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36 Results Found

  • Review
  • Open Access
5 Citations
3,574 Views
10 Pages

15 August 2024

Our incomplete knowledge of maternal–fetal interface (MFI) physiology impedes a better understanding of the pathological mechanisms leading to pregnancy complications, such as pre-eclampsia and fetal growth restriction. At the MFI, uterine natu...

  • Review
  • Open Access
52 Citations
12,735 Views
23 Pages

The Role of Uterine Natural Killer Cells on Recurrent Miscarriage and Recurrent Implantation Failure: From Pathophysiology to Treatment

  • Konstantinos Sfakianoudis,
  • Anna Rapani,
  • Sokratis Grigoriadis,
  • Agni Pantou,
  • Evangelos Maziotis,
  • Georgia Kokkini,
  • Chrysanthi Tsirligkani,
  • Stamatis Bolaris,
  • Konstantinos Nikolettos and
  • Mara Simopoulou
  • + 2 authors

Uterine natural killer (uNK) cells constitute a unique uterine leucocyte subpopulation facilitating implantation and maintaining pregnancy. Herein, we critically analyze current evidence regarding the role of uNK cells in the events entailed in recur...

  • Review
  • Open Access
10 Citations
4,179 Views
19 Pages

Despite the intricate involvement of the endocannabinoid system in various physiological processes, it remains one of the most under-studied biological systems of the human body. The scope of endocannabinoid signalling is widespread, ranging from mod...

  • Article
  • Open Access
18 Citations
8,080 Views
15 Pages

Beyond Uterine Natural Killer Cell Numbers in Unexplained Recurrent Pregnancy Loss: Combined Analysis of CD45, CD56, CD16, CD57, and CD138

  • Maia Chiokadze,
  • Christin Bär,
  • Jana Pastuschek,
  • Boris V. Dons’koi,
  • Kseniia G. Khazhylenko,
  • Ekkehard Schleußner,
  • Udo R. Markert and
  • Rodolfo R. Favaro

Changes in the number and cytotoxic potential of uterine Natural Killer (uNK) cells have been associated with reduced fertility. To provide a better characterization of immunophenotypes in the endometrium of women with uRPL (unexplained recurrent pre...

  • Review
  • Open Access
48 Citations
13,750 Views
16 Pages

Immune Tolerance of the Human Decidua

  • Hiromi Murata,
  • Susumu Tanaka and
  • Hidetaka Okada

18 January 2021

The endometrium is necessary for implantation, complete development of the placenta, and a successful pregnancy. The endometrium undergoes repeated cycles of proliferation, decidualization (differentiation), and shedding during each menstrual cycle....

  • Review
  • Open Access
46 Citations
9,739 Views
14 Pages

The Role of NF-κB in Uterine Spiral Arteries Remodeling, Insight into the Cornerstone of Preeclampsia

  • Maciej W. Socha,
  • Bartosz Malinowski,
  • Oskar Puk,
  • Mateusz Wartęga,
  • Martyna Stankiewicz,
  • Anita Kazdepka-Ziemińska and
  • Michał Wiciński

Preeclampsia is one of the three leading causes of maternal morbidity and mortality worldwide. It afflicts 2–8% of pregnancies and is the most common cause of gestational hypertension. This article is focused on nuclear factor kappa B (NF-&kapp...

  • Article
  • Open Access
3 Citations
4,215 Views
21 Pages

Endometrial Epithelial ARID1A Is Required for Uterine Immune Homeostasis during Early Pregnancy

  • Ryan M. Marquardt,
  • Soo Hyun Ahn,
  • Jake J. Reske,
  • Ronald L. Chandler,
  • Margaret G. Petroff,
  • Tae Hoon Kim and
  • Jae-Wook Jeong

A growing body of work suggests epigenetic dysregulation contributes to endometriosis pathophysiology and female infertility. The chromatin remodeling complex subunit AT-rich interaction domain 1A (ARID1A) must be properly expressed to maintain norma...

