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Detailed Analysis of Peripheral Blood Natural Killer Cells in Women with Repeated IVF Failure

Authors


Correspondence

Dr Gavin Sacks, IVFAustralia, Level 16, Westfield Tower 2, 101 Grafton Street, Bondi Junction, NSW 2022, Australia.

E-mail: gsacks@ivf.com.au

Abstract

Problem

To analyse the peripheral blood NK cells in women with repeated IVF failure (RIF) and a fertile control group to determine which parameters best differentiate the two populations.

Methods

Peripheral blood from the luteal phase of 171 women with RIF and 33 fertile controls was analysed by four-colour flow cytometry for NK cell concentration, subset differentiation and the activation marker CD69.

Results

Women with RIF had significantly increased NK cell numbers as determined by concentration (P < 0.05) and percentage of lymphocytes (P < 0.001), increased concentration of the CD56dim subtype (P < 0.05), and increased concentration of activated CD56dimCD69+ cells (P = 0.0001). There was no correlation between any NK cell parameters with the length of infertility or number of embryo transfer cycles.

Conclusions

Peripheral blood NK cell activity is significantly higher in women with RIF than in fertile controls. Future trials of immune therapy in women undergoing IVF should target those with high NK activity.

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