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Increased levels of CCR7(lo)PD‑1(hi) CXCR5+ CD4+ T cells, and associated factors Bcl‑6, CXCR5, IL‑21 and IL‑6 contribute to repeated implantation failure

  • Authors:
    • Qiaoqiao Gong
    • Yuejie Zhu
    • Nannan Pang
    • Haiquan Ai
    • Xiaoyun Gong
    • Xiaolin La
    • Jianbing Ding
  • View Affiliations / Copyright

    Affiliations: Reproductive Medicine Center, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830054, P.R. China, Department of Immunology, School of Preclinical Medicine, Xinjiang Medical University, Urumqi, Xinjiang 830011, P.R. China
    Copyright: © Gong et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 5931-5941
    |
    Published online on: October 18, 2017
       https://doi.org/10.3892/etm.2017.5334
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Abstract

In vitro fertilization‑embryo transfer (IVF‑ET) can be used by infertile couples to assist with reproduction; however, failure of the embryo to implant into the endometrial lining results in failure of the IVF treatment. The present study investigated the expression of chemokine receptor 7 (CCR7)(lo) programmed death‑1(PD‑1)(hi) chemokine receptor type 5 (CXCR5)+ cluster of differentiation 4 (CD4)+ T cells and associated factors in patients with repeated implantation failure (RIF). A total of 30 females with RIF and 30 healthy females were enrolled in the current study. Flow cytometry was used to detect the proportion of CCR7(lo)PD‑1(hi) CXCR5+ CD4+ T cells in the peripheral blood. Cytokine bead arrays were performed to detect the levels of interleukin (IL)‑6, ‑4 and ‑2 in the serum. ELISAs were used to detect the level of IL‑21 in the serum. Quantitative real time polymerase chain reaction analysis and immunohistochemistry were used to investigate the expression of B‑cell lymphoma 6 (Bcl‑6), chemokine receptor type 5 (CXCR5) and IL‑21 in the endometrium. The results revealed that the percentage of CCR7(lo)PD‑1(hi) CXCR5+ CD4+ T cells was increased in the RIF group compared with the control group during the mid luteal phase. The mRNA and protein levels of Bcl‑6, IL‑21 and CXCR5 in the endometrium and the concentrations of IL‑21 and IL‑6 in the serum were significantly increased in the RIF group; however, no significant difference was observed between the two groups in regards to the expression of IL‑4 and IL‑2. Furthermore, a significant positive correlation was identified between the percentage of CCR7(lo)PD‑1(hi) CXCR5+ CD4+ T cells and IL‑21 and IL‑6 levels. The expression of IL‑21 also had a positive correlation with Bcl‑6 and CXCR5 expression in the RIF group. These results suggest that increased levels of CCR7(lo)PD‑1(hi) CXCR5+ CD4+ T cells and associated factors contribute to RIF and could therefore be a potential therapeutic target.
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Copy and paste a formatted citation
Spandidos Publications style
Gong Q, Zhu Y, Pang N, Ai H, Gong X, La X and Ding J: Increased levels of CCR7(lo)PD‑1(hi) CXCR5+ CD4+ T cells, and associated factors Bcl‑6, CXCR5, IL‑21 and IL‑6 contribute to repeated implantation failure. Exp Ther Med 14: 5931-5941, 2017.
APA
Gong, Q., Zhu, Y., Pang, N., Ai, H., Gong, X., La, X., & Ding, J. (2017). Increased levels of CCR7(lo)PD‑1(hi) CXCR5+ CD4+ T cells, and associated factors Bcl‑6, CXCR5, IL‑21 and IL‑6 contribute to repeated implantation failure. Experimental and Therapeutic Medicine, 14, 5931-5941. https://doi.org/10.3892/etm.2017.5334
MLA
Gong, Q., Zhu, Y., Pang, N., Ai, H., Gong, X., La, X., Ding, J."Increased levels of CCR7(lo)PD‑1(hi) CXCR5+ CD4+ T cells, and associated factors Bcl‑6, CXCR5, IL‑21 and IL‑6 contribute to repeated implantation failure". Experimental and Therapeutic Medicine 14.6 (2017): 5931-5941.
Chicago
Gong, Q., Zhu, Y., Pang, N., Ai, H., Gong, X., La, X., Ding, J."Increased levels of CCR7(lo)PD‑1(hi) CXCR5+ CD4+ T cells, and associated factors Bcl‑6, CXCR5, IL‑21 and IL‑6 contribute to repeated implantation failure". Experimental and Therapeutic Medicine 14, no. 6 (2017): 5931-5941. https://doi.org/10.3892/etm.2017.5334
Copy and paste a formatted citation
x
Spandidos Publications style
Gong Q, Zhu Y, Pang N, Ai H, Gong X, La X and Ding J: Increased levels of CCR7(lo)PD‑1(hi) CXCR5+ CD4+ T cells, and associated factors Bcl‑6, CXCR5, IL‑21 and IL‑6 contribute to repeated implantation failure. Exp Ther Med 14: 5931-5941, 2017.
APA
Gong, Q., Zhu, Y., Pang, N., Ai, H., Gong, X., La, X., & Ding, J. (2017). Increased levels of CCR7(lo)PD‑1(hi) CXCR5+ CD4+ T cells, and associated factors Bcl‑6, CXCR5, IL‑21 and IL‑6 contribute to repeated implantation failure. Experimental and Therapeutic Medicine, 14, 5931-5941. https://doi.org/10.3892/etm.2017.5334
MLA
Gong, Q., Zhu, Y., Pang, N., Ai, H., Gong, X., La, X., Ding, J."Increased levels of CCR7(lo)PD‑1(hi) CXCR5+ CD4+ T cells, and associated factors Bcl‑6, CXCR5, IL‑21 and IL‑6 contribute to repeated implantation failure". Experimental and Therapeutic Medicine 14.6 (2017): 5931-5941.
Chicago
Gong, Q., Zhu, Y., Pang, N., Ai, H., Gong, X., La, X., Ding, J."Increased levels of CCR7(lo)PD‑1(hi) CXCR5+ CD4+ T cells, and associated factors Bcl‑6, CXCR5, IL‑21 and IL‑6 contribute to repeated implantation failure". Experimental and Therapeutic Medicine 14, no. 6 (2017): 5931-5941. https://doi.org/10.3892/etm.2017.5334
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