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Akperbekova I.S.

Tashkent Medical Academy

Ayupova F.M.

Tashkent Medical Academy

Saidjalilova D.D.

Tashkent Medical Academy

Sattarova K.A.

Tashkent Medical Academy

Mirodilova F.B.

Tashkent Medical Academy

The role and significance of the uterine natural killers in healthy pregnancy (literature review)

Authors:

Akperbekova I.S., Ayupova F.M., Saidjalilova D.D., Sattarova K.A., Mirodilova F.B.

More about the authors

Journal: Russian Journal of Human Reproduction. 2020;26(6): 15‑25

Read: 6559 times


To cite this article:

Akperbekova IS, Ayupova FM, Saidjalilova DD, Sattarova KA, Mirodilova FB. The role and significance of the uterine natural killers in healthy pregnancy (literature review). Russian Journal of Human Reproduction. 2020;26(6):15‑25. (In Russ.)
https://doi.org/10.17116/repro20202606115

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References:

  1. Sharma S. Natural killer cells and regulatory T cells in early pregnancy loss NIH Public Access. The International Journal of Developmental Biology. 2014;58(2-4):219-229.  https://doi.org/10.1387/ijdb.140109ss
  2. Moffett A, Loke YW. The immunological paradox of pregnancy: a reappraisal. Placenta. 2004;25(1):1-8.  https://doi.org/10.1016/S0143-4004(03)00167-X
  3. King K, Smith S, Chapman M, Sacks G. Detailed analysis of peripheral blood natural killer (NK) cells in women with recurrent miscarriage. Human Reproduction. 2010;25(1):52-58.  https://doi.org/10.1093/humrep/dep349
  4. Yang F, Zheng Q, Jin L. Dynamic Function and Composition Changes of Immune Cells During Normal and Pathological Pregnancy at the Maternal-Fetal Interface. Frontiers in Immunology. 2019;10:1-15.  https://doi.org/10.3389/fimmu.2019.02317
  5. Liu S, Diao L, Huang C, Li Y, Zeng Y, Kwak-Kim JYH. The role of decidual immune cells on human pregnancy. Journal of Reproductive Immunology. 2017;124:44-53.  https://doi.org/10.1016/j.jri.2017.10.045
  6. Le Bouteiller P, Bensussan A. Up-and-down immunity of pregnancy in humans. F1000Research. 2017;6:1-7.  https://doi.org/10.12688/f1000research.11690.1
  7. Faas MM, De Vos P. Innate immune cells in the placental bed in healthy pregnancy and preeclampsia. Placenta. 2018;69:125-133.  https://doi.org/10.1016/j.placenta.2018.04.012
  8. Agnaeva AO, Bespalova ON, Sokolov DI, Selkov SA, Kogan IY. Role of natural killer cells in reproductive failure. Zhurnal akusherstva i zhenskih boleznej. 2017;66(3):143-156. (In Russ.). https://doi.org/10.17816/jowd663143-156
  9. Moffett A, Colucci F. Uterine NK cells: Active regulators at the maternal-fetal interface. The Journal of Clinical Investigation. 2014; 124(5):1872-1879. https://doi.org/10.1172/JCI68107
  10. Herberman RB, Nunn ME, Holden HT, Lavrin DH. Natural cytotoxic reactivity of mouse lymphoid cells against syngeneic and allogeneic tumors. II. Characterization of effector cells. International Journal of Cancer. 1975;16(2):230-239.  https://doi.org/10.1002/ijc.2910160205
  11. Vitale M, Cantoni C, Chiesa M Della, Ferlazzo G, Carlomagno S, Pende, D, Falco M, Pessino A, Muccio L, De Maria A, Marcenaro E, Moretta L, Sivori S. An historical overview: The discovery of how NK cells can kill enemies, recruit defense troops, and more. Frontiers in Immunology. 2019;10:1-15.  https://doi.org/10.3389/fimmu.2019.01415
  12. Abel AM, Yang C, Thakar MS, Malarkannan S. Natural killer cells: Development, maturation, and clinical utilization. Frontiers in Immunology. 2018;9:1-23.  https://doi.org/10.3389/fimmu.2018.01869
  13. Mikhailova VA, Belyakova KL, Selkov SA, Sokolov DI. Peculiarities of nk cells differentiation: CD56dim and CD56bright NK cells at pregnancy and in non-pregnant state. Medicinskaya immunologiya. 2017;19(1):19-26. (In Russ.). https://doi.org/10.15789/1563-0625-2017-1-19-26
