Decidual and peripheral blood CD4+CD25+ regulatory T cells in early pregnancy subjects and spontaneous abortion cases

Y Sasaki, M Sakai, S Miyazaki, S Higuma… - MHR: Basic science …, 2004 - academic.oup.com
Y Sasaki, M Sakai, S Miyazaki, S Higuma, A Shiozaki, S Saito
MHR: Basic science of reproductive medicine, 2004academic.oup.com
Human pregnancy represents a situation of semiallograft to maternal host. Therefore, it has
been reported that tolerance to the fetal allograft represents a mechanism for maintaining a
pregnancy. CD4+ CD25bright regulatory T cells are known to play an important role in the
development and maintenance of tolerance in peripheral tissues. However, the potential
role of CD4+ CD25bright T cells in maintaining human pregnancy has not been reported. In
this study, we show that early human pregnancy decidua contains an abundance of CD4+ …
Abstract
Human pregnancy represents a situation of semiallograft to maternal host. Therefore, it has been reported that tolerance to the fetal allograft represents a mechanism for maintaining a pregnancy. CD4+CD25bright regulatory T cells are known to play an important role in the development and maintenance of tolerance in peripheral tissues. However, the potential role of CD4+CD25bright T cells in maintaining human pregnancy has not been reported. In this study, we show that early human pregnancy decidua contains an abundance of CD4+CD25bright T cells, which express CD152(CTLA‐4) at a high level. CD4+CD25bright T cells mediate potent inhibition of autologous T‐cell proliferation by anti‐CD3 stimulation. Furthermore, these cells inhibit the proliferation of autologous CD4+CD25 T cells in a dose‐dependent fashion. This suppressive function of decidual CD4+CD25+ T cells required cell‐to‐cell contact. The proportion of decidual CD4+CD25bright T cells was significantly lower in specimens from spontaneous abortion compared to those from specimens from induced abortions. These results suggest that decidual CD4+CD25bright T cells contribute to the mechanisms mediating maternal immune tolerance of conceptus antigens and therefore might contribute to the maintenance of pregnancy.
Oxford University Press