Natural Killer Cells and Infertility Options to consider

 

Natural Killer Cells and reproduction

Video taken from the channel: Instituto Bernabeu


 

Natural Killer Cells in Miscarriage

Video taken from the channel: IVF Australia


 

I Have MTHFR + Natural Killer Cells (INFERTILITY)

Video taken from the channel: KatekaGood


 

INFERTILITY NATURAL KILLER CELLS?

Video taken from the channel: Phil and Alex


 

Natural Killer Cells: What are they and How do they Affect Fertility Treatment?

Video taken from the channel: Center for Human Reproduction


 

The Truth About NK Cells and Fertility Treatment | Ask Doctor Tomáš

Video taken from the channel: Your IVF Journey


 

Miscarriage and natural killer (NK) cells Everything you know is wrong

Video taken from the channel: Infertility TV


Natural killer cells are a healthy part of the immune system normally used by the body to destroy anything perceived to be “foreign” and/or harmful. They are a sub-type of white blood cell (cytotoxic lymphocyte) that provides a rapid response to. Natural Killer Cells in Miscarriage and Infertility.

There has been much interest in the possible role of the immune system in determining the outcome of fertility treatment and pregnancy. Unfortunately, there has been much misinformation about the role of natural killer cells in miscarriage and infertility. Natural killer cells, also known as NK cells or CD56 cells, have.

Link between NK cells and implantation of embryos may be overblown. Natural killer (NK) cells are an important subgroup of lymphocytes (a subgroup of white blood cells) which have a large variety of functions, from killing cancer cells to, potentially, also killing the “invading” (i.e., implanting) embryo if the immune system sees the embryo as “foreign.”. According to Beers, there are four main types of immune problems in women with recurrent pregnancy loss: antithyroid antibodies, antiphospholipid antibodies (thrombophilias), antinuclear antibodies and “Natural Killer Cells.” These conditions cause the body to mistakenly attack normal cells as if they were invaders.

Current papers recently published in the two leading infertility journals, Fertility and Sterility in the United States and Human Reproduction in Europe, state that elevated natural killer cell activity has not been found to be a risk factor for miscarriage or decreased implantation potential and should, at the present time, only be collected. Uterine natural killer (uNK) cells form the major leucocyte population in the endometrium at the time of implantation1and have received considerable attention in relation to their role in normal implantation and early placental development. As we’ve said before in this blog, natural killer cell therapy is an easy sell to anxious couples battling infertility. Just look at the prices being charged at UK clinics for the suppression, or down regulation, of uterine NK cells. We found one clinic charging £450 for a single intralipid infusion to ‘stabilise your immune system’.

Natural killer cells, also known as NK cells or large granular lymphocytes (LGL), are a type of cytotoxic lymphocyte critical to the innate immune system.The role of NK cells is analogous to that of cytotoxic T cells in the vertebrate adaptive immune response.NK cells provide rapid responses to virus-infected cells, acting at around 3 days after infection, and respond to tumor. Reproductive Immunology. Failure to implant and miscarriage after IVF are very common. This of course is also true of natural pregnancies, but where a couple has paid thousands of pounds for treatment, the desire to explain such events may be overpowering. Some clinicians have offered an answer to this question in the form of Natural Killer cells.

These naturally occurring. NK or natural killer cells play an important (and controversial) role in IVF. Despite their name, not all NK cells are killers and the NK cells of the uterus seem to play a supportive role for embryo implantation!

For more background info, check out my post on Embryo Implantation (opens in new tab).

List of related literature:

Moffett A, Regan L, Braude P. Natural killer cells, miscarriage, and infertility.

“Knobil and Neill's Physiology of Reproduction” by Tony M. Plant, Anthony J. Zeleznik
from Knobil and Neill’s Physiology of Reproduction
by Tony M. Plant, Anthony J. Zeleznik
Elsevier Science, 2014

Moffett A, Regan L, Braude P 2004 Natural killer cells, miscarriage, and infertility.

“Gynaecology E-Book: Expert Consult: Online and Print” by Robert W. Shaw, David Luesley, Ash K. Monga
from Gynaecology E-Book: Expert Consult: Online and Print
by Robert W. Shaw, David Luesley, Ash K. Monga
Elsevier Health Sciences, 2010

To maximize your chances of a healthy pregnancy, you should seek treatment for preexisting anemia, begin prophylactic vaccinations against infections, eat healthfully even during painful episodes, and start a multivitamin containing ſolic acid at least three months before conception.