  14. Di Vito C, Mikulak J, Mavilio D. On the Way to Become a Natural Killer Cell. Frontiers in Immunology. 2019;10:1-15.  https://doi.org/10.3389/fimmu.2019.01812
  15. Vacca P, Chiossone L, Mingari MC, Moretta L. Heterogeneity of NK cells and other innate lymphoid cells in human and murine decidua. Frontiers in Immunology. 2019;10:1-8.  https://doi.org/10.3389/fimmu.2019.00170
  16. Fukui A, Takeyama R, Wakimoto Y, Hasegawa A, Shibahara H. NK cells and reproduction our progress in NK cell study. American Journal of Reproductive Immunology. 2017;78:30.  https://onlinelibrary.wiley.com/doi/pdf/10.1111/aji.12735
  17. Fukui A, Funamizu A, Fukuhara R, Shibahara H. Expression of natural cytotoxicity receptors and cytokine production on endometrial natural killer cells in women with recurrent pregnancy loss or implantation failure, and the expression of natural cytotoxicity receptors on peripheral blood natural killer cells in pregnant women with a history of recurrent pregnancy loss. The Journal of Obstetrics and Gynaecology Research. 2017;43(11):1678-1686. https://doi.org/10.1111/jog.13448
  18. Castriconi R, Carrega P, Dondero A, Bellora F, Casu B, Regis S, Ferlazzo G, Bottino C. Molecular mechanisms directing migration and retention of natural killer cells in human tissues. Frontiers in Immunology. 2018;9:1-14.  https://doi.org/10.3389/fimmu.2018.02324
  19. Zhang J, Dunk CE, Kwan M, Jones RL, Harris LK, Keating S, Lye SJ. Human dNK cell function is differentially regulated by extrinsic cellular engagement and intrinsic activating receptors in first and second trimester pregnancy. Cellular and Molecular Immunology. 2017;14(2):203-213.  https://doi.org/10.1038/cmi.2015.66
  20. Bassani B, Baci D, Gallazzi M, Poggi A, Bruno A, Mortara L. Natural killer cells as key players of tumor progression and angiogenesis: Old and novel tools to divert their pro-tumor activities into potent anti-tumor effects. Cancers. 2019;11(4):461.  https://doi.org/10.3390/cancers11040461
  21. Takahashi H, Yamamoto T, Yamazaki M, Murase T, Matsuno T, Chishima F. Natural Cytotoxicity Receptors in Decidua Natural Killer Cells of Term Normal Pregnancy. Journal of Pregnancy. 2018;4382084. https://doi.org/10.1155/2018/4382084
  22. Fu B, Zhou Y, Ni X, Tong X, Xu X, Dong Z, Sun R, Tian Z, Wei H. Natural Killer Cells Promote Fetal Development through the Secretion of Growth-Promoting Factors. Immunity. 2017;47(6):1100-1113.e6.  https://doi.org/10.1016/j.immuni.2017.11.018
  23. Hsu P, Nanan RKH. Innate and adaptive immune interactions at the fetal-maternal interface in healthy human pregnancy and pre-eclampsia. Frontiers in Immunology. 2014;5:1-12.  https://doi.org/10.3389/fimmu.2014.00125
  24. Glover LE, Crosby D, Thiruchelvam U, Harmon C, Chorcora CN, Wingfield MB, O’Farrelly C. Uterine natural killer cell progenitor populations predict successful implantation in women with endometriosis-associated infertility. American Journal of Reproductive Immunology. 2018;79(3):10.1111/aji.12817. https://doi.org/10.1111/aji.12817
  25. Solders M, Gorchs L, Gidlöf S, Tiblad E, Lundell AC, Kaipe H. Maternal Adaptive Immune Cells in Decidua Parietalis Display a More Activated and Coinhibitory Phenotype Compared to Decidua Basalis. Stem Cells International. 2017;8010961. https://doi.org/10.1155/2017/8010961
  26. Kwak-Kim J, Gilman-Sachs A. Clinical implication of natural killer cells and reproduction. American Journal of Reproductive Immunology. 2008;59(5):388-400.  https://doi.org/10.1111/j.1600-0897.2008.00596.x
