The Role of the Immune Checkpoint Molecules PD-1/PD-L1 and TIM-3/Gal-9 in the Pathogenesis of Preeclampsia—A Narrative Review

Preeclampsia is a pregnancy-specific disease which is characterized by abnormal placentation, endothelial dysfunction, and systemic inflammation. Several studies have shown that the maternal immune system, which is crucial for maintaining the pregnancy by ensuring maternal-fetal-tolerance, is disrup...

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Main Authors: Johanna Mittelberger, Marina Seefried, Manuela Franitza, Fabian Garrido, Nina Ditsch, Udo Jeschke, Christian Dannecker
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/58/2/157
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author Johanna Mittelberger
Marina Seefried
Manuela Franitza
Fabian Garrido
Nina Ditsch
Udo Jeschke
Christian Dannecker
author_facet Johanna Mittelberger
Marina Seefried
Manuela Franitza
Fabian Garrido
Nina Ditsch
Udo Jeschke
Christian Dannecker
author_sort Johanna Mittelberger
collection DOAJ
description Preeclampsia is a pregnancy-specific disease which is characterized by abnormal placentation, endothelial dysfunction, and systemic inflammation. Several studies have shown that the maternal immune system, which is crucial for maintaining the pregnancy by ensuring maternal-fetal-tolerance, is disrupted in preeclamptic patients. Besides different immune cells, immune checkpoint molecules such as the programmed cell death protein 1/programmed death-ligand 1 (PD-1/PD-L1 system) and the T-cell immunoglobulin and mucin domain-containing protein 3/Galectin-9 (TIM-3/Gal-9 system) are key players in upholding the balance between pro-inflammatory and anti-inflammatory signals. Therefore, a clear understanding about the role of these immune checkpoint molecules in preeclampsia is essential. This review discusses the role of these two immune checkpoint systems in pregnancy and their alterations in preeclampsia.
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spelling doaj.art-60214dc9ca4e4f799c26d2f95d9d88032023-11-23T20:58:53ZengMDPI AGMedicina1010-660X1648-91442022-01-0158215710.3390/medicina58020157The Role of the Immune Checkpoint Molecules PD-1/PD-L1 and TIM-3/Gal-9 in the Pathogenesis of Preeclampsia—A Narrative ReviewJohanna Mittelberger0Marina Seefried1Manuela Franitza2Fabian Garrido3Nina Ditsch4Udo Jeschke5Christian Dannecker6Department of Obstetrics and Gynecology, University Hospital Augsburg, Stenglinstraße 2, 86156 Augsburg, GermanyDepartment of Obstetrics and Gynecology, University Hospital Augsburg, Stenglinstraße 2, 86156 Augsburg, GermanyDepartment of Obstetrics and Gynecology, University Hospital Augsburg, Stenglinstraße 2, 86156 Augsburg, GermanyDepartment of Obstetrics and Gynecology, University Hospital Augsburg, Stenglinstraße 2, 86156 Augsburg, GermanyDepartment of Obstetrics and Gynecology, University Hospital Augsburg, Stenglinstraße 2, 86156 Augsburg, GermanyDepartment of Obstetrics and Gynecology, University Hospital Augsburg, Stenglinstraße 2, 86156 Augsburg, GermanyDepartment of Obstetrics and Gynecology, University Hospital Augsburg, Stenglinstraße 2, 86156 Augsburg, GermanyPreeclampsia is a pregnancy-specific disease which is characterized by abnormal placentation, endothelial dysfunction, and systemic inflammation. Several studies have shown that the maternal immune system, which is crucial for maintaining the pregnancy by ensuring maternal-fetal-tolerance, is disrupted in preeclamptic patients. Besides different immune cells, immune checkpoint molecules such as the programmed cell death protein 1/programmed death-ligand 1 (PD-1/PD-L1 system) and the T-cell immunoglobulin and mucin domain-containing protein 3/Galectin-9 (TIM-3/Gal-9 system) are key players in upholding the balance between pro-inflammatory and anti-inflammatory signals. Therefore, a clear understanding about the role of these immune checkpoint molecules in preeclampsia is essential. This review discusses the role of these two immune checkpoint systems in pregnancy and their alterations in preeclampsia.https://www.mdpi.com/1648-9144/58/2/157preeclampsiaimmune checkpoint moleculesPD-1PD-L1TIM-3Gal-9
spellingShingle Johanna Mittelberger
Marina Seefried
Manuela Franitza
Fabian Garrido
Nina Ditsch
Udo Jeschke
Christian Dannecker
The Role of the Immune Checkpoint Molecules PD-1/PD-L1 and TIM-3/Gal-9 in the Pathogenesis of Preeclampsia—A Narrative Review
Medicina
preeclampsia
immune checkpoint molecules
PD-1
PD-L1
TIM-3
Gal-9
title The Role of the Immune Checkpoint Molecules PD-1/PD-L1 and TIM-3/Gal-9 in the Pathogenesis of Preeclampsia—A Narrative Review
title_full The Role of the Immune Checkpoint Molecules PD-1/PD-L1 and TIM-3/Gal-9 in the Pathogenesis of Preeclampsia—A Narrative Review
title_fullStr The Role of the Immune Checkpoint Molecules PD-1/PD-L1 and TIM-3/Gal-9 in the Pathogenesis of Preeclampsia—A Narrative Review
title_full_unstemmed The Role of the Immune Checkpoint Molecules PD-1/PD-L1 and TIM-3/Gal-9 in the Pathogenesis of Preeclampsia—A Narrative Review
title_short The Role of the Immune Checkpoint Molecules PD-1/PD-L1 and TIM-3/Gal-9 in the Pathogenesis of Preeclampsia—A Narrative Review
title_sort role of the immune checkpoint molecules pd 1 pd l1 and tim 3 gal 9 in the pathogenesis of preeclampsia a narrative review
topic preeclampsia
immune checkpoint molecules
PD-1
PD-L1
TIM-3
Gal-9
url https://www.mdpi.com/1648-9144/58/2/157
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