A potential cause
of miscarriages has been identified by scientists - a breakthrough that
could lead to the development of new drugs that prevent them.
Laboratory tests showed women who had lost three or more babies had high
levels of a molecule known as IL-33 in their womb cells.
In the future. medicine to target the protein could be given to pregnant
women who are particularly vulnerable.
The researchers said the molecule controls whether embryos are accepted
by the womb.
But women who had
suffered multiple miscarriages continued to secrete it for an extra ten
days, they found.
The receptivity of the womb was not being controlled properly in these
women, according to the findings published in the journal PLOS ONE.
Dr Madhuri Salker, of Imperial College London, said: 'Our study suggests
in women who have had successive miscarriages, the mechanisms that
control whether the womb can accept and support an embryo don't work
properly.
'This might mean
they can become pregnant with poor quality embryos or the embryo
implants in an unsupportive environment, which would seriously
compromise the chances of a successful pregnancy.'
Healthy embryo: A prolonged window of fertility increases the risk of
abnormal embryos implanting
The study also looked at the effects of these molecular signals on
fertility in mice.
The researchers treated the uteruses of the mice with chemicals secreted
by cells from the human womb lining.
They found
chemicals produced by cells from women with repeated miscarriages
extended the time during which mice could become pregnant, but also made
miscarriages more likely.
The researchers conclude a prolonged window of fertility increases the
risk of abnormal embryos implanting.
In addition, it is associated with inflammation in the lining of the
womb, which compromises the development of healthy embryos.
Study co-author
Professor Jan Brosens, of the University of Warwick, said: 'The
molecular signals we identified are known to be involved in a range of
diseases including Alzheimer's, asthma and heart disease.
'Our findings suggest targeting these molecules might also be a
promising strategy for developing treatments that would prevent
miscarriages in women who are especially vulnerable.'
At the start of
pregnancy, the fertilised embryo must embed itself in the lining of the
womb which is only receptive for a few days in each menstrual cycle,
ensuring they can only implant at the right stage of development.
Currently,
scientists know only a few details about the biological processes that
control when an embryo can be implanted.
Cells secrete IL-33 during the receptive phase which influences the
activityof nearby cells. Normally, the effects are shortlived, which
helps to ensure women can only conceive during a narrow window.
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