Comparison of Doppler ultrasound indices of uterine artery and sub endometrial blood supply in frozen embryo transfer with and without repeated implantation failure: A cross-sectional study.

Background: Uterine blood supply has been identified as a potential factor in implantation failure. Objective: This study aimed to investigate Doppler indices in the uterine artery, including vascular flow and resistance, as well as the amount of sub-endometrial blood supply in women with a history of repeated implantation failure (RIF) compared to the non-RIF group. Materials and Methods: This cross-sectional study was conducted with 139 women candidates for frozen embryo transfer in Yazd Reproductive Sciences Institute, Yazd, Iran from February to July 2023. Group A (n = 68) included women with a history of more than 2 RIF, and group B (n = 71) included women candidates for implantation for the first time without RIF. Doppler ultrasound indices of uterine artery and sub-endometrium, including sub-endometrial flow, uterine artery flow, uterine artery resistance, and peak systolic velocity, were recorded. Results: No significant differences were observed in uterine artery Doppler pulsatility index and peak systolic velocity between groups, but the uterine artery resistance index was significantly higher in the A group (p < 0.001). A significant difference was observed in the perfusion area between groups. 60/68 women in the group A had endometrial perfusion in areas 2 and 3 (p < 0.001). Conclusion: Our study revealed that women with RIF exhibited higher resistance index in sub-endometrial arteries compared to the non-RIF group.

Evaluation of immunomodulatory effects of co-culture or supernatant of dexamethasone or IFN-γ-treated adipose-derived mesenchymal stem cells on spleen mononuclear cells

Although mesenchymal stem cells (MSCs) have exhibited promising immunomodulatory potential in preclinical studies, clinical studies have revealed variable results. These results often depend on environmental cues. Pre-conditioning MSCs with cytokines is one of the methods used to enhance their immunomodulatory effects. In this study, we harvested adipose-derived MSCs from mice and cultured them with different doses of the cytokine, IFN-γ, and the corticosteroid drug, dexamethasone, in order to investigate their effects on MSC immunosuppressive function. We found the co-culture or supernatant of MSCs, pre-conditioned with IFN-γ, together with spleen mononuclear cells resulted in a significant reduction of mononuclear cell proliferation. Although the supernatant of MSCs, pre-conditioned with dexamethasone, showed similar results, dexamethasone pre-conditioning of co-cultured MSCs increased mononuclear cell proliferation. The results further our understanding of immune-related effects of MSCs which may provide a basis for further in vivo studies to achieve better clinical results. We propose that pre-conditioning with cytokines might be an effective method to boost the immunomodulatory effects of MSCs.

The Therapeutic Potential of Regulatory T Cells: Challenges and Opportunities.

Regulatory T cells (Tregs) are an immunosuppressive subgroup of CD4+ T cells which are identified by the expression of forkhead box protein P3 (Foxp3). The modulation capacity of these immune cells holds an important role in both transplantation and the development of autoimmune diseases. These cells are the main mediators of self-tolerance and are essential for avoiding excessive immune reactions. Tregs play a key role in the induction of peripheral tolerance that can prevent autoimmunity, by protecting self-reactive lymphocytes from the immune reaction. In contrast to autoimmune responses, tumor cells exploit Tregs in order to prevent immune cell recognition and anti-tumor immune response during the carcinogenesis process. Recently, numerous studies have focused on unraveling the biological functions and principles of Tregs and their primary suppressive mechanisms. Due to the promising and outstanding results, Tregs have been widely investigated as an alternative tool in preventing graft rejection and treating autoimmune diseases. On the other hand, targeting Tregs for the purpose of improving cancer immunotherapy is being intensively evaluated as a desirable and effective method. The purpose of this review is to point out the characteristic function and therapeutic potential of Tregs in regulatory immune mechanisms in transplantation tolerance, autoimmune diseases, cancer therapy, and also to discuss that how the manipulation of these mechanisms may increase the therapeutic options.

On the weak dependence of water diffusivity on the degree of hydrophobicity of acetylated hydroxypropyl xylan.

We used molecular dynamics (MD) simulation to study the diffusion of water at low concentrations in a series of chemically modified xylans, a major hemicellulose, including hydroxypropyl xylan (HPX) and acetoxypropyl xylan (APX) which is essentially acetylated HPX, with different degrees of acetylation (i.e., different degrees of hydrophobicity) at 400 K, a temperature well above the glass transition temperatures of the materials. We used one HPX and three APX models. The three APX models were constructed using the HPX model by substituting 1, 2 or 3 hydroxyl moieties on its repeating units, respectively. The simulation results showed that the diffusivity of water at low concentrations in the chemically modified xylans decreased slightly (~20%) from HPX to APX with 3 acetylated hydroxyl moieties, a trend that has been experimentally observed for xylans and other cellulosic type materials. Further data analysis shows that acetylation decreases the ability of the xylan to form hydrogen bonds with water and its degree of swelling. And these two factors exert opposite effects on the diffusivity of water. In particular, the first factor increases the mobility (lower activation energy) of the water molecules, while the second factor reduces the free volumes available for diffusion, thereby decreasing the water mobility. This finding implies that it is not likely to obtain orders of magnitude change to the water diffusivity simply by the acetylation of all hydroxyl moieties on xylan. The high degree of swelling observed for HPX compared to those of APXs is attributed to the fact that many hydrogen bonds in HPX are broken by water. It is interesting to note that water in most of the hydrogen bonds formed between water and xylans acted as hydrogen bond acceptors rather than donors.