Immunological aspects associated with uterine transplantation: Surgical innovation in the treatment of uterine factor infertility
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/16657 |
Resumo: | Absolute uterine factor infertility (AUFI) refers to women who are unable to conceive or maintain pregnancy due to the absence of the uterus or the presence of an anatomically or physiologically dysfunctional uterus. New strategies have been sought in recent decades to solve this problem, such as uterine transplantation. However, little is known about uterine immunogenicity and there is little data on the immune response to transplanted uterine tissue. Thus, this study aimed to demonstrate how the body's immune response to uterine transplantation can occur through a literature review. For that, a search was carried out in the SciELO, LILACS, PubMed / MEDLINE and Science Direct databases. According to the data obtained, it is believed that the uterus is an immunoprivileged organ in relation to the rapid immune response exerted by the organism, however the experiences of allogeneic uterine transplantation showed rejection patterns similar to those observed in other solid organ transplants. In general, rejection was characterized by myometrial invasion by neutrophils and macrophages, followed by T cells (mainly CD8 +), followed by necrosis, atrophy and fibrosis. This response has a unique characteristic of being mediated by interactions of the T cell receptor (TCR) with molecules of the donor's own MHC system. Therefore, with this study it was possible to understand how the possible immune response to uterine transplantation would occur, which can lead to the rejection process. |
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Immunological aspects associated with uterine transplantation: Surgical innovation in the treatment of uterine factor infertilityAspectos inmunológicos asociados al trasplante uterino: Innovación quirúrgica en el tratamiento de la infertilidad por factor uterinoAspectos imunológicos associados ao transplante uterino: Inovação cirúrgica no tratamento da infertilidade do fator uterinoAUFIUterine transplantationImmune response.AUFITrasplante de úteroRespuesta inmune.AUFITransplante uterinoResposta imunológica.Absolute uterine factor infertility (AUFI) refers to women who are unable to conceive or maintain pregnancy due to the absence of the uterus or the presence of an anatomically or physiologically dysfunctional uterus. New strategies have been sought in recent decades to solve this problem, such as uterine transplantation. However, little is known about uterine immunogenicity and there is little data on the immune response to transplanted uterine tissue. Thus, this study aimed to demonstrate how the body's immune response to uterine transplantation can occur through a literature review. For that, a search was carried out in the SciELO, LILACS, PubMed / MEDLINE and Science Direct databases. According to the data obtained, it is believed that the uterus is an immunoprivileged organ in relation to the rapid immune response exerted by the organism, however the experiences of allogeneic uterine transplantation showed rejection patterns similar to those observed in other solid organ transplants. In general, rejection was characterized by myometrial invasion by neutrophils and macrophages, followed by T cells (mainly CD8 +), followed by necrosis, atrophy and fibrosis. This response has a unique characteristic of being mediated by interactions of the T cell receptor (TCR) with molecules of the donor's own MHC system. Therefore, with this study it was possible to understand how the possible immune response to uterine transplantation would occur, which can lead to the rejection process.La infertilidad por factor uterino absoluto (AUFI) se refiere a las mujeres que no pueden concebir o mantener el embarazo debido a la ausencia del útero o la presencia de un útero anatómica o fisiológicamente disfuncional. En las últimas décadas se han buscado nuevas estrategias para solucionar este problema, como el trasplante de útero. Sin embargo, se sabe poco sobre la inmunogenicidad uterina y hay pocos datos sobre la respuesta inmune al tejido uterino trasplantado. Por lo tanto, este estudio tuvo como objetivo demostrar cómo puede ocurrir la respuesta inmune del cuerpo al trasplante uterino a través de una revisión de la literatura. Para ello se realizó una búsqueda en las bases de datos SciELO, LILACS, PubMed / MEDLINE y Science Direct. Según los datos obtenidos, se cree que el útero es un órgano inmunoprivilegiado en relación a la rápida respuesta inmune que ejerce el organismo, sin embargo las experiencias de trasplante uterino alogénico mostraron patrones de rechazo similares a los observados en otros trasplantes de órganos sólidos. En general, el rechazo se caracterizó por la invasión del miometrio por neutrófilos y macrófagos, seguida de linfocitos T (principalmente CD8 +), seguida de necrosis, atrofia y fibrosis. Esta respuesta tiene la característica única de estar mediada por interacciones del receptor de células T (TCR) con moléculas del propio sistema MHC del donante. Por tanto, con este estudio se pudo entender cómo se produciría la posible respuesta inmune al trasplante uterino, que puede conducir al proceso de rechazo.Infertilidade de fator uterino absoluto (AUFI) refere-se a mulheres que são incapazes de conceber ou manter a gravidez devido à ausência do útero ou à presença de um útero anatômica ou fisiologicamente disfuncional. Novas estratégias têm sido buscadas nas últimas décadas para solucionar esse problema, como o transplante uterino. No entanto, pouco se sabe sobre a imunogenicidade uterina e há poucos dados sobre a resposta imunológica a tecido uterino transplantado. Assim, este estudo teve como objetivo demonstrar como a resposta imune do organismo ao transplante uterino pode ocorrer por meio de uma revisão da literatura. Para tanto, foi realizada uma busca nas bases de dados