  27. Agostinis C, Mangogna A, Bossi F, Ricci G, Kishore U, Bulla R. Uterine immunity and microbiota: A shifting paradigm. Frontiers in Immunology. 2019;10:2387  https://doi.org/10.3389/fimmu.2019.02387
  28. Faas MM, de Vos P. Uterine NK cells and macrophages in pregnancy. Placenta. 2017;56:44-52.  https://doi.org/10.1016/j.placenta.2017.03.001
  29. Gamliel M, Goldman-Wohl D, Isaacson B, Gur C, Stein N, Yamin R, Berger M, Grunewald M, Keshet E, Rais Y, Bornstein C, David E, Jelinski A, Eisenberg I, Greenfield C, Ben-David A, Imbar T, Gilad R, Haimov-Kochman R, Mankuta D, Elami-Suzin M, Amit I, Hanna JH, Yagel S, Mandelboim O. Trained Memory of Human Uterine NK Cells Enhances Their Function in Subsequent Pregnancies. Immunity. 2018;48(5):951-962.e5.  https://doi.org/10.1016/j.immuni.2018.03.030
  30. Vacca P, Moretta L, Moretta A, Mingari MC. Origin, phenotype and function of human natural killer cells in pregnancy. Trends in Immunology. 2011;32(11):517-523.  https://doi.org/10.1016/j.it.2011.06.013
  31. Bulmer JN, Lash GE. Uterine natural killer cells: Time for a reappraisal? F1000Research. 2019;8:999.  https://doi.org/10.12688/f1000research.19132.1
  32. Ivarsson MA, Stiglund N, Marquardt N, Westgren M, Gidlof S, Bjorkstrom NK. Composition and dynamics of the uterine NK cell KIR repertoire in menstrual blood. Mucosal Immunology. 2017; 10(2):322-331.  https://doi.org/10.1038/mi.2016.50
  33. Drury JA, Parkin KL, Coyne L, Giuliani E, Fazleabas AT, Hapangama DK. The dynamic changes in the number of uterine natural killer cells are specific to the eutopic but not to the ectopic endometrium in women and in a baboon model of endometriosis. Reproductive Biology and Endocrinology: RB&E. 2018;16(1):1-11.  https://doi.org/10.1186/s12958-018-0385-3
  34. Moffett A, Shreeve N. First do no harm: Uterine natural killer (NK) cells in assisted reproduction. Human Reproduction. 2015;30(7):1519-1525. https://doi.org/10.1093/humrep/dev098
  35. Gaynor LM, Colucci F. Uterine natural killer cells: Functional distinctions and influence on pregnancy in humans and mice. Frontiers in Immunology. 2017;8:467.  https://doi.org/10.3389/fimmu.2017.00467
  36. Taylor EB, Sasser JM. Natural killer cells and T lymphocytes in pregnancy and pre-eclampsia. Clinical Science. 2017;131(24):2911-2917. https://doi.org/10.1042/CS20171070
  37. Vacca P, Vitale C, Munari E, Cassatella MA, Mingari MC, Moretta L. Human innate lymphoid cells: Their functional and cellular interactions in decidua. Frontiers in Immunology. 2018;9:1-8.  https://doi.org/10.3389/fimmu.2018.01897
  38. Biswas Shivhare S, Bulmer JN, Innes BA, Hapangama DK, Lash GE. Menstrual cycle distribution of uterine natural killer cells is altered in heavy menstrual bleeding. Journal of Reproductive Immunology. 2015;112:88-94.  https://doi.org/10.1016/j.jri.2015.09.001
  39. Sharkey AM, Xiong S, Kennedy PR, Gardner L, Farrell LE, Chazara O, Ivarsson MA, Hiby SE, Colucci F, Moffett A. Tissue-Specific Education of Decidual NK Cells. Journal of Immunology. 2015; 195(7):3026-3032. https://doi.org/10.4049/jimmunol.1501229
  40. Xiong S, Sharkey AM, Kennedy PR, Gardner L, Farrell LE, Chazara O, Bauer J, Hiby SE, Colucci F, Moffett A. Maternal uterine NK cell-activating receptor KIR2DS1 enhances placentation. The Journal of Clinical Investigation. 2013;123(10):4264-4272. https://doi.org/10.1172/JCI68991
  41. Varbanova V, Naumova E, Mihaylova A. Killer-cell immunoglobulin-like receptor genes and ligands and their role in hematologic malignancies. Cancer Immunology, Immunotherapy: CII. 2016;65(4): 427-440.  https://doi.org/10.1007/s00262-016-1806-9
