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在人类妊娠早期,人绒毛膜促性腺激素将调节性T细胞吸引至母胎界面。

Human chorionic gonadotropin attracts regulatory T cells into the fetal-maternal interface during early human pregnancy.

作者信息

Schumacher Anne, Brachwitz Nadja, Sohr Sindy, Engeland Kurt, Langwisch Stefanie, Dolaptchieva Maria, Alexander Tobias, Taran Andrei, Malfertheiner Sara Fill, Costa Serban-Dan, Zimmermann Gerolf, Nitschke Cindy, Volk Hans-Dieter, Alexander Henry, Gunzer Matthias, Zenclussen Ana Claudia

机构信息

Department of Experimental Obstetrics and Gynecology, Medical Faculty, Otto-von-Guericke University, Magdeburg, Germany.

出版信息

J Immunol. 2009 May 1;182(9):5488-97. doi: 10.4049/jimmunol.0803177.

Abstract

Regulatory T cells (Treg) expand during pregnancy and are present at the fetal-maternal interface at very early stages in pregnancy. The migration mechanisms of Treg to the pregnant uterus are still unclear. Human chorionic gonadotropin (hCG) is secreted by the blastocyst immediately after fertilization and has chemoattractant properties. Therefore, we sought to analyze whether hCG secreted by early trophoblasts attracts Treg to the uterus and hence contributes to maternal tolerance toward the fetus. Decidua and placenta tissue samples from patients having spontaneous abortions or ectopic pregnancies were employed to evaluate Treg and hCG levels. Age-matched samples from normal pregnant women served as controls. We further performed in vitro studies with primary first trimester trophoblast cells and a choriocarcinoma cell line (JEG-3) aiming to evaluate the ability of secreted hCG to attract Treg. Patients having miscarriages or ectopic pregnancy presented significantly decreased hCG mRNA and protein levels associated with decreased Foxp3, neuropilin-1, IL-10, and TGF-beta mRNA levels as compared with normal pregnant women. Using migration assays we demonstrated that Treg were attracted by hCG-producing trophoblasts or choriocarcinoma cells. Treg migration toward cells transfected with hCG expression vectors confirmed the chemoattractant ability of hCG. Our data clearly show that hCG produced by trophoblasts attracts Treg to the fetal-maternal interface. High hCG levels at very early pregnancy stages ensure Treg to migrate to the site of contact between paternal Ags and maternal immune cells and to orchestrate immune tolerance toward the fetus.

摘要

调节性T细胞(Treg)在孕期会扩增,并在妊娠早期就存在于母胎界面。Treg迁移至妊娠子宫的机制仍不清楚。人绒毛膜促性腺激素(hCG)在受精后由胚泡立即分泌,具有趋化特性。因此,我们试图分析早期滋养层细胞分泌的hCG是否会吸引Treg至子宫,从而有助于母体对胎儿产生耐受性。采用自然流产或异位妊娠患者的蜕膜和胎盘组织样本评估Treg和hCG水平。来自正常孕妇的年龄匹配样本作为对照。我们进一步用孕早期原代滋养层细胞和一种绒毛膜癌细胞系(JEG-3)进行体外研究,旨在评估分泌的hCG吸引Treg的能力。与正常孕妇相比,流产或异位妊娠患者的hCG mRNA和蛋白水平显著降低,同时Foxp3、神经纤毛蛋白-1、IL-10和TGF-β mRNA水平也降低。通过迁移试验,我们证明Treg被产生hCG的滋养层细胞或绒毛膜癌细胞所吸引。Treg向转染了hCG表达载体的细胞迁移证实了hCG的趋化能力。我们的数据清楚地表明,滋养层细胞产生的hCG将Treg吸引至母胎界面。妊娠早期的高hCG水平确保Treg迁移至父源抗原与母体免疫细胞的接触部位,并协调对胎儿的免疫耐受。

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