Mifepristone (RU486) inducing abortion in a mouse model by regulating innate and adaptive immune responses

Bibliographic Details
Title: Mifepristone (RU486) inducing abortion in a mouse model by regulating innate and adaptive immune responses
Authors: Meng-Die Li, Yi-Fei Sang, Yun-Hui Tang, Ling Xu, Chun-Fang Xu, Da-Jin Li, Yan-Hong Li, Jian-Ping Zhang, Mei-Rong Du
Source: Reproductive and Developmental Medicine, Vol 4, Iss 2, Pp 63-71 (2020)
Publisher Information: Wolters Kluwer Health/LWW, 2020.
Publication Year: 2020
Collection: LCC:Immunologic diseases. Allergy
LCC:Diseases of the endocrine glands. Clinical endocrinology
Subject Terms: decidual cd4+ t-cells, decidual macrophages, induced abortion, ru486, Immunologic diseases. Allergy, RC581-607, Diseases of the endocrine glands. Clinical endocrinology, RC648-665
More Details: Objective: Mifepristone (RU486), one of the most common medications for artificial abortion, attenuates the immunoregulatory effects of progesterone. However, the specific immune regulatory mechanism of RU486 in abortion remains unknown. We intended to investigate the immunomodulatory effects of RU486 on abortion. Methods: Sixty female mice were divided into the control group (0 mg RU486) and RU486 group (2 mg/kg RU486). The uterus, peripheral blood, and spleen were obtained for isolation of specific cell types. The population and phenotype of immune cells in the decidua, peripheral blood, and spleen were analyzed using flow cytometry. Statistical differences between groups were determined using two-tailed t- test. For all statistical tests, P < 0.05 was considered statistically significant. Results: RU486 effectively induced abortion in pregnant mice, with a significantly higher number of decidual macrophages (dMφ) (control group = 25.55% ± 2.467%, RU486 group = 19.41% ± 1.423%; P < 0.05), especially the major histocompatibility complex IIhigh subset. No difference in Mφ number was observed in the spleen or peripheral blood. Moreover, the dMφ from mice with RU486-induced abortion displayed a remarkable activated phenotype, with increased expressions of inducible nitric oxide synthase, tumor necrosis factor-α, and interleukin (IL)-12 but decreased expressions of arginase-1 and IL-10. We also found elevated levels of decidual CD4+ T-cells in the RU486 group that exhibited a higher level of the proinflammatory cytokine interferon-γ and a lower level of the anti-inflammatory cytokines, IL-4 and IL-10. Conclusions: We report a new mechanism of RU486-induced abortion via the regulation of innate cell Mφ activation and the adaptive response of CD4+ T-cells present in the decidua but not the periphery.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2096-2924
2589-8728
Relation: http://www.repdevmed.org/article.asp?issn=2096-2924;year=2020;volume=4;issue=2;spage=63;epage=71;aulast=Li; https://doaj.org/toc/2096-2924; https://doaj.org/toc/2589-8728
DOI: 10.4103/2096-2924.288021
Access URL: https://doaj.org/article/d0c1ebdbce164ae9b9db4f5b7dabedf2
Accession Number: edsdoj.0c1ebdbce164ae9b9db4f5b7dabedf2
Database: Directory of Open Access Journals
More Details
ISSN:20962924
25898728
DOI:10.4103/2096-2924.288021
Published in:Reproductive and Developmental Medicine
Language:English