Early embryo loss is associated with the prior expression of macrophage activation markers in the decidua.

EK Haddad, AJ Duclos, WS Lapp… - Journal of immunology …, 1997 - journals.aai.org
EK Haddad, AJ Duclos, WS Lapp, MG Baines
Journal of immunology (Baltimore, Md.: 1950), 1997journals.aai.org
In early embryo loss, the activation of maternal immune effector mechanisms play a critical
role in determining the success or failure of a pregnancy. We have previously shown that
increased nitric oxide production by decidual macrophages is involved in early embryo loss
occurring at day 12 of gestation. In this study, using reverse transcription-PCR and Southern
blotting, the expression of inducible nitric oxide synthases (iNOS) and TNF-alpha mRNA
was determined to quantify macrophage activation in individual murine embryos in a model …
Abstract
In early embryo loss, the activation of maternal immune effector mechanisms play a critical role in determining the success or failure of a pregnancy. We have previously shown that increased nitric oxide production by decidual macrophages is involved in early embryo loss occurring at day 12 of gestation. In this study, using reverse transcription-PCR and Southern blotting, the expression of inducible nitric oxide synthases (iNOS) and TNF-alpha mRNA was determined to quantify macrophage activation in individual murine embryos in a model of spontaneous early embryo loss. At day 8 of gestation, 32 and 29% of embryos with no apparent pathology showed an increase in iNOS and TNF-alpha mRNA expression, respectively. This corresponds to the natural resorption rate seen in the mouse model. In addition, the percentage of embryos with increased iNOS and TNF-alpha mRNA expression was further augmented when pregnant mice were induced to abort at a higher rate. These results showed, for the first time, a correlation between increased iNOS and TNF-alpha expression and embryo resorption. The results provide evidence for the presence of activated macrophages at implantation sites before overt embryo damage occurs.
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