  • Review
  • Open Access
22 Citations
7,681 Views
14 Pages

Placental syndromes include pregnancy loss, fetal growth restriction, preeclampsia, preterm delivery, premature rupture of membranes, placental abruption and intrauterine fetal demise. This paper discusses the common etiopathogenesis of those syndrom...

  • Short Communication
  • Open Access
25 Citations
6,357 Views
7 Pages

Impact of Soluble HLA-G Levels and Endometrial NK Cells in Uterine Flushing Samples from Primary and Secondary Unexplained Infertile Women

  • Roberta Rizzo,
  • Giuseppe Lo Monte,
  • Daria Bortolotti,
  • Angela Graziano,
  • Valentina Gentili,
  • Dario Di Luca and
  • Roberto Marci

10 March 2015

The aim of this research was to determine the levels of human leukocyte antigen G (HLA-G) and endometrial Natural Killer ((e)NK) cell percentages in uterine flushing samples from primary and secondary infertile women. sHLA-G levels were lower in the...

  • Review
  • Open Access
11 Citations
4,513 Views
14 Pages

The Neglected Uterine NK Cells/Hamperl Cells/Endometrial Stromal Granular Cell, or K Cells: A Narrative Review from History through Histology and to Medical Education

  • Lenka Lapides,
  • Ivan Varga,
  • Mária Csöbönyeiová,
  • Martin Klein,
  • Lada Pavlíková,
  • Kristína Visnyaiová,
  • Pavel Babál and
  • Renáta Mikušová

11 August 2023

Reproductive immunology is at the forefront of research interests, aiming to better understand the mechanisms of immune regulation during gestation. The relationship between the immune system and the implanting embryo is profound because the embryo i...

  • Review
  • Open Access
12 Citations
8,739 Views
22 Pages

Maternal–Fetal Compatibility in Recurrent Pregnancy Loss

  • Isabel Cuadrado-Torroglosa,
  • Juan A. García-Velasco and
  • Diana Alecsandru

19 April 2024

Nowadays, recurrent pregnancy loss (RPL) is an undesirable condition suffered by many patients of reproductive age. In this scenario, certain immune cell populations and molecules, involved in maternal–fetal compatibility, have emerged as facto...

  • Review
  • Open Access
1,152 Views
16 Pages

Role of CD138+ Plasma Cells and Natural Killer Cells in Couple Infertility: A Review

  • Alessandro Messina,
  • Alessandro Libretti,
  • Ilaria Giovannini,
  • Livio Leo,
  • Valentino Remorgida,
  • Bianca Masturzo and
  • Raffaele Tinelli

12 September 2025

Couple infertility is a multifactorial condition that involves, among other factors, immunological alterations of the endometrium. CD138+ plasma cells and uterine Natural Killer (NK) cells have been associated with implantation failures and recurrent...

  • Review
  • Open Access
43 Citations
9,395 Views
18 Pages

Role of Natural Killer Cells during Pregnancy and Related Complications

  • Deviyani Mahajan,
  • Neeta Raj Sharma,
  • Sudhakar Kancharla,
  • Prachetha Kolli,
  • Ashutosh Tripathy,
  • Amarish Kumar Sharma,
  • Sanjeev Singh,
  • Sudarshan Kumar,
  • Ashok Kumar Mohanty and
  • Manoj Kumar Jena

4 January 2022

A high number of leucocytes reside in the human endometrium and are distributed differentially during the menstrual cycle and pregnancy. During early pregnancy, decidual natural killer (dNK) cells are the most common type of natural killer (NK) cells...

  • Article
  • Open Access
1 Citations
648 Views
14 Pages

13 November 2025

Killer-cell immunoglobulin-like receptors (KIRs) play a crucial role in the cytotoxic activity of natural killer (NK) cells, encompassing both inhibitory and activating types. A higher ratio of cytotoxic to inhibitory receptors may harm successful pr...

