Defective production of LIF, M-CSF and Th2-type cytokines by T cells at fetomaternal interface is associated with pregnancy loss

J Reprod Immunol. 2001 Oct-Nov;52(1-2):35-43. doi: 10.1016/s0165-0378(01)00111-5.

Abstract

Development of CD4+ helper T (Th) cells into type 1 (Th1) or type 2 (Th2) effectors can be influenced by hormones enhanced during pregnancy. Progesterone, at concentrations comparable to those found at fetomaternal interface, promotes the production of IL-4 and IL-5, whereas relaxin promotes the production of IFN-gamma by T cells. Furthermore, Th1-type cytokines promote allograft rejection and, therefore, may compromise pregnancy, whereas Th2-type cytokines, which inhibit Th1 responses, may allow allograft tolerance. In addition, T cell production of Leukemia Inhibitory Factor (LIF) and macrophage-stimulating factor (M-CSF), which are essential for embryo implantation and development, are up-regulated by IL-4 and progesterone. Finally, a direct cause-and-effect relationship between the defective production of LIF, M-CSF and Th2-type cytokines by T cells present at feto maternal interface and the pregnancy loss has been observed.

Publication types

  • Review

MeSH terms

  • Abortion, Spontaneous / immunology*
  • Animals
  • Cell Differentiation
  • Cytokines / biosynthesis*
  • Embryo Implantation
  • Embryonic and Fetal Development
  • Female
  • Graft Rejection / immunology
  • Growth Inhibitors / biosynthesis*
  • Humans
  • Interleukin-6*
  • Leukemia Inhibitory Factor
  • Lymphokines / biosynthesis*
  • Macrophage Colony-Stimulating Factor / biosynthesis*
  • Pregnancy
  • T-Lymphocytes / cytology
  • T-Lymphocytes / immunology
  • Th1 Cells / cytology
  • Th1 Cells / immunology
  • Th2 Cells / cytology
  • Th2 Cells / immunology*
  • Transplantation Tolerance / immunology
  • Transplantation, Homologous / immunology

Substances

  • Cytokines
  • Growth Inhibitors
  • Interleukin-6
  • LIF protein, human
  • Leukemia Inhibitory Factor
  • Lymphokines
  • Macrophage Colony-Stimulating Factor