SciELO, LILACS, PubMed/MEDLINE e Science Direct. De acordo com os dados obtidos, acredita-se que o útero seja um órgão imunoprivilegiado em relação à rápida resposta imune exercida pelo organismo, porém as experiências do transplante uterino alogênico mostraram padrões de rejeição semelhantes aos observados em outros transplantes de órgãos sólidos. Em geral, a rejeição foi caracterizada por invasão miometrial por neutrófilos e macrófagos, seguidos por células T (principalmente CD8 +), seguida de necrose, atrofia e fibrose. Essa resposta tem uma característica única de ser mediada por interações do receptor de células T (TCR) com moléculas do próprio sistema MHC do doador. Portanto, com este estudo foi possível compreender como ocorreria a possível resposta imunológica ao transplante uterino, que pode levar ao processo de rejeição.Research, Society and Development2021-07-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1665710.33448/rsd-v10i8.16657Research, Society and Development; Vol. 10 No. 8; e9110816657Research, Society and Development; Vol. 10 Núm. 8; e9110816657Research, Society and Development; v. 10 n. 8; e91108166572525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/16657/15246Copyright (c) 2021 Isabel Maria Alves de Aguiar Xavier; Joyce Modesto Cordeiro ; Luan Kelves Miranda de Souzahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessXavier, Isabel Maria Alves de Aguiar Cordeiro , Joyce Modesto Souza, Luan Kelves Miranda de 2021-08-21T18:46:59Zoai:ojs.pkp.sfu.ca:article/16657Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:37:09.132951Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Immunological aspects associated with uterine transplantation: Surgical innovation in the treatment of uterine factor infertility Aspectos inmunológicos asociados al trasplante uterino: Innovación quirúrgica en el tratamiento de la infertilidad por factor uterino Aspectos imunológicos associados ao transplante uterino: Inovação cirúrgica no tratamento da infertilidade do fator uterino |
title |
Immunological aspects associated with uterine transplantation: Surgical innovation in the treatment of uterine factor infertility |
spellingShingle |
Immunological aspects associated with uterine transplantation: Surgical innovation in the treatment of uterine factor infertility Xavier, Isabel Maria Alves de Aguiar AUFI Uterine transplantation Immune response. AUFI Trasplante de útero Respuesta inmune. AUFI Transplante uterino Resposta imunológica. |
title_short |
Immunological aspects associated with uterine transplantation: Surgical innovation in the treatment of uterine factor infertility |
title_full |
Immunological aspects associated with uterine transplantation: Surgical innovation in the treatment of uterine factor infertility |
title_fullStr |
Immunological aspects associated with uterine transplantation: Surgical innovation in the treatment of uterine factor infertility |
title_full_unstemmed |
Immunological aspects associated with uterine transplantation: Surgical innovation in the treatment of uterine factor infertility |
title_sort |
Immunological aspects associated with uterine transplantation: Surgical innovation in the treatment of uterine factor infertility |
author |
Xavier, Isabel Maria Alves de Aguiar |
author_facet |
Xavier, Isabel Maria Alves de Aguiar Cordeiro , Joyce Modesto Souza, Luan Kelves Miranda de |
author_role |
author |
author2 |
Cordeiro , Joyce Modesto Souza, Luan Kelves Miranda de |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Xavier, Isabel Maria Alves de Aguiar Cordeiro , Joyce Modesto Souza, Luan Kelves Miranda de |
dc.subject.por.fl_str_mv |
AUFI Uterine transplantation Immune response. AUFI Trasplante de útero Respuesta inmune. AUFI Transplante uterino Resposta imunológica. |
topic |
AUFI Uterine transplantation Immune response. AUFI Trasplante de útero Respuesta inmune. AUFI Transplante uterino Resposta imunológica. |
description |
Absolute uterine factor infertility (AUFI) refers to women who are unable to conceive or maintain pregnancy due to the absence of the uterus or the presence of an anatomically or physiologically dysfunctional uterus. New strategies have been sought in recent decades to solve this problem, such as uterine transplantation. However, little is known about uterine immunogenicity and there is little data on the immune response to transplanted uterine tissue. Thus, this study aimed to demonstrate how the body's immune response to uterine transplantation can occur through a literature review. For that, a search was carried out in the SciELO, LILACS, PubMed / MEDLINE and Science Direct databases. According to the data obtained, it is believed that the uterus is an immunoprivileged organ in relation to the rapid immune response exerted by the organism, however the experiences of allogeneic uterine transplantation showed rejection patterns similar to those observed in other solid organ transplants. In general, rejection was characterized by myometrial invasion by neutrophils and macrophages, followed by T cells (mainly CD8 +), followed by necrosis, atrophy and fibrosis. This response has a unique characteristic of being mediated by interactions of the T cell receptor (TCR) with molecules of the donor's own MHC system. Therefore, with this study it was possible to understand how the possible immune response to uterine transplantation would occur, which can lead to the rejection process. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-07-05 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/16657 10.33448/rsd-v10i8.16657 |
url |
https://rsdjournal.org/index.php/rsd/article/view/16657 |
identifier_str_mv |
10.33448/rsd-v10i8.16657 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/16657/15246 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 8; e9110816657 Research, Society and Development; Vol. 10 Núm. 8; e9110816657 Research, Society and Development; v. 10 n. 8; e9110816657 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052680434089984 |