  • Feature Paper
  • Article
  • Open Access
2,484 Views
21 Pages

Postpartum Uterine Involution in Cows: Quantitative Assessment of Structural Remodeling and Immune Cell Infiltration

  • Karine V. Aires,
  • Ana Paula da Silva,
  • Leonardo G. de Andrade,
  • Alexandre Boyer,
  • Gustavo Zamberlam,
  • Valerio M. Portela,
  • Alfredo Q. Antoniazzi and
  • Guillaume St-Jean

27 August 2025

Postpartum uterine involution in cattle involves complex morphological and immunological changes essential for restoring uterine health and fertility. This study evaluated endometrial biopsies collected at four postpartum time points to characterize...

  • Article
  • Open Access
7 Citations
6,509 Views
11 Pages

Immunomodulatory Treatment Impact on IVF Outcomes in KIR AA Genotype: Personalized Fertility Insights

  • Luana Seles,
  • Ioana Alexandra Zaha,
  • Mihai Luncan,
  • Alin Bodog,
  • Liliana Sachelarie,
  • Mircea Sandor,
  • Iulia Codruta Macovei,
  • Erika Bimbo-Szuhai and
  • Anca Huniadi

Background and Objectives: Recurrent implantation failure (RIF) affects 10% of couples undergoing in vitro fertilization (IVF), spurring exploration into tailored treatments to enhance implantation rates. Maternal immune tolerance towards embryos, pa...

  • Article
  • Open Access
1 Citations
1,422 Views
12 Pages

17 October 2025

The immunological factor of sterility, specifically the abnormal count and activity of uterine NK (uNK) cells, may represent one of the potential contributors affecting specific subgroups of sterile couples undergoing assisted reproductive treatment...

  • Review
  • Open Access
4 Citations
4,166 Views
16 Pages

26 April 2023

Natural killer (NK) cells are members of a rapidly expanding family of innate lymphoid cells (ILCs). NK cells play roles in the spleen, periphery, and in many tissues, such as the liver, uterine, lung, adipose, and so on. While the immunological func...

  • Review
  • Open Access
19 Citations
4,322 Views
14 Pages

8 February 2023

Immune tolerance at the feto-maternal interface is crucial for the growth of the semi-allograft fetus in the womb. The outcome of pregnancy is dependent on a fine balance between various immunological forces. For a long time, the potential role of th...

  • Review
  • Open Access
80 Citations
11,295 Views
29 Pages

Innate Immune Cells and Toll-like Receptor–Dependent Responses at the Maternal–Fetal Interface

  • Andrea Olmos-Ortiz,
  • Pilar Flores-Espinosa,
  • Ismael Mancilla-Herrera,
  • Rodrigo Vega-Sánchez,
  • Lorenza Díaz and
  • Verónica Zaga-Clavellina

During pregnancy, the placenta, the mother and the fetus exploit several mechanisms in order to avoid fetal rejection and to maintain an immunotolerant environment throughout nine months. During this time, immune cells from the fetal and maternal com...

  • Article
  • Open Access
5 Citations
3,246 Views
17 Pages

Ovarian stimulation is associated with an increased incidence of abnormal placentation. Uterine natural killer (uNK) cells are the major subpopulation of decidual immune cells, which are crucial for placentation. In a previous study, we found that ov...

  • Review
  • Open Access
13 Citations
8,845 Views
17 Pages

Immunological Aspects of Infertility—The Role of KIR Receptors and HLA-C Antigen

  • Anna Wasilewska,
  • Marcelina Grabowska,
  • Dominika Moskalik-Kierat,
  • Martyna Brzoza,
  • Piotr Laudański and
  • Marzena Garley

27 December 2023

The mechanisms of immune tolerance of a mother against an antigenically foreign fetus without a concomitant loss of defense capabilities against pathogens are the factors underlying the success of a pregnancy. A significant role in human defense is p...

