Thus, from the little information available about eNK cells, it seems as if they represent a unique population of NK cells. Human eNK cells have been extensively studied Napabucasin cost in recent years. Immunohistochemistry studies showed that the absolute numbers of eNK cells increase dramatically from the proliferative to the late secretory phase of the menstrual cycle.20 Studies also indicated that eNK cells are proliferative, especially in the secretory phase of the menstrual cycle, as they were positive for the proliferation marker Ki67.21 However, as other

lymphocyte populations can also increase in numbers during this period, the important parameter that should be considered when evaluating the importance of eNK cells during the menstrual cycle is that of lymphocyte percentage. Indeed, we have recently demonstrated that the percentage of human eNK cells actually remains constant during the menstrual cycle and only 30% of the endometrial lymphocytes are NK cells. Furthermore, the major

lymphocyte population in the endometrium is that of T cells and not NK cells.20 Earlier studies support these findings.22,23 Few studies have characterized the phenotype of eNK. Eriksson et al.9 showed that on the one hand, eNK cells share a similar expression profile of CD56, CD57, CD94, and CD16 with AZD4547 solubility dmso peripheral blood CD56bright NK cells. On the other hand, eNK cells share a similar expression profile of KIR receptors CD158b and NKB1 with CD56dim NK cells and they also lack the expression

of l-selectin.24 Furthermore, eNK cells were shown to express the activation markers HLA-DR and CD69.22 We have recently characterized the expression pattern of the NK-activating receptors on eNK cells (isolated from PAK6 endometrial tissues from women undergoing Pipelle biopsy before IVF treatments because of male infertility problems) and demonstrated that eNK cells lack the expression of CD16, but express relatively high levels of NKp46 and NKG2D [as do human decidual NK (dNK) cells]. However, in contrast to dNK cells, eNK cells also lack the expression of NKp30 and NKp44.20 This unusual repertoire of activating receptors and other cell surface markers makes eNK cells unique among other known NK subsets. The lack of expression of NKp30 and NKp44 could hypothetically be a result of sustained activation of the receptors by their unknown ligands, which are expressed in tissue,20 as was previously shown regarding NKG2D.25 CD9, a member of the tetraspanin family of proteins that has various cellular and physiological functions,26 was suggested as a specific marker for uterine NK cells (both eNK and dNK cells) as it was shown to be highly expressed on these cells,27 but not on peripheral blood NK cells.