2011, Number 1
<< Back Next >>
Perinatol Reprod Hum 2011; 25 (1)
Immune tolerance mechanisms during pregnancy
Vázquez-Rodríguez S, Bouchan-Valencia P, González-Jiménez MA, Paredes-Vivas LY, Calixto-González R, Cérbulo-Vázquez A
Language: Spanish
References: 25
Page: 39-45
PDF size: 198.09 Kb.
ABSTRACT
Immune tolerance in the maternal fetal interface is a natural event whereby the maternal immune system is not responding to the semiallogenic natural antigen represented by the fetus, cellular and molecular interactions by maternal and fetal immune systems provide the condition that allows pregnancy to develop in order to preserve the survival of the species. This review comments about the immunologic mechanisms that play an important role during pregnancy. The presence of uterine NK cells (NKu), the expression of HLA in placenta, the role of T lymphocytes and the function of the IDO enzyme (indoleamine 2, 3 dioxygenase). It is known that several mechanisms are involved in maternal-fetal tolerance, which begins from the moment of conception and continues until birth. Through the knowledge of immunology of pregnancy it is possible to understand the adaptation processes of the immune response, and create alternatives for manipulation of the immune response (as done in vaccination), that in the future may allow management of immunity to facilitate treatment in the field of organ transplantation and immunosuppressive drugs.
REFERENCES
Rojas-Espinosa O. Inmunología (de memoria). 2da Edición. México; Editorial Médica Panamericana. 2001: 270-71.
Veenstra van Nieuwenhoven AL, Heineman MJ, Faas MM. The immunology of successful pregnancy. Hum Reprod Update 2003; 9: 347-57.
Beer A, Sio J. Placenta as an Immunological Barrier. Biol Reprod 1982; 26: 15-27.
Abbas AK, Andrew H, Lichtman J. Inmunología celular y molecular. 5ta Edición. España; Elsevier. 2004: 400-3.
Sarafana S, Coelho R, Neves A, Trindade JC. Aspectos da imunologia da gravidez. Acta Med Port 2007; 20: 355-58.
Kanellopoulos C, Caucheteux SM, Verbeke P, Ojcius DM. Tolerance of the fetus by the maternal immune system: role of inflammatory mediators at the feto-maternal interface. Reprod Biol Endocrinol 2003; 1: 121-9.
Stiehm ER, Ochs H, Winkelstein JA. Chapter 11. Immunology of the pregnancy; immunologic disorders in infants and children. 5th Edition. Pennsylvania; Elsevier Saunders. 2004: 273-80.
Čerkienė Z, Eidukaitė A, Usonienė A. Immune factors in human embryo culture and their significance. Institute of Immunology. Medicina (Kaunas) 2010; 46: 233-9.
Alikani M. Epithelial cadherin distribution in abnormal human pre-implantation embryos. Hum Reprod 2005; 12: 3369-75.
Xing L, Qi Z. Pregnancy estrogen drives the changes of T- lymphocyte subsets and cytokines and prolongs the survival of H – Y skin graft in muirine model. Chin Med J 2010; 123: 2593-99.
Carter AM, Enders AC. Comparative aspects of trophoblast development and placentation. Reprod Biol Endocrinol 2004; 2: 1186-90.
Teklenburg G, Salker M, Molokhia M, Lavery S, Trew G et al. Natural selection of human embryos: decidualizing endometrial stromal cells serve as sensors of embryo quality upon implantation. The Netherlands. PLoS One. 2010; 5: e10258.
Wegmann TG. Why didn´t your mothers reject you? Medical Sciences Building, Edmonton. Can Med Assoc J 1980; 123: 991-3.
Erlebacher A. Immune surveillance of the maternal/fetal interface: controversies and implications. Trends Endocrinol Metabol 2010; 21: 428-34.
Zhao Y, Li X. Cross-immune tolerance: conception and its potential significance on transplantation tolerance. Cell Mol Immunol 2010; 7: 20-5.
Fernandez N, Cooper J. A critical review of the role of the major histocompatibility complex in fertilization, preimplantation development and feto – maternal interactions. Reprod Hum Update 1999; 3: 234-48.
Beard RW, Sharp F. Early pregnancy loss. Mechanisms and treatment. In: Reagan L (eds) A prospective study of spontaneous abortion. London, Springer-Veriag, 1988; 3: 23-29.
Beer AE, Semprini AE, Zhu X, Quebbeman JF. Pregnancy outcome in human couples with recurrent spontaneous abortions: HLA antigen profiles; HLA antigen sharing; female serum MLR bloking factors; and paternal leukocyte immunization. Exp Clin Immunogenet 1985; 2: 137-1.
Bouteiller PL, Tabiasco J. Killers become builders during pregnancy. Nat Med 2006; 12: 991-2.
McMaster M, Librach C, Zhou Y, Lim K, Janartour M, De Mars R et al. Human placental HLA-G expression is restricted to differentiated cytotrophoblast. J Immunol 1995; 154: 3771-8.
Reyna-Villasmil E, Torres-Montilla M, Reyna-Villasmil N, Mejias-Montilla J. Estructura y función de la matriz extracelular de las membranas fetales humanas. Rev Obstet Ginecol Venez 2003; 63: 19-30.
Kamradt T, Mitchison NA. Tolerance and autoimmunity. N Engl J Med 2001; 344: 655-64.
Thellin O, Coumans B, Zorzi W, Igout A, Heinen E. Tolerance to the foeto-placental ‘graft’: ten ways to support a child for nine months. Current Opinion in Immunology 2000; 12: 731-7.
Lefebvre S, Berrih-Aknin S, Adrian F, Moreau P, Poea S, Gourand L et al. A specific interferon (IFN)-stimulated response element of the distal HLA-G promoter binds IFN-regulatory factor 1 and mediates enhancement of this nonclassical class i gene by IFN-b. j. Biol Chem 2001; 276: 6133-9.
Heikkinen J, Möttönen M, Alanen A, Lassila O. Phenotypic characterization of regulatory T cells in the human deciduas. Clin Exp Immunol 2004; 136: 373-8.