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经产妇孕期中针对胎儿的低反应性T细胞应答

Hyporesponsive fetus-specific T cell responses in multiparous human pregnancy.

作者信息

Morgan Jessica C, Hynes Grace E, Pollard Jared M, Andrade Michael S, Jeong Jong Cheol, Chong Anita S

机构信息

The University of Chicago, Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Chicago, IL, United States.

The University of Chicago, Department of Surgery, Section of Transplantation, Chicago, IL, United States.

出版信息

Front Immunol. 2025 Jul 29;16:1634430. doi: 10.3389/fimmu.2025.1634430. eCollection 2025.

Abstract

Pregnancy acts as both a tolerogenic and sensitizing event, inducing T cell hypofunction and humoral sensitization. Mouse studies reported that T cell hypofunction is a key mechanism in preserving fetal viability, but this phenomenon remains uncharacterized in humans. In this study, we developed an assay to specifically assess fetal-specific T cell tolerance in uncomplicated, full-term human pregnancies. The majority of maternal PBMCs stimulated with matured fetus-matched dendritic cells (CBDCs) exhibited low IFNγ responses that were significantly lower than third-party fetus-unmatched CBDCs. This hyporesponsiveness to matched CBDCs extended to the production of a range of Th1 and Th2 cytokines, and was not associated with increased immunoregulatory cytokines, IL-10 or IL-1RA. Unexpectedly, a small number of grand multiparous individuals displayed heightened IFNγ responses to fetus-matched CBDCs; these individuals also exhibited heightened Th1 and Th2 cytokine responses. Together, our study introduces a novel assay to measure fetal antigen-specific T cell responses that confirmed T cell hypofunction as an immunological mechanism enabling successful pregnancy in humans in addition to mouse. It also implicates alternative tolerance mechanisms that allow successful pregnancies to proceed even in the presence of fetus-specific T effector cell reactivity. These findings have implications for understanding immune dysregulation in pregnancy complications and for improving transplantation outcomes in multiparous women.

摘要

怀孕既是一种免疫耐受诱导事件,也是一种致敏事件,会导致T细胞功能减退和体液致敏。小鼠研究报告称,T细胞功能减退是维持胎儿存活的关键机制,但这种现象在人类中仍未得到充分研究。在本研究中,我们开发了一种检测方法,专门评估无并发症足月妊娠中胎儿特异性T细胞耐受性。大多数用成熟胎儿匹配的树突状细胞(CBDCs)刺激的母体外周血单核细胞(PBMCs)表现出低IFNγ反应,显著低于第三方胎儿不匹配的CBDCs。这种对匹配CBDCs的低反应性扩展到一系列Th1和Th2细胞因子的产生,并且与免疫调节细胞因子IL-10或IL-1RA的增加无关。出乎意料的是,少数经产妇对胎儿匹配的CBDCs表现出增强的IFNγ反应;这些个体还表现出增强的Th1和Th2细胞因子反应。总之,我们的研究引入了一种新的检测方法来测量胎儿抗原特异性T细胞反应,证实了T细胞功能减退是一种免疫机制,除了在小鼠中之外,在人类中也能使妊娠成功。它还暗示了即使在存在胎儿特异性T效应细胞反应性的情况下仍能使妊娠成功进行的替代耐受机制。这些发现对于理解妊娠并发症中的免疫失调以及改善经产妇的移植结果具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6745/12339333/21e02e43ed69/fimmu-16-1634430-g001.jpg

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