Role of Indoleamine 2,3-Dioxygenase and Tryptophan 2,3-Dioxygenase in Patients with Recurrent Miscarriage.
PROBLEM
An indoleamine 2,3-dioxygenase (IDO) and a tryptophan 2,3-dioxygenase (TDO) lead to dysfunction of T cell and immunological tolerance between fetus and mother in early pregnancy. We investigated the role of IDO and TDO in patients with recurrent miscarriage.


METHODS OF STUDY
Cervical mucus, decidua, and villi were surgically collected from patients with recurrent miscarriage from April 2010 to March 2013. Samples of cervical mucus were divided into two groups: the delivery group and the miscarriage group. The samples of cervical mucus in the miscarried group and tissue of villi and decidua were divided into normal chromosome group (normal chromosome analysis of villi) and abnormal chromosome group (abnormal chromosome analysis of villi). We performed immunohistochemistry, SDS-PAGE, and Western Blot analysis and measured the activity of IDO and TDO.


RESULTS
The activity of IDO and TDO in cervical mucus was not significantly different between the delivery group and the miscarriage group, and between the normal chromosome group and abnormal chromosome group. The expression of TDO in villi and decidua was not significantly different between the normal chromosome group and the abnormal chromosome group. The activity of IDO and TDO in villi and decidua was not significantly different between the normal chromosome group and the abnormal chromosome group. The expression of IDO in villi was significantly higher in the normal chromosome group than in the abnormal chromosome group.


CONCLUSION
Our results suggest that the difference of expression of IDO and dysfunctional activation of IDO in villi may play an important role in unexplained recurrent miscarriage.
['Obayashi|Yuki|Y|', 'Ozaki|Yasuhiko|Y|', 'Goto|Shinobu|S|', 'Obayashi|Shintaro|S|', 'Suzumori|Nobuhiro|N|', 'Ohyama|Fumio|F|', 'Tone|Shigenobu|S|', 'Sugiura-Ogasawara|Mayumi|M|']
D000026:Abortion, Habitual D000328:Adult D002582:Cervix Mucus D002824:Chorionic Villi D002869:Chromosome Aberrations D005260:Female D006801:Humans D007108:Immune Tolerance D050503:Indoleamine-Pyrrole 2,3,-Dioxygenase D011247:Pregnancy D013601:T-Lymphocytes D014366:Tryptophan Oxygenase
indoleamine 2,3-dioxygenase tryptophan 2,3-dioxygenase recurrent miscarriage Decidua villi