Immune surveillance of the maternal/fetal interface: controversies and implications.

Immune surveillance of the maternal/fetal interface: controversies and implications.
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DOI:
10.1016/j.tem.2010.02.003
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发表时间:
2010-07
影响因子:
10.9
通讯作者:
Erlebacher, Adrian
Erlebacher, Adrian
中科院分区:
医学1区
文献类型:
--
作者:
Erlebacher, Adrian

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胎儿“同种异体移植物”如何避免妊娠期间的排斥反应仍然是一个主要的未解决的免疫学矛盾。最近的研究表明,母胎耐受性实际上是由一些冗余的机制来维持的,但它们的相对重要性仍然没有得到很好的定义。在这里,我讨论了一个新出现的争议的能力,母体T细胞介导胎儿排斥反应的时候,他们似乎是无知的胎儿和胎盘抗原。这种矛盾中的矛盾突出了生殖免疫学领域的两个主要研究方向,当最终和解时,有望对生育能力受损和胎儿和孕产妇健康受损的机制提供重要的见解。
How the fetal “allograft” avoids rejection during pregnancy remains a major unresolved immunological paradox. Recent work has suggested that fetomaternal tolerance is in fact maintained by a number of redundant mechanisms, but their relative importance has remained poorly defined. Here, I discuss an emerging controversy regarding the ability of maternal T cells to mediate fetal rejection at a time when they appear to be ignorant of fetal and placental antigens. This paradox-within-a-paradox highlights two major research directions in the field of reproductive immunology, that when ultimately reconciled, promise to give significant insight into mechanisms of impaired fertility and compromised fetal and maternal health.
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