Natural Killer T cell subsets in eutopic and ectopic endometrium: a fresh look to a busy corner

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This review synthesizes current knowledge on invariant Natural Killer T cells in eutopic and ectopic endometrium, noting their innate and adaptive immune characteristics and cytokine secretion.

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This paper is a narrative review aiming to synthesize current knowledge on invariant natural killer T (iNKT) cells in eutopic versus ectopic endometrium, using literature retrieved from computerized database searches. It summarizes evidence that the immune environment of reproduction is shaped by cytokine milieu, which in turn influences mononuclear cell development and plasticity, and that iNKT cells can exhibit both innate-like and adaptive-like functions, including secretion of Th1- and Th2-associated cytokine patterns. The review also notes that multiple iNKT subtypes have been described, with partial overlap in transcription factor expression with corresponding T-cell counterparts. A major limitation explicitly reflected by the review’s framing is that data on iNKT actions in eutopic and ectopic endometrium remain scarce. This paper is centrally about endometriosis — it specifically reviews iNKT biology in eutopic and ectopic endometrial tissues, which relate to endometriosis and adenomyosis lesion microenvironments.

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Abstract

PURPOSE: Invariant Natural Killer T cells (iNKT) are a specialized subset of T cells that use their T cell receptor to recognize self and foreign lipids presented by CD1d as cognate antigens. iNKT have been shown to have either protective or harmful roles in many pathological states, including microbial infection, autoimmune disease, allergic disease and cancer. Accumulating evidence seems to suggest that this unique T cell subset combines both classically innate and adaptive immunologic characteristic. Considering these recent data, the aim of work was to review the current knowledge about iNKT in eutopic and ectopic endometrium. METHODS: Narrative overview, synthesizing the findings of literature retrieved from searches of computerized databases. RESULTS: Currently, the immune paradigm of reproduction is gradually changing shape: recent data confirmed that cytokine milieu influences the development and plasticity of different subtype of mononuclear cells, and in turn it can be influenced by the cytokine production of the latter. Among the different NKT cell populations, the recently characterized iNKT seems to share actions typical both of innate and adaptive immunity, being capable of secreting Th1 as well as Th2 cytokine pattern. Moreover, several subtypes of iNKT were identified, who partially express the same master transcription factors of the corresponding T cells counterpart. CONCLUSIONS: Although the data about iNKT's actions in eutopic and ectopic endometrium are still scarce, it is possible to hypothesize that future investigation can shed light on this point, thus allowing a better knowledge about the regulation of these two microenvironments.
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Abstract

Purpose Invariant Natural Killer T cells (iNKT) are a specialized subset of T cells that use their T cell receptor to recognize self and foreign lipids presented by CD1d as cognate antigens. iNKT have been shown to have either protective or harmful roles in many pathological states, including microbial infection, autoimmune disease, allergic disease and cancer. Accumulating evidence seems to suggest that this unique T cell subset combines both classically innate and adaptive immunologic characteristic. Considering these recent data, the aim of work was to review the current knowledge about iNKT in eutopic and ectopic endometrium.

Methods

Narrative overview, synthesizing the findings of literature retrieved from searches of computerized databases.

Results

Currently, the immune paradigm of reproduction is gradually changing shape: recent data confirmed that cytokine milieu influences the development and plasticity of different subtype of mononuclear cells, and in turn it can be influenced by the cytokine production of the latter. Among the different NKT cell populations, the recently characterized iNKT seems to share actions typical both of innate and adaptive immunity, being capable of secreting Th1 as well as Th2 cytokine pattern. Moreover, several subtypes of iNKT were identified, who partially express the same master transcription factors of the corresponding T cells counterpart.

Conclusions

Although the data about iNKT’s actions in eutopic and ectopic endometrium are still scarce, it is possible to hypothesize that future investigation can shed light on this point, thus allowing a better knowledge about the regulation of these two microenvironments. Similar content being viewed by others

References

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Arch Gynecol Obstet 293, 941–949 (2016). https://doi.org/10.1007/s00404-015-4004-7 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00404-015-4004-7

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Antigens, CD1d Endometrium Natural Killer T-Cells Antigens, CD1d Cytokines Cytokines Endometrium Endometrium Female Humans Lipids Lipids Natural Killer T-Cells

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