Role of vitamin D, interleukin-17A and interleukin-10 levels in women with recurrent miscarriage
Keywords:
Recurrent miscarriage, Vitamin D, Interleukin-17A, Interleukin-10, PregnancyAbstract
Background: RPL is a common early pregnancy complication that is characterized as three or more pregnancy losses occurring before the 20th week of gestation. RPL is a common early pregnancy complication that is characterized as three or more pregnancy losses occurring before the 20th week of gestation. Recurrent miscarriage (RM) is a common occurrence, affecting 15–25% of all pregnancies. The study's goal was to assess vitamin D, interleukin-17a, and interleukin-10 levels in women who had several miscarriages and investigate the relationship between biomarkers to determine the final outcome of pregnancy. Methods: A case control study that included three study groups; thirty five women with RPL, thirty non-aborted pregnant (NAP) women and twenty five apparently healthy women. Patients were selected from those attending Bint Al-Huda Teaching Hospital and Suq Al-Shuyukh General Hospital at Thi-Qar Province (Iraq) during the period between October 2021 and July 2022 after stringent application of the eligibility criteria. Serum samples was collected form each subjects and was evaluated for serum VD, IL-17A and IL-10 levels via enzyme-linked immunosorbent assay (ELISA). Results: The results revealed that serum VD and IL-10 levels in the RPL group were significantly lower than in the healthy control group (HC).
Downloads
References
Christiansen OB, Elson J, Kolte AM, Lewis S, Middeldorp S, Nelen W, Peramo B, Quenby S, Vermeulen N, Goddijn M. ESHRE guideline: recurrent pregnancy loss. Human Reproduction Open. 2018 Apr 6;2018(2):hoy004-.
El Hachem H, Crepaux V, May-Panloup P, Descamps P, Legendre G, Bouet PE. Recurrent pregnancy loss: current perspectives. International journal of women's health. 2017;9:331.
Cohen M, Bischof P. Factors regulating trophoblast invasion. Gynecologic and obstetric investigation. 2007;64(3):126-30.
Tamblyn, J. A., Hewison, M., Wagner, C. L., Bulmer, J. N., & Kilby, M. D. (2015). Immunological role of vitamin D at the maternal–fetal interface. Journal of Endocrinology, 224(3), R107-R121.
Mott, K. R., Maazi, H., Allen, S. J., Zandian, M., Matundan, H., Ghiasi, Y. N., ... & Ghiasi, H. (2015). Batf3 deficiency is not critical for the generation of CD8α+ dendritic cells. Immunobiology, 220(4), 518-524.
Franasiak, J. M. (2016). Vitamin D in human reproduction—an evolving landscape. Fertility and sterility, 106(7), 1650-1651.
Urrutia, R. P., & Thorp, J. M. (2012). Vitamin D in pregnancy: current concepts. Current opinion in obstetrics & gynecology, 24(2),57.
Ota, K., Dambaeva, S., Han, A. R., Beaman, K., Gilman-Sachs, A., & Kwak-Kim, J. (2014). Vitamin D deficiency may be a risk factor for recurrent pregnancy losses by increasing cellular immunity and autoimmunity. Human reproduction, 29(2), 208-219.
Martorell, R., Ascencio, M., Tacsan, L., Alfaro, T., Young, M. F., Addo, O. Y., ... & Flores-Ayala, R. (2015). Effectiveness evaluation of the food fortification program of Costa Rica: impact on anemia prevalence and hemoglobin concentrations in women and children. The American journal of clinical nutrition, 101(1), 210-217.
Harrington LE, Mangan PR, Weaver CT: Expanding the effector CD4 T-cell repertoire: the Th17 lineage. Curr Opin Immunol 2006; 18:349–356.
Park, H., Li, Z., Yang, X.O., Chang, S.H., Nurieva, R., Wang, Y.H., Wang, Y.,Hood, L., Zhu, Z., Tian, Q., Dong, C., 2005. A distinct lineage of CD4 T cells regulates tissue inflammation by producing interleukin 17. Nat. Immunol. 6, 1133–1141.
Sereshki N, Gharagozloo M, Ostadi V, Ghahiri A, Roghaei MA, Mehrabian F, et al. Variations in T-helper 17 and Regulatory T Cells during The Menstrual Cycle in Peripheral Blood of Women with Recurrent Spontaneous Abortion. Int J Fertil Steril. 2014; 8:59-66.
Piccinni MP. T cell tolerance towards the fetal allograft. J Reprod Immunol. 2010; 85:71-5.
14- Liu YS, Wu L, Tong XH, Wu LM, He GP, Zhou GX, et al. Study on the relationship between Th17 cells and unexplained recurrent spontaneous abortion. Am J Reprod Immunol. 2011; 65:503-11.
Ivanov II , McKenzie BS, Zhou L, Tadokoro CE, Lepelley A, Lafaille JJ, Cua DJ, Littman DR: The orphan nuclear receptor RORgammat directs the differentiation program of pro-inflammatory IL- 17+ T helper cells. Cell 2006; 126:1121–1133.
McGeachy, M.J., Cua, D.J., 2008. Th17 cell differentiation: the long and winding road. Immunity 28, 445–453.
Cheng S.B., Sharma S., 2014. Interleukin-10: A Pleiotropic Regulator in Pregnancy. American Journal of Reproductive Immunology, 73 (6), pp. 487–500. doi:10.1111/aji.12329
Wu Y, He J, Guo C, Zhang Y, Yang W, Xin M, Liang X, Yin X, Wang J,
Liu Y. Serum biomarker analysis in patients with recurrent spontaneous abortion. Molecular Medicine Reports. 2017 Sep 1;16(3):2367-78
Shankarkumar U, Pradhan VD, Patwardhan MM, Shankarkumar A, Ghosh K.
