The Effects of Cancer Immunotherapy on Fertility: Focus on Hematological Malignancies DOI Creative Commons
Santino Caserta,

Gabriella Cancemi,

Giuseppe Murdaca

et al.

Biomedicines, Journal Year: 2024, Volume and Issue: 12(9), P. 2106 - 2106

Published: Sept. 15, 2024

In recent years, cancer management has benefitted from new effective treatments, including immunotherapy. While these therapies improve survival rates, they can alter immune responses and cause long-term side effects, of which gonadotoxic effects the potential impact on male female fertility are growing concerns. Immunotherapies, such as checkpoint inhibitors, immunomodulators, monoclonal antibodies, CAR-T, lead to elevated levels proinflammatory cytokines immune-related adverse events that may exacerbate problems. Immunotherapy-related inflammation, characterized by cytokine imbalances activation pathways AMPK/mTOR, been implicated in mechanisms impairment. men, hypospermatogenesis aspermatogenesis have observed after treatment with direct gonads, particularly through inhibition cytotoxic T lymphocyte antigen-4. women, both damage ovarian reserves, recurrent pregnancy loss, implantation failure documented, secondary a complex interplay between cells, cells uterine NK cells. this review, immunotherapy patients hematological cancers was analyzed. area is still underexplored, preservation methods remain crucial. Future studies should investigate immunotherapy’s establish standardized protocols.

Language: Английский

Comparative analysis of the syncytiotrophoblast in placenta tissue and trophoblast organoids using snRNA sequencing DOI Open Access

Madeline M. Keenen,

Liheng Yang, Huan Liang

et al.

Published: Nov. 1, 2024

The outer surface of chorionic villi in the human placenta consists a single multinucleated cell called syncytiotrophoblast (STB). unique cellular ultrastructure STB presents challenges deciphering its gene expression signature at single-cell level, as contains billions nuclei cell. There are many gaps understanding molecular mechanisms and developmental trajectories involved formation differentiation. To identify underlying control STB, we performed comparative nucleus (SN) (SC) RNA sequencing on placental tissue tissue-derived trophoblast organoids (TOs). We found that SN was essential to capture population from both TOs. Differential pseudotime analysis TO-derived identified three distinct nuclear subtypes reminiscent those recently vivo . These included juvenile exhibited CTB marker expression, enriched genes oxygen sensing, fully differentiated subtype. Notably, suspension culture conditions TOs restore native orientation (STB out ) showed elevated canonical markers pregnancy hormones, along with greater proportion terminally mature subtype, compared cultivated an inverted polarity ). Gene regulatory novel differentiation conserved TOs, including chromatin remodeler RYBP, STB-specific protein expression. Finally, signatures amongst first trimester tissue, full-term identifying commonalities but also notable variability across each sample type. This indicates is responsive environmental context. Our findings emphasize utility accurately model observed , offering versatile platform for unraveling governing functions biology disease.

Language: Английский

Citations

1

The peptide selectivity model: Interpreting NK cell KIR-HLA-I binding interactions and their associations to human diseases DOI Creative Commons
Malcolm J. W. Sim, Eric O. Long

Trends in Immunology, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 1, 2024

Language: Английский

Citations

1

Dysregulation of Decidual NK Cell Proliferation by Impaired Decidual Cells: A Potential Contributor to Excessive Trophoblast Invasion in Placenta Accreta Spectrum DOI

You-Zhen Liu,

Jin‐Chung Shih,

Meng-Shiue Wu

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 9, 2024

Abstract Background Abnormal interactions among decidual cells, natural killer (dNK) and trophoblasts are implicated in contributing to the placenta accreta spectrum (PAS). However, specific details of these remain unclear.Methods Normal human placental maternal decidua-mesenchymal stem cells (MD-MSCs) pathological MD-MSCs from PAS patients (PAs) were isolated cultured serum-free conditions. Decidualization was induced using hormonal cocktails: estradiol (E2)/ progesterone (P4) chemical agents 8-br-cAMP/ medroxyprogesterone acetate (MPA) for both PAs. dNK-like generated peripheral (pNK) through induction. Interactions dNK studied a transwell co-culture system. Bulk RNA-seq analysis performed identify differential genes between PAs explored their potential role immune tolerance regulation NK trophoblast invasion.Results This study aims explore correlation defective decidualization endometrial stromal dysregulated cell proliferation, leading excessive invasion development PAS. defects confirmed PAs, characterized by reduced morphological changes altered expression levels biomarkers at mRNA protein levels, potentially associated with overexpression estrogen receptor (ER). Furthermore, normal exhibited similar patterns regulating invasion, suggesting an indirect impact impaired on behavior. Interestingly, decidualized (De-MD-MSCs) showed induce conversion pNK into which displayed cytotoxicity enhanced KIR2DL4 expression, possibly upregulated Csf3, Il1β, Tgfb1. Additionally, increased proliferation when co-cultured regulated Cxcl12, Il33, Tgfb1, Vegfa, Vegfc, enhancing spiral artery remodeling. Conditioned medium derived PAs-induced demonstrated higher capacity promote dose-dependent manner.Conclusion may contribute pathogenesis PAS, providing valuable insights its mechanisms therapeutic interventions.

Language: Английский

Citations

0

High concentration of estrogen resulted by COH may affect the secretion of pro-angiogenic factors in uNK cells by downregulating the expression of IL-11 in decidual stromal cells DOI

Hui Mu,

Haikun Yu,

Song Yan

et al.

Journal of Assisted Reproduction and Genetics, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 14, 2024

Language: Английский

Citations

0

The Effects of Cancer Immunotherapy on Fertility: Focus on Hematological Malignancies DOI Creative Commons
Santino Caserta,

Gabriella Cancemi,

Giuseppe Murdaca

et al.

Biomedicines, Journal Year: 2024, Volume and Issue: 12(9), P. 2106 - 2106

Published: Sept. 15, 2024

In recent years, cancer management has benefitted from new effective treatments, including immunotherapy. While these therapies improve survival rates, they can alter immune responses and cause long-term side effects, of which gonadotoxic effects the potential impact on male female fertility are growing concerns. Immunotherapies, such as checkpoint inhibitors, immunomodulators, monoclonal antibodies, CAR-T, lead to elevated levels proinflammatory cytokines immune-related adverse events that may exacerbate problems. Immunotherapy-related inflammation, characterized by cytokine imbalances activation pathways AMPK/mTOR, been implicated in mechanisms impairment. men, hypospermatogenesis aspermatogenesis have observed after treatment with direct gonads, particularly through inhibition cytotoxic T lymphocyte antigen-4. women, both damage ovarian reserves, recurrent pregnancy loss, implantation failure documented, secondary a complex interplay between cells, cells uterine NK cells. this review, immunotherapy patients hematological cancers was analyzed. area is still underexplored, preservation methods remain crucial. Future studies should investigate immunotherapy’s establish standardized protocols.

Language: Английский

Citations

0