Multiomic immune clockworks of pregnancy.

Multiomic immune clockworks of pregnancy.
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DOI:
10.1007/s00281-019-00772-1
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发表时间:
2020-08
影响因子:
9
通讯作者:
Gaudilliere B
Gaudilliere B
中科院分区:
医学1区
文献类型:
--
作者:
Peterson LS;Stelzer IA;Tsai AS;Ghaemi MS;Han X;Ando K;Winn VD;Martinez NR;Contrepois K;Moufarrej MN;Quake S;Relman DA;Snyder MP;Shaw GM;Stevenson DK;Wong RJ;Arck P;Angst MS;Aghaeepour N;Gaudilliere B

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早产是全球五岁以下儿童死亡的首要原因。尽管付出了巨大努力,我们仍然缺乏准确预测和有效预防早产的能力。虽然多种因素导致早产,但维持健康妊娠所需的免疫适应失调是其病理生理核心。因此,准确了解这些按时间顺序进行的免疫适应以及使妊娠“免疫时钟”同步的生物起搏器,是识别作为早产标志的偏差的关键第一步。在此,我们将综述胎儿、胎盘和母体起搏器中对妊娠免疫时钟进行编程的关键要素。然后,我们将强调多组学研究,这些研究能够更全面地了解与妊娠相关的免疫适应。这种多组学评估可以增强免疫学发现的生物学合理性,并提高预测早产的生物学特征的效力。
Preterm birth is the leading cause of mortality in children under the age of five worldwide. Despite major efforts, we still lack the ability to accurately predict and effectively prevent preterm birth. While multiple factors contribute to preterm labor, dysregulations of immunological adaptations required for the maintenance of a healthy pregnancy is at its pathophysiological core. Consequently, a precise understanding of these chronologically paced immune adaptations and of the biological pacemakers that synchronize the pregnancy “immune clock” is a critical first step towards identifying deviations that are hallmarks of peterm birth. Here, we will review key elements of the fetal, placental, and maternal pacemakers that program the immune clock of pregnancy. We will then emphasize multiomic studies that enable a more integrated view of pregnancy-related immune adaptations. Such multiomic assessments can strengthen the biological plausibility of immunological findings and increase the power of biological signatures predictive of preterm birth
阴道营养不良增加了早产胎儿膜破裂,新生儿败血症的风险,并因红霉素而加剧。
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