Human labour is associated with altered regulatory T cell function and maternal immune activation
File(s)Supplementary Table 1.docx (17.42 KB)
Accepted version
Author(s)
Shah, Nishel M
Edey, Lydia F
Imami, Nesrina
Johnson, Mark R
Type
Journal Article
Abstract
During human pregnancy, regulatory T cell (Treg) function is enhanced and immune activation is repressed allowing the growth and development of the feto–placental unit. Here, we have investigated whether human labour is associated with a reversal of the pregnancy‐induced changes in the maternal immune system. We tested the hypothesis that human labour is associated with a decline in Treg function, specifically their ability to modulate Toll‐like receptor (TLR)‐induced immune responses. We studied the changes in cell number, activation status and functional behaviour of peripheral blood, myometrial (myoMC) and cord blood mononuclear cells (CBMC) with the onset of labour. We found that Treg function declines and that Treg cellular targets change with labour onset. The changes in Treg function were associated with increased activation of myoMC, assessed by their expression of major histocompatibility complex (MHC) class II molecules and CBMC inflammatory cells. The innate immune system showed increased activation, as shown by altered monocyte and neutrophil cell phenotypes, possibly to be ready to respond to microbial invasion after birth or to contribute to tissue remodelling. Our results highlight changes in the function of the adaptive and innate immune systems that may have important roles in the onset of human labour.
Date Issued
2020-02-01
Date Acceptance
2019-10-10
Citation
Clinical & Experimental Immunology, 2020, 199 (2), pp.182-200
ISSN
0009-9104
Publisher
Wiley
Start Page
182
End Page
200
Journal / Book Title
Clinical & Experimental Immunology
Volume
199
Issue
2
Copyright Statement
© 2019 British Society for Immunology. This is the accepted version of the following article: Shah, N. M., Edey, L. F., Imami, N. and Johnson, M. R. (2019), Human labour is associated with altered regulatory T cell function and maternal immune activation. Clin Exp Immunol, which has been published in final form at https://doi.org/10.1111/cei.13384
Sponsor
Imperial College Trust
Identifier
https://onlinelibrary.wiley.com/doi/full/10.1111/cei.13384
Grant Number
Mark Johnson's IC Trust Acct
Subjects
Science & Technology
Life Sciences & Biomedicine
Immunology
reproductive immunology
tolerance
suppression
anergy
Toll-like receptors (TLRs)
regulatory T cells
NORMAL HUMAN-PREGNANCY
TOLL-LIKE RECEPTORS
PERIPHERAL-BLOOD
INNATE IMMUNE
PRETERM LABOR
TREG-CELLS
EXPRESSION
PHENOTYPE
RESPONSES
EFFECTOR
Toll-like receptors (TLRs)
regulatory T cells
reproductive immunology
tolerance/suppression/anergy
Adult
Female
Histocompatibility Antigens Class II
Humans
Labor, Obstetric
Monocytes
Neutrophils
Pregnancy
T-Lymphocytes, Regulatory
Neutrophils
Monocytes
Humans
Histocompatibility Antigens Class II
Pregnancy
Labor, Obstetric
Adult
Female
T-Lymphocytes, Regulatory
Immunology
1107 Immunology
Publication Status
Published
Date Publish Online
2019-10-16