Prevalence of HHV-6 in endometrium from women with recurrent implantation failure

Am J Reprod Immunol. 2018 Jul;80(1):e12862. doi: 10.1111/aji.12862. Epub 2018 Apr 17.

Abstract

Problem: To study the prevalence of HHV-6 in endometrial biopsies among women experiencing recurrent implantation failure (RIF) after IVF/ET compared with controls.

Method of study: Thirty women experiencing RIF after IVF/ET and 10 fertile women participated in the study. All women had endometrial biopsies taken in the luteal phase of their menstrual cycle for an endometrial immune profile (EIP) and HHV-6 mRNA as well as lymphocyte and granulocyte populations. The prevalence of HHV-6 in endometrial biopsies was determined, and biopsies for positive and negative expression of HHV-6 were compared with the results of their EIP and lymphocyte and granulocyte populations.

Results: Thirty-seven percentage of women with a history of RIF and 0% of controls demonstrated the presence of HHV-6 in their endometrial biopsies. No associations were found when the results of the endometrial immune profile were compared with the presence or absence of HHV-6. Significant increase in neutrophil-specific CD16b mRNA was found in HHV-6-positive samples, and the levels of B cells-related CD19 mRNA were lower in biopsies from women with RIF in comparison with normal controls.

Conclusion: HHV-6 infection is an important factor in RIF.

Keywords: HHV-6; endometrial biopsy; herpesvirus; recurrent implantation failure.

MeSH terms

  • Abortion, Habitual / immunology
  • Abortion, Habitual / virology*
  • Antigens, CD19 / metabolism
  • B-Lymphocytes / immunology
  • B-Lymphocytes / metabolism
  • B-Lymphocytes / virology
  • Biopsy / methods
  • Endometrium / immunology
  • Endometrium / metabolism
  • Endometrium / virology*
  • Female
  • Fertilization in Vitro / methods
  • Granulocytes / immunology
  • Granulocytes / metabolism
  • Granulocytes / virology
  • Herpesvirus 6, Human
  • Humans
  • Infertility, Female / immunology
  • Infertility, Female / metabolism
  • Infertility, Female / virology*
  • Lymphocytes / immunology
  • Lymphocytes / metabolism
  • Lymphocytes / virology
  • Menstrual Cycle / immunology
  • Menstrual Cycle / metabolism
  • Neutrophils / immunology
  • Neutrophils / metabolism
  • Neutrophils / virology
  • Prevalence
  • RNA, Messenger / metabolism
  • Receptors, IgG / metabolism
  • Roseolovirus Infections / epidemiology*
  • Roseolovirus Infections / metabolism

Substances

  • Antigens, CD19
  • RNA, Messenger
  • Receptors, IgG