“Before Your Pregnancy: A 90-Day Guide for Couples on How to Prepare for a Healthy Conception” by Amy Ogle, Lisa Mazzullo, Mary D'Alton
from Before Your Pregnancy: A 90-Day Guide for Couples on How to Prepare for a Healthy Conception
by Amy Ogle, Lisa Mazzullo, Mary D’Alton
Random House Publishing Group, 2011

Diet and lifestyle in the prevention of ovulatory disorder infertility.

“Clinical Naturopathic Medicine E-Book” by Leah Hechtman
from Clinical Naturopathic Medicine E-Book
by Leah Hechtman
Elsevier Health Sciences, 2012

Tang AW, Alfirevic Z, Quenby S. Natural killer cells and pregnancy outcomes in women with recurrent miscarriage and infertility: a systematic review.

“Stiehm's Immune Deficiencies” by Kathleen E. Sullivan, E. Richard Stiehm
from Stiehm’s Immune Deficiencies
by Kathleen E. Sullivan, E. Richard Stiehm
Elsevier Science, 2014

Bohring C, Krause W, Immune infertility: towards a better understanding of sperm (auto)-immunity.

“Speroff's Clinical Gynecologic Endocrinology and Infertility” by Hugh S. Taylor, Lubna Pal, Emre Sell
from Speroff’s Clinical Gynecologic Endocrinology and Infertility
by Hugh S. Taylor, Lubna Pal, Emre Sell
Wolters Kluwer Health, 2019

Laven JS, Imani B, Eijkemans MJ, et al: New approach to polycystic ovary syndrome and other forms of anovulatory infertility.

“Yen & Jaffe's Reproductive Endocrinology E-Book: Physiology, Pathophysiology, and Clinical Management” by Antonio R. Gargiulo, Jerome F. Strauss, Robert L. Barbieri
from Yen & Jaffe’s Reproductive Endocrinology E-Book: Physiology, Pathophysiology, and Clinical Management
by Antonio R. Gargiulo, Jerome F. Strauss, Robert L. Barbieri
Elsevier Health Sciences, 2017

Intrauterine insemination with minimal hormonal stimulation due to the risk of thrombosis could be recommended as the safest treatment option of infertility in women with essential thrombocythemia [135].

“In Vitro Fertilization: A Textbook of Current and Emerging Methods and Devices” by Zsolt Peter Nagy, Alex C. Varghese, Ashok Agarwal
from In Vitro Fertilization: A Textbook of Current and Emerging Methods and Devices
by Zsolt Peter Nagy, Alex C. Varghese, Ashok Agarwal
Springer International Publishing, 2019

Laven JS, Imani B, Eijkemans MJ, et al: New approach to polycystic ovary syndrome and other forms of anovulatory infertility, Obstet Gynecol Surv 57(11):755–767, 2002.

“Endocrinology E-Book: Adult and Pediatric” by J. Larry Jameson, Leslie J. De Groot
from Endocrinology E-Book: Adult and Pediatric
by J. Larry Jameson, Leslie J. De Groot
Elsevier Health Sciences, 2010

Fertil Steril (Epub ahead of print) Gerris J, De Neubourg D, Mangelschots K, Van Royen E, Van de Meerssche M, Valenburg M (1999) Prevention of twin pregnancy after in-vitro fertilization or intracytoplasmic sperm injection based on strict embryo criteria: a prospective randomized clinical trial.

“Andrology: Male Reproductive Health and Dysfunction” by Eberhard Nieschlag, Hermann M. Behre, Susan Nieschlag
from Andrology: Male Reproductive Health and Dysfunction
by Eberhard Nieschlag, Hermann M. Behre, Susan Nieschlag
Springer Berlin Heidelberg, 2010

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

View all posts

16 comments

Your email address will not be published. Required fields are marked *

  • If you and your husband have it there’s a high chance your baby will have it. please research vaccines and mthfr, might save your babies life!

  • I am sure you don’t remember… but when you begin posted videos I told you that I voted for your video on E&J channel. I am not sure why I feel so close to you instead of the others… Even thou I also follow them!!! (Cant miss any of the pregnancies) 😉 

    Lots of love!!! xoxoxo

  • Can you please discuss about bicornuate uterus and fibroids, how it effects conceiving, miscarriages, ability to carry the embryo full term?

