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October 24, 2025ImmunoOpen Access

IFN-τ Modulates PBMC Cytokine Profile and T Cell Phenotype to Improve Endometrial Immune Composition in the Implantation Window: A Combined In Vitro and In Vivo Study

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Authors

MRMargarita RusevaNational Heart HospitalDPDimitar ParvanovWomen’s Health CareRGRumiana GanevaWomen’s Health Care

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Overview

Translational study shows that IFN-τ-treated PBMCs induce a tolerogenic endometrial immune profile in recurrent implantation failure, indicating therapeutic potential in assisted reproduction.

Key Points

  • To evaluate how interferon tau (IFN-τ) modulates peripheral blood mononuclear cell (PBMC) phenotypes in vitro and alters endometrial immune cell balance in vivo in recurrent implantation failure.
  • In vitro culture of PBMCs from 20 patients with recurrent implantation failure treated with or without IFN-τ for 24 hours, analyzing cytokine secretion by ELISA and T-cell subsets via flow cytometry.
  • An in vivo clinical study in 55 patients with recurrent implantation failure who received intrauterine infusions of IFN-τ-modulated PBMCs, followed by endometrial biopsy analysis during the implantation window.
  • In vitro, IFN-τ exposure increased IL-4 and reduced TNF-α and IL-6 secretion, alongside decreases in cytotoxic T, Th1, Th9, and Th17 cells and improved Th1/Th2 and Th17/Treg ratios.
  • In vivo, intrauterine transfer of modulated PBMCs significantly increased endometrial helper T cells and macrophages, elevating Th/total T, Th/cytotoxic T, and Th/macrophage ratios toward a tolerogenic state.

Cite This Study

Ruseva et al. (2025) studied this question.

synapsesocial.com/papers/6a7eba56400aca267ab993a5https://doi.org/10.3390/immuno5040051
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