Innate Immune Mechanisms to Protect Against Infection at the Human Decidual-Placental Interface

During pregnancy, the placenta forms the anatomical barrier between the mother and developing fetus. Infectious agents can potentially breach the placental barrier resulting in pathogenic transmission from mother to fetus. Innate immune responses, orchestrated by maternal and fetal cells at the deci...

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Main Authors: Regina Hoo, Annettee Nakimuli, Roser Vento-Tormo
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-09-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2020.02070/full
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author Regina Hoo
Regina Hoo
Annettee Nakimuli
Annettee Nakimuli
Roser Vento-Tormo
Roser Vento-Tormo
author_facet Regina Hoo
Regina Hoo
Annettee Nakimuli
Annettee Nakimuli
Roser Vento-Tormo
Roser Vento-Tormo
author_sort Regina Hoo
collection DOAJ
description During pregnancy, the placenta forms the anatomical barrier between the mother and developing fetus. Infectious agents can potentially breach the placental barrier resulting in pathogenic transmission from mother to fetus. Innate immune responses, orchestrated by maternal and fetal cells at the decidual-placental interface, are the first line of defense to avoid vertical transmission. Here, we outline the anatomy of the human placenta and uterine lining, the decidua, and discuss the potential capacity of pathogen pattern recognition and other host defense strategies present in the innate immune cells at the placental-decidual interface. We consider major congenital infections that access the placenta from hematogenous or decidual route. Finally, we highlight the challenges in studying human placental responses to pathogens and vertical transmission using current experimental models and identify gaps in knowledge that need to be addressed. We further propose novel experimental strategies to address such limitations.
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spelling doaj.art-11602734e2dd40c19917c9293faab0692022-12-22T01:31:35ZengFrontiers Media S.A.Frontiers in Immunology1664-32242020-09-011110.3389/fimmu.2020.02070564806Innate Immune Mechanisms to Protect Against Infection at the Human Decidual-Placental InterfaceRegina Hoo0Regina Hoo1Annettee Nakimuli2Annettee Nakimuli3Roser Vento-Tormo4Roser Vento-Tormo5Wellcome Sanger Institute, Cambridge, United KingdomCentre for Trophoblast Research, University of Cambridge, Cambridge, United KingdomWellcome Sanger Institute, Cambridge, United KingdomDepartment of Obstetrics and Gynecology, School of Medicine, Makerere University, Kampala, UgandaWellcome Sanger Institute, Cambridge, United KingdomCentre for Trophoblast Research, University of Cambridge, Cambridge, United KingdomDuring pregnancy, the placenta forms the anatomical barrier between the mother and developing fetus. Infectious agents can potentially breach the placental barrier resulting in pathogenic transmission from mother to fetus. Innate immune responses, orchestrated by maternal and fetal cells at the decidual-placental interface, are the first line of defense to avoid vertical transmission. Here, we outline the anatomy of the human placenta and uterine lining, the decidua, and discuss the potential capacity of pathogen pattern recognition and other host defense strategies present in the innate immune cells at the placental-decidual interface. We consider major congenital infections that access the placenta from hematogenous or decidual route. Finally, we highlight the challenges in studying human placental responses to pathogens and vertical transmission using current experimental models and identify gaps in knowledge that need to be addressed. We further propose novel experimental strategies to address such limitations.https://www.frontiersin.org/article/10.3389/fimmu.2020.02070/fullinnate immunityuterine-placental interfacetrophoblastdeciduavertical transmission
spellingShingle Regina Hoo
Regina Hoo
Annettee Nakimuli
Annettee Nakimuli
Roser Vento-Tormo
Roser Vento-Tormo
Innate Immune Mechanisms to Protect Against Infection at the Human Decidual-Placental Interface
Frontiers in Immunology
innate immunity
uterine-placental interface
trophoblast
decidua
vertical transmission
title Innate Immune Mechanisms to Protect Against Infection at the Human Decidual-Placental Interface
title_full Innate Immune Mechanisms to Protect Against Infection at the Human Decidual-Placental Interface
title_fullStr Innate Immune Mechanisms to Protect Against Infection at the Human Decidual-Placental Interface
title_full_unstemmed Innate Immune Mechanisms to Protect Against Infection at the Human Decidual-Placental Interface
title_short Innate Immune Mechanisms to Protect Against Infection at the Human Decidual-Placental Interface
title_sort innate immune mechanisms to protect against infection at the human decidual placental interface
topic innate immunity
uterine-placental interface
trophoblast
decidua
vertical transmission
url https://www.frontiersin.org/article/10.3389/fimmu.2020.02070/full
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