Uterine natural killer cells: insights into lineage relationships and functions from studies of pregnancies in mutant and transgenic mice.

Mice expressing genetic alterations have been extremely valuable in providing insights into both the lineage relationships and functions of lymphohematopoietic cells. This approach has been applied to granulated lymphocytes that localize to implantation sites in the rodent uterus during pregnancy. Histological analyses of implantation sites collected from various mutant and transgenic mice over the course of gestation strongly support the conclusions that these granulated lymphocytes, previously named granulated metrial gland (GMG) cells, are natural killer (NK) cells and that they are essential for normal development of the placenta. Pregnancy-associated uterine NK (uNK) cells have limited lytic activity suggesting that their secretory products, particularly cytokines and matrix proteins, may be critical for normal placental maturation. This review will highlight information collected from pregnancies in mutant and transgenic mice that have contributed to the current understanding of functions of uNK cells during gestation.