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0007-4888/14/1576-0751 © 2014 Springer Science+Business Media New York
Detection of Microparticles of Leukocytic Origin
in the Peripheral Blood in Normal Pregnancy
and Preeclampsia
V. A. Mikhailova, O. M. Ovchinnikova, M. S. Zainulina,
D. I. Sokolov, and S. A. Sel’kov
Translated from Byulleten’ Eksperimental’noi Biologii i Meditsiny, Vol. 157, No. 6, pp. 721-727, June, 2014
Original article submitted February 10, 2012
Microparticles are microvesicles forming during cell activation and as a result of apoptotic
cell death. Normal pregnancy is associated with apoptosis induction in active immune sys-
tem cells, present in the decidual tissue. Preeclampsia is associated with activation of the
peripheral blood leukocytes and more intense apoptosis of the trophoblast cells. As a result,
the number of microparticles in the peripheral blood is changing in normal gestation and in
preeclampsia. The content of the leukocytic microparticles in the peripheral blood is evaluated
in normal pregnancy and preeclampsia. The content of neutrophilic and monocytic micropar-
ticles is higher than normally in preeclampsia, this indicating activation of these cells. The
number of microparticles formed by NK cells is low in preeclampsia, which can reflect the
incompetence of immunological tolerance mechanisms under these conditions.
Key Words: leukocytes; microparticles; pregnancy; preeclampsia
Laboratory of Immunology, D. O. Ott Research Institute of Obstetrics
and Gynecology, North-Western Division of the Russian Academy of
Medical Sciences, St. Petersburg, Russia. Address for correspon-
dence: corbie@hotmail.ru. D. I. Sokolov
All eukaryotic cells form small vesicles of 0.1-1 μ
in size as a result of apoptosis; these vesicles are of-
ten called microparticles. Microparticles form also
during cell activation and cell–cell interactions [10].
The microparticles form also in health, as a result of
cell–cell communications [10]. Normal pregnancy is
associated with induction of apoptosis in active T cells
and cytotoxic NK cells in the decidual and placental
tissue. Preeclampsia is associated with the peripheral
blood leukocyte activation in the uteroplacental circu-
lation [11] and migration of various leukocyte types
to the decidual tissue [6]. In addition, preeclampsia
is characterized by induction of the trophoblast cell
death by the decidual tissue NK cells and cytotoxic T
cells [1], activation of placental and decidual macro-
phages and their secretion of proinflammatory cyto-
kines. These processes in the uteroplacental contact
zone may result in the formation of microparticles.
Microparticles are present in the peripheral blood in
normal pregnancy and in preeclampsia [2]. The func-
tional characteristics of the microparticles circulat-
ing in the peripheral blood in normal gestation and
preeclampsia presumably differ. In normal pregnancy,
the microparticles are potentially capable of induc-
ing complement cascade reactions. In preeclampsia,
the peripheral blood contains higher levels of mic-
roparticles forming complexes with C-reactive protein
[2]. At present, attempts are made at distinguishing
the microparticles by their origin by phenotyping. In
normal pregnancy, the syncytiotrophoblast micropar-
ticles are present in the peripheral blood, their content
increasing in preeclampsia. The functional characte-
ristics of microparticles with different phenotypical
characteristics differ. For example, microparticles of
T-lymphocytic origin inhibit endothelial NO synthase
expression by endothelial cells in vitro. Published data
on the content of microparticles in the peripheral blood
Bulletin of Experimental Biology and Medicine, Vol. 157, No. 6, October, 2014 MICROBIOLOGY AND IMMUNOLOGY
DOI 10.1007/s10517-014-2659-x