Menstrual blood closely resembles the uterine immune micro-environment and is clearly distinct from peripheral blood.

STUDY QUESTION: Is menstrual blood a suitable source of endometrial derived lymphocytes? SUMMARY ANSWER: Mononuclear cells isolated from menstrual samples (menstrual blood mononuclear cells (MMC)) are clearly distinct from peripheral blood mononuclear cells (PBMC) and show a strong resemblance with biopsy-derived endometrial mononuclear cells. WHAT IS KNOWN ALREADY: A critical event in the onset of pregnancy is the implantation of the embryo in the uterine wall. The immune cell composition in the endometrium at the time of implantation is considered pivotal for success. Despite advancing knowledge on the composition of the immune cell population in the uterus, the role of endometrial immune cells in reproductive disorders is still not fully resolved, mainly due to the fact that this type of research requires invasive techniques. Here, we collected menstrual fluid and validated this unique non-invasive technique to obtain and study the endometrium-derived immune cells which would be present around the time of implantation. STUDY DESIGN, SIZE, DURATION: Five healthy non-pregnant females with regular menstruation cycles and not using oral contraceptives collected their menstrual blood using a menstrual cup in five consecutive cycles. Sampling took place over the first 3 days of menses, with 12 h intervals. Peripheral blood samples, taken before and after each menstruation, were obtained for comparative analysis. PARTICIPANTS/MATERIALS, SETTING, METHODS: MMC and PBMC samples were characterized for the different lymphocyte subsets by flow cytometry, with emphasis on NK cells and T cells. Next, the functional capacity of the MMC-derived NK cells was determined by measuring intracellular production of IFN-γ, granzyme B and perforin after culture in the presence of IL-2 and IL-15. MAIN RESULTS AND THE ROLE OF CHANCE: In support of their endometrial origin, MMC samples contained the typical composition of mononuclear cells expected of endometrial tissue, were phenotypically similar to the reported phenotype for biopsy-derived endometrial cells, and were distinct from PBMC. Increased percentages of NK cells and decreased percentages of T cells were found in MMC when compared with PBMC from the same female. The MMC-derived NK cells were pre-dominantly CD56(bright)/CD16(-), in contrast to the primarily CD56(dim)/CD16(+) peripheral blood NK cells. MMC-derived NK cells expressed CD103, indicating their mucosal origin. In addition, the pattern of natural cytotoxicity receptor (NCR) expression in MMC-derived NK cells was comparable with that in endometrial biopsy-derived NK cells. Compared with PBMC, the NKp30 expression was decreased, while the percentage of NKp44 positive cells was increased in MMC samples. CXCR3 and CXCR4 were hardly expressed by MMC-derived NK cells, indicating that these cells are not of PBMC origin. NK cells from MMC samples were functional as shown by their capacity to produce IFN-γ, granzyme B and perforin, upon stimulation with IL-2 and IL-15. MMC-derived T cells revealed an increased expression of CD103, CD69 and CXCR4 compared with PBMC-derived T cells. Importantly, MMC collection using a menstrual cup proved highly reliable and reproducible between women and between cycles. LIMITATIONS, REASONS FOR CAUTION: Based on the parameters we studied, MMC appear similar to biopsy-derived endometrial mononuclear cells. However, sampling is not done at the exact same time in the menstrual cycle, and thus we cannot exclude some, as yet undetected, differences. Also, it should be considered that for some women, the use of the menstrual cup may be unpleasant. WIDER IMPLICATIONS OF THE FINDINGS: Menstrual blood may be a source of endometrial cells and may create new opportunities to study uterine immunological cells in fertility issues. STUDY FUNDING/COMPETING INTEREST(S): No external funding was obtained for the present study. None of the authors have any conflict of interest to declare. TRIAL REGISTRATION NUMBER: NA.

Wave-induced hydraulic forces on submerged aquatic plants in shallow lakes.

BACKGROUND AND AIMS: Hydraulic pulling forces arising from wave action are likely to limit the presence of freshwater macrophytes in shallow lakes, particularly those with soft sediments. The aim of this study was to develop and test experimentally simple models, based on linear wave theory for deep water, to predict such forces on individual shoots. METHODS: Models were derived theoretically from the action of the vertical component of the orbital velocity of the waves on shoot size. Alternative shoot-size descriptors (plan-form area or dry mass) and alternative distributions of the shoot material along its length (cylinder or inverted cone) were examined. Models were tested experimentally in a flume that generated sinusoidal waves which lasted 1 s and were up to 0.2 m high. Hydraulic pulling forces were measured on plastic replicas of Elodea sp. and on six species of real plants with varying morphology (Ceratophyllum demersum, Chara intermedia, Elodea canadensis, Myriophyllum spicatum, Potamogeton natans and Potamogeton obtusifolius). KEY RESULTS: Measurements on the plastic replicas confirmed predicted relationships between force and wave phase, wave height and plant submergence depth. Predicted and measured forces were linearly related over all combinations of wave height and submergence depth. Measured forces on real plants were linearly related to theoretically derived predictors of the hydraulic forces (integrals of the products of the vertical orbital velocity raised to the power 1.5 and shoot size). CONCLUSIONS: The general applicability of the simplified wave equations used was confirmed. Overall, dry mass and plan-form area performed similarly well as shoot-size descriptors, as did the conical or cylindrical models of shoot distribution. The utility of the modelling approach in predicting hydraulic pulling forces from relatively simple plant and environmental measurements was validated over a wide range of forces, plant sizes and species.

Predicting the hydraulic forces on submerged macrophytes from current velocity, biomass and morphology.

Aquatic macrophytes are important in stabilising moderately eutrophic, shallow freshwater lakes in the clear-water state. The failure of macrophyte recovery in lakes with very soft, highly organic sediments that have been restored to clear water by biomanipulation (e.g. in the Norfolk Broads, UK) has suggested that the physical stability of the sediment may limit plant establishment. Hydraulic forces from water currents may be sufficient to break or remove plants. Our aim was to develop a simple model that could predict these forces from plant biomass, current velocity and plant form. We used an experimental flume to measure the hydraulic forces acting on shoots of 18 species of aquatic macrophyte of varying size and morphology. The hydraulic drag on the shoots was regressed on a theoretically derived predictor (shoot biomass × current velocity1.5). Such linear regressions proved to be highly significant for most species. The slopes of these lines represent species-specific, hydraulic roughness factors that are analogous to classical drag coefficients. Shoot architecture parameters describing leaf and shoot shape had significant effects on the hydraulic roughness factor. Leaf width and shoot stiffness individually did not have a significant influence, but in combination with shoot shape they were significant. This hydraulic model was validated for a subset of species using measurements from an independent set of shoots. When measured and predicted hydraulic forces were compared, the fit was generally very good, except for two species with morphological variations. This simple model, together with the plant-specific factors, provides a basis for predicting the hydraulic forces acting on the root systems of macrophytes under field conditions. This information should allow prediction of the physical stability of individual plants, as an aid to shallow-lake management.