  42. Stieglitz F, Celik AA, von Kaisenberg C, Camps MA, Blasczyk R, Bade-Döding C. The microstructure in the placenta is influenced by the functional diversity of HLA-G allelic variants. Immunogenetics. 2019;71(7):455-463.  https://doi.org/10.1007/s00251-019-01121-0
  43. Gibson DA, Greaves E, Critchley HOD, Saunders PTK. Estrogen-dependent regulation of human uterine natural killer cells promotes vascular remodelling via secretion of CCL2. Human Reproduction. 2015;30(6):1290-1301. https://doi.org/10.1093/humrep/dev067
  44. Kennedy PR, Chazara O, Gardner L, Ivarsson MA, Farrell LE, Xiong S, Hiby SE, Colucci F, Sharkey AM, Moffett A. Activating KIR2DS4 Is Expressed by Uterine NK Cells and Contributes to Successful Pregnancy. Journal of Immunology. 2016;197(11):4292-4300. https://doi.org/10.4049/jimmunol.1601279
  45. Nowak I, Wilczyńska K, Wilczyński JR, Malinowski A, Radwan P, Radwan M, Kuśnierczyk P. KIR, LILRB and their Ligands’ Genes as Potential Biomarkers in Recurrent Implantation Failure. Archivum Immunologiae et Therapiae Experimentalis. 2017;65(5):391-399.  https://doi.org/10.1007/s00005-017-0474-6
  46. Wang XQ, Zhou WJ, Hou XX, Fu Q, Li DJ. Trophoblast-derived CXCL16 induces M2 macrophage polarization that in turn inactivates NK cells at the maternal-fetal interface. Cellular and Molecular Immunology. 2018;15(12):1038-1046. https://doi.org/10.1038/s41423-018-0019-x
  47. Mikhailova VA, Bazhenov DO, Belyakova KL, Selkov SA, Sokolov DI. Differentiation of NK cells. A look through the prism of transcription factors and intracellular messengers. Medicinskaya immunologiya. 2019;21(1):21-38.  https://doi.org/10.15789/1563-0625-2019-1-21-38
  48. Alecsandru D, García-Velasco JA. Why natural killer cells are not enough: a further understanding of killer immunoglobulin-like receptor and human leukocyte antigen. Fertility and Sterility. 2017; 107(6):1273-1278. https://doi.org/10.1016/j.fertnstert.2017.04.018
  49. Choudhury RH, Dunk CE, Lye SJ, Harris LK, Aplin JD, Jones RL. Decidual leucocytes infiltrating human spiral arterioles are rich source of matrix metalloproteinases and degrade extracellular matrix in vitro and in situ. American Journal of Reproductive Immunology. 2019;81(1):e13054. https://doi.org/10.1111/aji.13054
  50. Choudhury RH, Dunk CE, Lye SJ, Aplin JD, Harris LK, Jones RL. Extravillous Trophoblast and Endothelial Cell Crosstalk Mediates Leukocyte Infiltration to the Early Remodeling Decidual Spiral Arteriole Wall. Journal of immunology. 2017;198(10):4115-4128. https://doi.org/10.4049/jimmunol.1601175
  51. Cornelius DC, Wallace K. Decidual natural killer cells: A critical pregnancy mediator altered in preeclampsia. EBioMedicine. 2019; 39:31-32.  https://doi.org/10.1016/j.ebiom.2018.12.053
  52. Brighton PJ, Maruyama Y, Fishwick K, Vrljicak P, Tewary S, Fujihara R, Muter J, Lucas ES, Yamada T, Woods L, Lucciola R, Hou Lee Y, Takeda S, Ott S, Hemberger M, Quenby S, Brosens JJ. Clearance of senescent decidual cells by uterine natural killer cells in cycling human endometrium. eLife. 2017;6:1-23.  https://doi.org/10.7554/eLife.31274.001
  53. Szekeres-Bartho J. The Role of Progesterone in Feto-Maternal Immunological Cross Talk. Medical Principles and Practice. 2018;27(4): 301-307.  https://doi.org/10.1159/000491576
  54. Gong H, Chen Y, Xu J, Xie X, Yu D, Yang B, Kuang H. The regulation of ovary and conceptus on the uterine natural killer cells during early pregnancy. Reproductive Biology and Endocrinology: RB&E. 2017;15(1):73.  https://doi.org/10.1186/s12958-017-0290-1
  55. Bogdan A, Berta G, Szekeres-Bartho J. PIBF positive uterine NK cells in the mouse decidua. Journal of Reproductive Immunology. 2017;119:38-43.  https://doi.org/10.1016/j.jri.2016.12.001

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