  • (Just so you know, you have homozygous and heterozygous mixed up. So YOU have two copies of the mutation and are homozygous but your husband, who only has one bad copy, is heterozygous.)
    My story is 10 years of infertility with 11 miscarriages and 4 rainbow babies. It took 7 years and so much testing before we found out I am a homozygous carrier of MTHFR. (Subsequent testing showed my husband is also homozygous MTHFR but he has a different mutation than I do.) For me, MTHFR causes recurrent pregnancy loss, bleeds in the first trimester even with my successful pregnancies, and exacerbates my existing anxiety and depression disorders. I usually notice increased body aches, fatigue, and apathy when I forget to take my folate supplement as well. My current pregnancy regimen is to take progesterone supplements and high dose methylfolate (my dr prescribes the one I take during pg but I take one called Brain Restore when I’m not pregnant) during the first trimester and 2 baby aspirin every day during pregnancy. I’m monitored by my OB and if we ever feel the aspirin isn’t enough, I’ll go on Lovenox injections but as yet, I’ve made it to term with just the baby aspirin.
    I’m really hoping this is it for you and you have a wonderfully amazing successful pregnancy. You deserve it after everything you’ve been through.

  • I just found your channel. I have MTHFR and I’m homozygous as well. We lost 3 pregnancies before finding this out. My OB put me on lovenox injections every 12 hours while pregnant and with the help of those shots and a progesterone supplement we finally have 2 amazing babies:) wishing you guys tons of baby dust ❤️❤️

  • ahhhhhhhhhhh you make me laugh, you make me cry, I love you guys so much, you’re such a beautiful soul!!!! I’m praying for you! xoxo

  • Hi, what a great video that has actually answered my question i had for my consultant. I recently went through ivf and the first transfer with two perfect embryos and unfortunately they didn’t take inthink it’s because not much was done done to help it and deactivate my conditionstage 4 endometriosis. i deeply believe i should ask for natural killer cells medication before my next transfer! the question is, will i need it just throughout the transfer and implantation stage or for longer i the transfer is successful? thank you! xxx

  • How ironic that the acronym is MTHFR LOOKS like a reeeeeeally bad word����. Appropriate!! But YAY for some answers!!! Finally!!!! You are getting there girl!! And its ok to cry..i think it really brings us into what you are going through also (someone else said that). I cried in my vlog last night too��kinda hard not to under any infertility journey. Love you guys! Cant wait for your next update!! ������������

  • My 6ivf cycles with donor eggs all transferred on 5th day failed. I was given intralipids for nk cells. Now doctors suggested donor embryo but with intralipids. What I must do should I again try donor eggs cycle??

  • If the embryo made upto 6 weeks 4 days than their heart stops could this be a natural killer cell attack? I live in Italy how can I get this checked. This baby that we lost was a natural conception, at first try, one single try in the ovulation day at age 46. I have no chronic disease or any other condition that I know of father of the baby as well 49 pretty much healthy. They suggested us to move IVF. I can conceive easily apparently what will be the advantage of IVF to me. If we come to NY how long I must stay, how long my husband must stay we both must work. Do you have a partner clinic in Europe, Italy?

  • ♡♡♡ Your submission video…made me fall in love with you guys! I voted for you, prayed for you, cried for you. Those videos of giving back were my favorites!!! You two were just being yourselves and trying to vlog it and it was ADORABLE!!! I remember that emotional video!!! I balled! Love you guys even more and I can’t wait to see all the amazing videos to come!!!! Prayers for retrieval this coming week…may there be MANY EGG-CELENT eggs!!! ♡♡♡

  • How is it that your in America you have to pay thousands for simple treatments and supposed to have top leading doctors yet they let you go through many treatments without these simple tests? And they don’t have a clue like it took a ordinary person to figure it out

  • Dang MTHFR. I have it too. I also take folate for it. You guys are so genuine. I am so happy you won a grant. I am praying for you guys!

  • Dearest Kateka and Stu: I remember the beginning of your vlogging and I am so happy that your IVF is now. ������❤️. I will remain in prayer and hopeful that all goes smoothly (including your house renovations). Much love to you both!❤️

  • You are taking it way much better than I did. I took an IVF only last year, got pregnant but had a miscarriage. My Husband and I then decided that we needed to take a break from this for some time to put ourselves together in case such thing happens again because he was over the moon when I did get pregnant successfully after the IVF but the later events blasted him off the rails. We were in in deep distress then, though no one can actually know unless they have been through this too. However, seeing you makes me strong and confident for it. There is only one thing that keeps bothering me; is the excessive use of IVF leads to any side effects..?

  • I never got tested by blood or biopsy. Four of my losses were early, and six later 9-15 weeks fetal measurement. Doctors had me try steroids once (20mg prednisalone) but that ended as an early loss. Only one later 9 week loss had a known trisomy. I have always wondered about intralipid infusions, but must admit, I do tend to agree with your assessment. Nobody seems interested in old cases for research purposes….older patients hold more secrets than stab in the dark random preventative treatments on random patients with less proven histories…..many of whom must just have normal egg quality DNA chromosomal anomolies going on…. “normal losses”.