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Altered immunophenotypic parameters in infertile women. Possible role of herpes viremia
D Thomas1, V Michou, T Moustakarias
1Department of infertility, Locus Medicus Laboratory, Athens, Greece. locus@otenet.gr
Insights
Subclinical herpesvirus viremia may cause immune system stimulation in infertile women. This study found correlations between herpesvirus infections and changes in natural killer (NK) cells and T-lymphocytes in peripheral blood.
Area of Science:
- Immunology
- Reproductive Medicine
- Virology
Background:
- Infertility affects a significant number of women.
- The role of subclinical infections in female infertility is not fully understood.
- Herpesviruses are common and can establish lifelong infections.
Purpose of the Study:
- To investigate alterations in peripheral blood lymphocyte concentrations in infertile women.
- To explore the potential role of herpesvirus viremia in peripheral immune stimulation among infertile women.
Main Methods:
- Immunophenotypic analysis of peripheral blood cells from 168 infertile women.
- Detection of herpesviruses DNA in peripheral blood samples.
- Correlation analysis between viral presence and immune cell counts.
Main Results:
- Herpesvirus viremia was statistically correlated with concentrations of natural killer (NK) cells (CD56+/CD16+ and CD56+/CD16-) and lymphocytes.
- Epstein-Barr virus (EBV) viremia showed a slight reduction in CD56+/CD16- NK cells.
- Triple herpesvirus viremia was associated with elevated T-lymphocyte, CD4+ T-cell, and CD8+ T-cell concentrations.
Conclusions:
- Subclinical herpesvirus viremia may contribute to peripheral immune stimulation in infertile women.
- These immune alterations could play a role in the pathophysiology of infertility.
- Further research is warranted to confirm the causal link and explore therapeutic implications.
Problem:
Purpose of this study was to reveal any alteration in peripheral blood lymphocytic concentrations of a large cohort of infertile women and to investigate the possible role of herpes viremia in the peripheral immunostimulation.
Method Of Study:
The immunophenotypic characteristics and the presence of herpes viruses DNA in the peripheral blood of 168 infertile women were studied.
Results:
Peripheral CD56+/CD16+ natural killer (NK) cell concentration, CD56+/CD16- NK cell concentration, white blood cell (WBC) concentration and lymphocyte concentration were statistically correlated to herpes viremia. Epstein-Barr virus (EBV) viremia is related with a limited reduction of CD56+/CD16- cell levels in the peripheral blood of infertile women with regard to the rest of herpes viruses. High T-lymphocyte concentration, CD4+ T-cell concentration and CD8+ T-cell concentration was observed in women positive for three different kinds of herpes viruses (triple viremia) in the peripheral blood.
Conclusions:
Assuming that all women under study remained asymptomatic, these data suggest that subclinical herpesvirus viremia may be an important cause of peripheral immunostimulation in women with a history of infertility.
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