Evidence map›Paper›PMID 40534886›Full record

Trial reportFrontiers in immunology2025

Impact of a moderate-intensity aerobic exercise intervention on systemic and uterine natural killer cells in women with unexplained recurrent pregnancy loss.

Aysel Gurbanova, Amber E M Lombardi, Denise H J Habets, Salwan Al-Nasiry, Marc E A Spaanderman, Marien I de Jonge, Tess Meuleman, Lotte Wieten, Renate G van der Molen

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Aysel Gurbanova *Department of Laboratory Medicine, Laboratory of Medical Immunology, Radboud University Medical Center, Nijmegen, Netherlands.
Amber E M Lombardi *Department of Transplantation Immunology, Maastricht University Medical Center+, Maastricht, Netherlands.
Denise H J HabetsDepartment of Transplantation Immunology, Maastricht University Medical Center+, Maastricht, Netherlands.
Salwan Al-NasiryGROW - Research Institute for Oncology and Reproduction, Maastricht University, Maastricht, Netherlands.
Marc E A SpaandermanGROW - Research Institute for Oncology and Reproduction, Maastricht University, Maastricht, Netherlands.
Marien I de JongeDepartment of Laboratory Medicine, Laboratory of Medical Immunology, Radboud University Medical Center, Nijmegen, Netherlands.
Tess MeulemanDepartment of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, Netherlands.
Lotte WietenDepartment of Transplantation Immunology, Maastricht University Medical Center+, Maastricht, Netherlands.
Renate G van der MolenDepartment of Laboratory Medicine, Laboratory of Medical Immunology, Radboud University Medical Center, Nijmegen, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Recurrent pregnancy loss (RPL) is associated with altered immune phenotypes and functions. It has been proposed that physical exercise might impact the immune system. Therefore, we evaluated the effect of a personalized 3-month moderate-intensity aerobic exercise intervention on the immune system of women with unexplained RPL (uRPL). Given the suggested supportive role of Natural Killer (NK) cells during early pregnancy, we focused on numerical, phenotypic, and functional changes in peripheral NK (pNK) and uterine NK (uNK) cells. Methods: Mononuclear cells were isolated from peripheral blood (PB) (n=23) and menstrual blood (MB) (n=22) of women with uRPL. NK cell phenotypes were assessed with comprehensive flow cytometry panels. NK cell function was assessed with degranulation assays and intracellular staining of interferon-γ (IFN-γ), perforin and granzyme-B in a subgroup of women due to lower availability of samples (n=12). Results: Attendance to the exercise intervention was overall 95%, which resulted in effects on the phenotype and function of pNK cells. We found a significant reduction in the median fluorescent intensity of CD161 (464 Discussion: Our study shows promising results, suggesting that exercise can impact pNK cell phenotype and function in women with uRPL. Following the changes in pNK phenotype and function suggest a lower pro-inflammatory state post-exercise. Whether these exercise-induced phenotypic and functional changes of pNK cells impact subsequent pregnancies remains to be studied. The study details are available through HYPERLINK "https://clinicaltrials.gov/"Home | ClinicalTrials.gov, trial ID: HMOVE.

Indexed as

Abortion, HabitualExerciseExercise TherapyKiller Cells, NaturalUterusAdultFemaleHumansImmunophenotypingInterferon-gammaPerforinPregnancyInterferon-gammaPerforinexercise interventionimmunophenotypingmenstrual bloodNK cellsrecurrent pregnancy loss (RPL)

Identifiers

PMID40534886
PMCPMC12174435

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.