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  4. Progesterone Modulation of Pregnancy-Related Immune Responses
 
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Progesterone Modulation of Pregnancy-Related Immune Responses
File(s)
fimmu-09-01293.pdf (11.73 MB)
Published version
Author(s)
Shah, Nishel M
Imami, Nesrina
Johnson, Mark R
Type
Journal Article
Abstract
Progesterone (P4) is an important steroid hormone for the establishment and maintenance of pregnancy and its functional withdrawal in reproductive tissue is linked with the onset of parturition. However, the effects of P4 on adaptive immune responses are poorly understood. In this study, we took a novel approach by comparing the effects of P4 supplementation longitudinally, with treatment using a P4 antagonist mifepristone (RU486) in mid-trimester pregnancies. Thus, we were able to demonstrate the immune-modulatory functions of P4. We show that, in pregnancy, the immune system is increasingly activated (CD38, CCR6) with greater antigen-specific cytotoxic T cell responses (granzyme B). Simultaneously, pregnancy promotes a tolerant immune environment (IL-10 and regulatory-T cells) that gradually reverses prior to the onset of labor. P4 suppresses and RU486 enhances antigen-specific CD4 and CD8 T cell inflammatory cytokine (IFN-γ) and cytotoxic molecule release (granzyme B). P4 and RU486 effectively modulate immune cell-mediated interactions, by regulating differentiated memory T cell subset sensitivity to antigen stimulation. Our results indicate that P4 and RU486, as immune modulators, share a reciprocal relationship. These data unveil key contributions of P4 to the modulation of the maternal immune system and suggests targets for future modulation of maternal immune function during pregnancy.
Date Issued
2018-06-20
Date Acceptance
2018-05-23
Citation
FRONTIERS IN IMMUNOLOGY, 2018, 9
URI
http://hdl.handle.net/10044/1/60736
DOI
https://www.dx.doi.org/10.3389/fimmu.2018.01293
ISSN
1664-3224
Publisher
FRONTIERS MEDIA SA
Journal / Book Title
FRONTIERS IN IMMUNOLOGY
Volume
9
Copyright Statement
© 2018 Shah, Imami and Johnson. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY https://creativecommons.org/licenses/by/4.0/). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Sponsor
Imperial College Trust
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000435725300001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Grant Number
Mark Johnson's IC Trust Acct
Subjects
Science & Technology
Life Sciences & Biomedicine
Immunology
pregnancy
progesterone
RU486
immune modulation
immune response
REGULATORY T-CELLS
BLOOD MONONUCLEAR-CELLS
BLOCKING FACTOR PIBF
NATURAL-KILLER-CELL
MENSTRUAL-CYCLE
GLUCOCORTICOID-RECEPTOR
PERIPHERAL-BLOOD
ANTIRETROVIRAL THERAPY
SPONTANEOUS-ABORTION
ADOPTIVE TRANSFER
Publication Status
Published
Article Number
ARTN 1293
Date Publish Online
2018-06-20
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