Role of maternal–fetal immune tolerance in the establishment and maintenance of pregnancy

Autor: Jingjing Wang, Tao Han, Xiaoming Zhu, Yanjie Yin
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Chinese Medical Journal, Vol 137, Iss 12, Pp 1399-1406 (2024)
Druh dokumentu: article
ISSN: 0366-6999
2542-5641
00000000
DOI: 10.1097/CM9.0000000000003114
Popis: Abstract. Normal pregnancy is a contradictory and complicated physiological process. Although the fetus carries the human leukocyte antigen (HLA) inherited from the paternal line, it does not cause maternal immune rejection. As the only exception to immunological principles, maternal–fetal immune tolerance has been a reproductive immunology focus. In early pregnancy, fetal extravillous trophoblast cells (EVTs) invade decidual tissues and come into direct contact with maternal decidual immune cells (DICs) and decidual stromal cells (DSCs) to establish a sophisticated maternal–fetal crosstalk. This study reviews previous research results and focuses on the establishment and maintenance mechanism of maternal–fetal tolerance based on maternal–fetal crosstalk. Insights into maternal–fetal tolerance will not only improve understanding of normal pregnancy but will also contribute to novel therapeutic strategies for recurrent spontaneous abortion, pre-eclampsia, and premature birth.
Databáze: Directory of Open Access Journals