Autoantibody profile and other immunological parameters in recurrent spontaneous abortion patients. Nigerian Medical Journal: Journal of the Nigeria Medical Association. 2011 Jul;52(3):163.
Pang L, Wei Z, Li O, Huang R, Qin J, Chen H, Fan X, Chen ZJ. An increase in vascular endothelial growth factor (VEGF) and VEGF soluble receptor-1 (sFlt-1) are associated with early recurrent spontaneous abortion. PloS one. 2013 Sep 30;8(9):e75759.
Pirdehghan, A., Vakili, M., Dehghan, R., & Zare, F. (2016). High prevalence of vitamin D deficiency and adverse pregnancy outcomes in Yazd, a central province of Iran. Journal of reproduction & infertility, 17(1), 34.
Wimalawansa, S. J. (2019). Vitamin D deficiency: effects on oxidative stress, epigenetics, gene regulation, and aging. Biology, 8(2), 30.
Vieth, R. (2007). Vitamin D toxicity, policy, and science. Journal of Bone and Mineral Research, 22(S2), V64-V68.
Bubanovic, I. (2004). 1α, 25-dihydroxy-vitamin-D3 as new immunotherapy in treatment of recurrent spontaneous abortion. Medical hypotheses, 63(2), 250-253.
Zenobia, G. Hajishengallis, Basic biology and role of interleukin-17 in immunity and inflammation, Periodontol 2000 69 (1) (2015) 142–159, https:// doi.org/10.1111/prd.12083.
Nakashima A, Ito M, Shima T, Bac ND, Hidaka T, Saito S. Accumulation of IL-17-positive cells in decidua of inevitable abortion cases. Am J Reprod Immunol 2010;64:4– 11.
Kwak-Kim JY, Chung-Bang HS, Ng SC, Ntrivalas EI, Mangubat CP, Beaman KD, Beer AE, Gilman-Sachs A. Increased T helper 1 cytokine responses by circulating T cells are present in women with recurrent pregnancy losses and in infertile women with multiple implantation failures after IVF. Hum Reprod 2003;18:767– 773.
Lee SK, Kim JY, Hur SE, Kim CJ, Na BJ, Lee M, Gilman-Sachs A, Kwak-Kim J: An imbalance in interleukin-17-producing T and Foxp3(+) regulatory T cells in women with idiopathic recurrent pregnancy loss. Human reproduction 2011;26:2964-2971.
Saini V, Arora S, Yadav A, Bhattacharjee J. Cytokines in recurrent pregnancy loss. Clin Chim Acta. 2011; 412:702-8.
Wang, W.‐J., Hao, C.‐F., Qu, Q.‐L., Wang, X., Qiu, L.‐H., & Lin, Q.‐D. (2010). The deregulation of regulatory T cells on interleukin‐17‐producing T helper cells in patients with unexplained early recurrent miscarriage. Human Reproduction, 25(10), 2591–2596.
Denney JM, Nelson EL, Wadhwa PD, Waters TP, Mathew L, Chung EK, Goldenberg RL, Culhane JF. Longitudinal modulation of immune system cytokine profile during pregnancy Cytokine 2011;53:170–177.
Wang, W.J., Hao, C.F., & Lin, Q.D. (2011). Dysregulation of macrophage activation by decidual regulatory T cells in unexplained recurrent miscarriage patients. Journal of Reproductive Immunology, 92, 97–102. doi: 10.1016/ j.jri.2011.08.004.
Khidoyatova, M. R., Kayumov, U. K., Inoyatova, F. K., Fozilov, K. G., Khamidullaeva, G. A., & Eshpulatov, A. S. (2022). Clinical status of patients with coronary artery disease post COVID-19. International Journal of Health & Medical Sciences, 5(1), 137-144. https://doi.org/10.21744/ijhms.v5n1.1858
Mobini M, Mortazavi M, Nadi S, Zare-Bidaki M, Pourtalebi S, Arababadi MK. Significant roles played by interleukin-10 in outcome of pregnancy. Iran J Basic Med Sci. 2016;19(2):119–24.
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Get vaccinated when it is your turn and follow the local guidelines. International Journal of Health Sciences, 5(3), x-xv. https://doi.org/10.53730/ijhs.v5n3.2938
Houra M, Nazem-Kazerani F, Mortazavi M, Hadavi M, Moosavi SM, Arababadi MK. The roles played by IL-10, IL-23 and IL-17A in term delivery. J Neonatal-Perinatal Med. 2020;1–9. https://doi. org/10.3233/NPM-190360.
Azizieh FY, Raghupathy RR. IL-10 and pregnancy complications. Clin Exptl Obstet Gynecol. 2017;44(2):252–8. https://doi.org/10. 12891/ceog3456.2017.
Thaxton J., Sharma S., 2010. Interleukin‐10: A Multi‐Faceted Agent of Pregnancy, American Journal of Reproductive Immunology, 63, pp. 482-491. doi: 10.1111/j.1600- 0897.2010.00810.x.
Hudic I, Fatusic Z. Progesterone-induced blocking factor (PIBF) and Th (1)/Th (2) cytokine in women with threatened spontaneous abortion. J Perinat Med. 2009;37(4):338–42.
Zhang J, Ma D, Zhu X, Qu X, Ji C, Hou M. Elevated profile of Th17, Th1 and Tc1 cells in patients with immune thrombocytopenic purpura. Haematologica 2009;94:1326 – 1329.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.








