biopsies were obtained from 24 normal fertile women at 4, 7, 10, and 13 days after the luteinizing hormone surge. Endometrial granulated lymphocytes were assessed morphometrically in 2 μm resin sections. Eleven monoclonal antibodies were used to characterize leukocytes in frozen sections. Semiquantitation was performed with a Quantimet 970 image analyzer. Data were analyzed with one-way analysis of variance. RESULTS: CD8+ (T suppressor-cytotoxic) cells increased significantly from 4 to 7 days after the luteinizing hormone surge, whereas CD68+ macrophages increased from days 10 to 13. Lymphocytes with an unusual phenotype (CD56+, CD38+, CD2+) increased dramatically after 7 days. The volume fraction of endometrium occupied by the nuclei of endometrial granulated lymphocytes did not alter, but their mean nuclear diameter and axial ratio decreased from days 7 to 13. 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STUDY DESIGN: Endometrial biopsies were obtained from 24 normal fertile women at 4, 7, 10, and 13 days after the luteinizing hormone surge. Endometrial granulated lymphocytes were assessed morphometrically in 2 μm resin sections. Eleven monoclonal antibodies were used to characterize leukocytes in frozen sections. Semiquantitation was performed with a Quantimet 970 image analyzer. Data were analyzed with one-way analysis of variance. RESULTS: CD8+ (T suppressor-cytotoxic) cells increased significantly from 4 to 7 days after the luteinizing hormone surge, whereas CD68+ macrophages increased from days 10 to 13. Lymphocytes with an unusual phenotype (CD56+, CD38+, CD2+) increased dramatically after 7 days. The volume fraction of endometrium occupied by the nuclei of endometrial granulated lymphocytes did not alter, but their mean nuclear diameter and axial ratio decreased from days 7 to 13. CONCLUSION: The morphometric findings indicate in situ proliferation of endometrial granulated lymphocytes rather than migration from the peripheral circulation. T lymphocytes, macrophages, and endometrial granulated lymphocytes increase significantly between certain stages of the luteal phase.</description><subject>Adult</subject><subject>Antigens, CD - analysis</subject><subject>Biological and medical sciences</subject><subject>Biopsy - methods</subject><subject>endometrial biopsy</subject><subject>endometrial granulated lymphocytes</subject><subject>Endometrial leukocyte subpopulations</subject><subject>Endometrium - metabolism</subject><subject>Endometrium - pathology</subject><subject>Female</subject><subject>Granulocytes - immunology</subject><subject>Granulocytes - pathology</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lymphocyte Subsets - pathology</subject><subject>Lymphocytes - immunology</subject><subject>Lymphocytes - pathology</subject><subject>Lymphoid Tissue - metabolism</subject><subject>Lymphoid Tissue - pathology</subject><subject>Medical sciences</subject><subject>Pathology. 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STUDY DESIGN: Endometrial biopsies were obtained from 24 normal fertile women at 4, 7, 10, and 13 days after the luteinizing hormone surge. Endometrial granulated lymphocytes were assessed morphometrically in 2 μm resin sections. Eleven monoclonal antibodies were used to characterize leukocytes in frozen sections. Semiquantitation was performed with a Quantimet 970 image analyzer. Data were analyzed with one-way analysis of variance. RESULTS: CD8+ (T suppressor-cytotoxic) cells increased significantly from 4 to 7 days after the luteinizing hormone surge, whereas CD68+ macrophages increased from days 10 to 13. Lymphocytes with an unusual phenotype (CD56+, CD38+, CD2+) increased dramatically after 7 days. The volume fraction of endometrium occupied by the nuclei of endometrial granulated lymphocytes did not alter, but their mean nuclear diameter and axial ratio decreased from days 7 to 13. 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identifier ISSN: 0002-9378
ispartof American journal of obstetrics and gynecology, 1992-09, Vol.167 (3), p.667-674
issn 0002-9378
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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Adult
Antigens, CD - analysis
Biological and medical sciences
Biopsy - methods
endometrial biopsy
endometrial granulated lymphocytes
Endometrial leukocyte subpopulations
Endometrium - metabolism
Endometrium - pathology
Female
Granulocytes - immunology
Granulocytes - pathology
Humans
Immunohistochemistry
Investigative techniques, diagnostic techniques (general aspects)
Lymphocyte Subsets - pathology
Lymphocytes - immunology
Lymphocytes - pathology
Lymphoid Tissue - metabolism
Lymphoid Tissue - pathology
Medical sciences
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Pregnancy
Time Factors
title Endometrial lymphoid tissue in the timed endometrial biopsy: Morphometric and immunohistochemical aspects
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