Erkers Tom, Stikvoort Arwen, Uhlin Michael
Division of Blood and Marrow Transplantation, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Department of Oncology-Pathology, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Stem Cells Int. 2017;2017:5738371. doi: 10.1155/2017/5738371. Epub 2017 Nov 19.
Immune modulation at the fetomaternal interface is crucial to ensure that the fetal allograft is not rejected. In the present review, the focus is to describe basic functions of lymphocyte populations and how they may contribute to fetomaternal immune regulation, as well as determining what proportions and effector functions of these cells are reported to be present in placental tissues in humans. Also explored is the possibility that unique cell populations at the fetomaternal interface may be targets for adoptive cell therapy. Increasing the understanding of immune modulation during pregnancy can give valuable insight into other established fields such as allogeneic hematopoietic stem cell transplantation and solid organ transplantation. In these settings, lymphocytes are key components that contribute to inflammation and rejection of either patient or donor tissues following transplantation. In contrast, an allogeneic fetus eludes rejection by the maternal immune system.
母胎界面的免疫调节对于确保胎儿同种异体移植物不被排斥至关重要。在本综述中,重点是描述淋巴细胞群体的基本功能以及它们如何有助于母胎免疫调节,同时确定据报道在人类胎盘组织中存在这些细胞的何种比例和效应功能。还探讨了母胎界面独特细胞群体可能成为过继性细胞治疗靶点的可能性。增进对孕期免疫调节的理解可为其他既定领域提供有价值的见解,例如异基因造血干细胞移植和实体器官移植。在这些情况下,淋巴细胞是移植后导致患者或供体组织发生炎症和排斥反应的关键成分。相比之下,同种异体胎儿能够逃避母体免疫系统的排斥。