  • Review
  • Open Access
33 Citations
5,552 Views
25 Pages

Angiogenic Properties of NK Cells in Cancer and Other Angiogenesis-Dependent Diseases

  • Dorota M. Radomska-Leśniewska,
  • Agata Białoszewska and
  • Paweł Kamiński

29 June 2021

The pathogenesis of many serious diseases, including cancer, is closely related to disturbances in the angiogenesis process. Angiogenesis is essential for the progression of tumor growth and metastasis. The tumor microenvironment (TME) has immunosupp...

  • Article
  • Open Access
4 Citations
2,284 Views
13 Pages

Apoptotic Receptors and CD107a Expression by NK Cells in an Interaction Model with Trophoblast Cells

  • Valentina A. Mikhailova,
  • Dmitry I. Sokolov,
  • Polina V. Grebenkina,
  • Dmitry O. Bazhenov,
  • Igor P. Nikolaenkov,
  • Igor Yu. Kogan and
  • Areg A. Totolian

16 August 2024

Natural killer cells (NK cells) exert cytotoxicity towards target cells in several ways, including the expression of apoptosis-mediating ligands (TRAIL, FasL). In addition, NK cells themselves may be susceptible to apoptosis due to the expression of...

  • Review
  • Open Access
12 Citations
5,917 Views
15 Pages

Development and Characterization of an Anti-Cancer Monoclonal Antibody for Treatment of Human Carcinomas

  • Kwong yok Tsang,
  • Massimo Fantini,
  • Sharon A. Mavroukakis,
  • Anjum Zaki,
  • Christina M. Annunziata and
  • Philip M. Arlen

21 June 2022

NEO-201 is an IgG1 humanized monoclonal antibody (mAb) that binds to tumor-associated variants of carcinoembryonic antigen-related cell adhesion molecule (CEACAM)-5 and CEACAM-6. NEO-201 reacts to colon, ovarian, pancreatic, non-small cell lung, head...

  • Review
  • Open Access
14 Citations
7,856 Views
20 Pages

Immune Regulation of Seminal Plasma on the Endometrial Microenvironment: Physiological and Pathological Conditions

  • Qiuzi Shen,
  • Xiaoyu Wu,
  • Jin Chen,
  • Chao He,
  • Zehao Wang,
  • Boyan Zhou and
  • Huiping Zhang

27 September 2023

Seminal plasma (SP) accounts for more than 90% of semen volume. It induces inflammation, regulates immune tolerance, and facilitates embryonic development and implantation in the female reproductive tract. In the physiological state, SP promotes endo...

  • Review
  • Open Access
120 Citations
16,728 Views
21 Pages

The Impact of Hypoxia in Early Pregnancy on Placental Cells

  • Hui Zhao,
  • Ronald J. Wong and
  • David K. Stevenson

7 September 2021

Oxygen levels in the placental microenvironment throughout gestation are not constant, with severe hypoxic conditions present during the first trimester. This hypoxic phase overlaps with the most critical stages of placental development, i.e., blasto...

  • Review
  • Open Access
68 Citations
9,009 Views
26 Pages

The Role of Interleukins in Recurrent Implantation Failure: A Comprehensive Review of the Literature

  • Konstantinos Pantos,
  • Sokratis Grigoriadis,
  • Evangelos Maziotis,
  • Kalliopi Pistola,
  • Paraskevi Xystra,
  • Agni Pantou,
  • Georgia Kokkali,
  • Athanasios Pappas,
  • Maria Lambropoulou and
  • Mara Simopoulou
  • + 1 author

16 February 2022

Recurrent implantation failure (RIF) is a multifactorial condition affecting 10–15% of in vitro fertilization (IVF) couples. Data suggest that functional dysregulation of the endometrial immune system constitutes one of the main pathophysiologi...

  • Article
  • Open Access
3,189 Views
14 Pages

Detection of Math6-Expressing Cell Types in Murine Placenta

  • Maren Brendel,
  • Marion Scharf,
  • Urs Kindler,
  • Satya Srirama Karthik Divvela and
  • Beate Brand-Saberi

19 September 2023

The transcription factor Math6, mouse atonal homolog 6, belongs to the family of highly conserved basic helix–loop–helix transcription factors. It plays an important role in embryonic development and shows a wide expression pattern in mur...

