Natural Killer Cells and HLA-G Expression in the Basal Decidua of Human Placenta Adhesiva

Abstract Retained placenta is caused by abnormal adherence of the placenta to the uterine wall, leading to delayed expulsion of the placenta and causing postpartum haemorrhage. The mildest form of retained placenta is the placenta adhesiva (PA), of which the cause is unknown. The aim of our study wa...

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Veröffentlicht in:Placenta (Eastbourne) 2010-12, Vol.31 (12), p.1078-1084
Hauptverfasser: van Beekhuizen, H.J, Joosten, I, Lotgering, F.K, Bulten, J, van Kempen, L.C
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container_end_page 1084
container_issue 12
container_start_page 1078
container_title Placenta (Eastbourne)
container_volume 31
creator van Beekhuizen, H.J
Joosten, I
Lotgering, F.K
Bulten, J
van Kempen, L.C
description Abstract Retained placenta is caused by abnormal adherence of the placenta to the uterine wall, leading to delayed expulsion of the placenta and causing postpartum haemorrhage. The mildest form of retained placenta is the placenta adhesiva (PA), of which the cause is unknown. The aim of our study was to explore possible differences in immune response in the basal decidua between PA and control placentas (CP). We performed a descriptive analysis of immunohistochemical differences in 17 PA and 10 CP. Our results show that in PA the amount of uterine natural killer (uNK) cells is significantly reduced (0.2 uNK cell/standardised area) as compared to CP (9.8 uNK cell/standardised area, p < 0.001) whereas the number of trophoblast cells and the expression of HLA-G by trophoblast are similar in the decidua of PA and CP. We speculate that adequate numbers of uNK cells in the basal decidua are needed for normal expulsion of the placenta.
doi_str_mv 10.1016/j.placenta.2010.09.016
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The mildest form of retained placenta is the placenta adhesiva (PA), of which the cause is unknown. The aim of our study was to explore possible differences in immune response in the basal decidua between PA and control placentas (CP). We performed a descriptive analysis of immunohistochemical differences in 17 PA and 10 CP. Our results show that in PA the amount of uterine natural killer (uNK) cells is significantly reduced (0.2 uNK cell/standardised area) as compared to CP (9.8 uNK cell/standardised area, p &lt; 0.001) whereas the number of trophoblast cells and the expression of HLA-G by trophoblast are similar in the decidua of PA and CP. 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Teratology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. 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Teratology</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. 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subjects Adult
Basal decidua
Biological and medical sciences
Cell Proliferation
Embryology: invertebrates and vertebrates. Teratology
Female
Fundamental and applied biological sciences. Psychology
Histocompatibility Antigens Class I - metabolism
HLA Antigens - metabolism
HLA-G Antigens
Humans
Internal Medicine
Killer Cells, Natural - pathology
Myometrium
Obstetrics and Gynecology
Placenta - pathology
Placenta, Retained - immunology
Placenta, Retained - metabolism
Placenta, Retained - pathology
Pregnancy
Retained placenta
Trophoblast
Uterine natural killer cells
title Natural Killer Cells and HLA-G Expression in the Basal Decidua of Human Placenta Adhesiva
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