A large number of natural killer (NK) cells appear in human uterine mucosa
during the secretory phase and first trimester pregnancy. We investigated t
he expression of interleukin (IL)-15, a possible stimulator for these NK ce
lls, in human endometrium and first trimester decidua. Semiquantitative rev
erse transcriptase-polymerase chain reaction revealed that IL-15 mRNA expre
ssion was stronger during the secretory phase and first trimester pregnancy
than during the proliferative phase. Immunohistochemistry revealed that im
munoreactivity for anti-IL-15 was higher during the secretory phase than it
was during the proliferative phase. This was prominent in the perivascular
stromal cells around invading spiral arteries during the mid- to late-secr
etory phase. In first trimester decidua, endothelial cells were also staine
d as strongly as stromal cells. A membrane-bound IL-15 molecule was detecte
d on the surface of first trimester decidual cells by flow cytometry. Proge
sterone stimulated the release of soluble IL-15 in the supernatant of cultu
red decidual cells. These results suggest that IL-15 expression in human ut
erine mucosa corresponds to the fluctuation of uterine NK cells and that it
s production is hormonally controlled, especially by progesterone.