  • Article
  • Open Access
484 Views
16 Pages

Invariant and Diverse NKT Cells Regulate Bacterial Clearance and Pathology in Chlamydial Genital Tract Infection in Mice

  • Kazunari Ishii,
  • Toshinori Soejima,
  • Yoshiki Ohnishi,
  • Ryo Ozuru,
  • Ryota Itoh,
  • Bin Chou,
  • Michinobu Yoshimura,
  • Akinori Shimizu,
  • Yusuke Kurihara and
  • Kenji Hiromatsu
  • + 1 author

15 November 2025

Chlamydia trachomatis infection causes pelvic inflammatory disease and infertility, but how host immune factors control pathogen clearance or pathology is not fully understood. Using a mouse model of genital tract infection with Chlamydia muridarum,...

  • Article
  • Open Access
1,679 Views
15 Pages

18 September 2024

Porcine reproductive and respiratory syndrome virus (PRRSV) causes abortions, stillbirths, and dummy pregnancies. Previous studies found that PRRSV can promote secondary bacterial infections and elevate bacterial endotoxin levels, further increasing...

  • Review
  • Open Access
8 Citations
5,315 Views
17 Pages

21 October 2023

Today, there is strong and diversified evidence that in humans at least 50% of early embryos do not proceed beyond the pre-implantation period. This evidence comes from clinical investigations, demography, epidemiology, embryology, immunology, and mo...

  • Review
  • Open Access
15 Citations
6,601 Views
24 Pages

Alloimmune Causes of Recurrent Pregnancy Loss: Cellular Mechanisms and Overview of Therapeutic Approaches

  • Cristina Uța,
  • Alexandru Tîrziu,
  • Elena-Larisa Zimbru,
  • Răzvan-Ionuț Zimbru,
  • Marius Georgescu,
  • Laura Haidar and
  • Carmen Panaitescu

19 November 2024

Recurrent pregnancy loss (RPL) is a complex early pregnancy complication affecting 1–2% of couples and is often linked to immune dysfunction. Aberrations in T and B cell subpopulations, as well as natural killer (NK) cell activity, are particul...

  • Review
  • Open Access
465 Views
44 Pages

Molecular Crosstalk Between Intrauterine hCG and Endometrial Receptivity: Signalling Pathways, Immune Modulation, and Translational Perspectives in IVF

  • Charalampos Voros,
  • Fotios Chatzinikolaou,
  • Georgios Papadimas,
  • Spyridon Polykalas,
  • Aristotelis-Marios Koulakmanidis,
  • Diamantis Athanasiou,
  • Vasiliki Kanaka,
  • Maria Kanaka,
  • Kyriakos Bananis and
  • Georgios Daskalakis
  • + 9 authors

26 December 2025

A limited period of endometrial receptivity is defined by molecular interactions between the embryo and maternal tissues, which are crucial for successful implantation. The results of clinical studies assessing intrauterine human chorionic gonadotrop...

  • Article
  • Open Access
5 Citations
6,167 Views
11 Pages

In women with unexplained infertility (UI) and recurrent in vitro fertilization (IVF) failures, the etiology is often unclear. Endometrial immune perturbations and the use of immune markers associated with these dysregulations are of great interest i...

  • Article
  • Open Access
3 Citations
2,840 Views
11 Pages

Should the Treatment of Patients with Repeated Embryo Implantation Failure Be Adapted as a Function of the Endometrial Cytokine Profile? A Single-Center Experience

  • Bérangère Coutanceau,
  • Esther Dos Santos,
  • Nelly Swierkowski Blanchard,
  • Anne Sanchez Louboutin,
  • Florence Boitrelle,
  • François Margueritte,
  • François Vialard,
  • Valérie Serazin and
  • Khadija Fathallah

Repeated embryo implantation failures (RIF) is a source of distress and frustration for patients and clinicians alike. Today’s approaches for treating RIF are largely empirical and have limited effectiveness. The main causes of RIF are poor end...