Immune Deviation in the Decidua During Term and Preterm Labor

The maternal-fetal immune disorder is considered to be an important factor of preterm birth (PTB); however, the underlying mechanism is still not fully understood. This study was designed to explore the innate and adaptive immune features in the decidua during term and preterm labor. Women delivered...

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Main Authors: Ying Zha, Haiyi Liu, Xingguang Lin, Long Yu, Peng Gao, Yuqi Li, Min Wu, Xun Gong, Xinyi Bian, Qi Kang, Pan Zhi, Xiaohe Dang, Jingyu Wang, Ling Feng, Fuyuan Qiao, Yafei Huang, Wanjiang Zeng
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.877314/full
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author Ying Zha
Haiyi Liu
Xingguang Lin
Long Yu
Peng Gao
Yuqi Li
Min Wu
Xun Gong
Xinyi Bian
Qi Kang
Pan Zhi
Xiaohe Dang
Jingyu Wang
Ling Feng
Fuyuan Qiao
Yafei Huang
Wanjiang Zeng
author_facet Ying Zha
Haiyi Liu
Xingguang Lin
Long Yu
Peng Gao
Yuqi Li
Min Wu
Xun Gong
Xinyi Bian
Qi Kang
Pan Zhi
Xiaohe Dang
Jingyu Wang
Ling Feng
Fuyuan Qiao
Yafei Huang
Wanjiang Zeng
author_sort Ying Zha
collection DOAJ
description The maternal-fetal immune disorder is considered to be an important factor of preterm birth (PTB); however, the underlying mechanism is still not fully understood. This study was designed to explore the innate and adaptive immune features in the decidua during term and preterm labor. Women delivered at term or preterm were classified into four groups: term not in labor (TNL, N=19), term in labor (TL, N=17), preterm not in labor (PNL, N=10), and preterm in labor (PIL, N=10). Decidua basalis and parietalis were collected and analyzed for macrophage subtypes (M1 and M2) as well as T helper 1 (Th1), Th2, Th17 and regulatory T (Treg) cells by flow cytometry and immunohistochemistry. Our results demonstrated significantly decreased frequencies of M2 cells and elevated M1/M2 ratio in the PIL group compared to that in the PNL group in both decidua basalis and parietalis, whereas no significant differences were found between the above two groups in both sites in terms of the polarization status of Th cells. On the contrary, macrophage subsets were comparable in the TL and TNL groups, whereas elevated Th1 percentages and Th1/Th2 ratio were observed in TL women compared to that in TNL women in the decidua. Interestingly, although the frequencies and ratios of Th17 and Treg were comparable among the four groups, the Th17/Treg ratios of these groups were significantly increased in decidua basalis than that in decidua parietalis. Collectively, the M1/M2 imbalance is associated with the breakdown of maternal-fetal immune tolerance during PTB, whereas the aberrant Th1/Th2 profile plays an important role in immune disorder during term labor. Moreover, Th17/Treg deviation is more remarkable in decidua basalis than in decidua parietalis.
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spelling doaj.art-86cd53601ded45bd988420ccf66791472022-12-22T03:21:52ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-06-011310.3389/fimmu.2022.877314877314Immune Deviation in the Decidua During Term and Preterm LaborYing Zha0Haiyi Liu1Xingguang Lin2Long Yu3Peng Gao4Yuqi Li5Min Wu6Xun Gong7Xinyi Bian8Qi Kang9Pan Zhi10Xiaohe Dang11Jingyu Wang12Ling Feng13Fuyuan Qiao14Yafei Huang15Wanjiang Zeng16Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Pathogen Biology, School of Basic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Pathogen Biology, School of Basic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaThe maternal-fetal immune disorder is considered to be an important factor of preterm birth (PTB); however, the underlying mechanism is still not fully understood. This study was designed to explore the innate and adaptive immune features in the decidua during term and preterm labor. Women delivered at term or preterm were classified into four groups: term not in labor (TNL, N=19), term in labor (TL, N=17), preterm not in labor (PNL, N=10), and preterm in labor (PIL, N=10). Decidua basalis and parietalis were collected and analyzed for macrophage subtypes (M1 and M2) as well as T helper 1 (Th1), Th2, Th17 and regulatory T (Treg) cells by flow cytometry and immunohistochemistry. Our results demonstrated significantly decreased frequencies of M2 cells and elevated M1/M2 ratio in the PIL group compared to that in the PNL group in both decidua basalis and parietalis, whereas no significant differences were found between the above two groups in both sites in terms of the polarization status of Th cells. On the contrary, macrophage subsets were comparable in the TL and TNL groups, whereas elevated Th1 percentages and Th1/Th2 ratio were observed in TL women compared to that in TNL women in the decidua. Interestingly, although the frequencies and ratios of Th17 and Treg were comparable among the four groups, the Th17/Treg ratios of these groups were significantly increased in decidua basalis than that in decidua parietalis. Collectively, the M1/M2 imbalance is associated with the breakdown of maternal-fetal immune tolerance during PTB, whereas the aberrant Th1/Th2 profile plays an important role in immune disorder during term labor. Moreover, Th17/Treg deviation is more remarkable in decidua basalis than in decidua parietalis.https://www.frontiersin.org/articles/10.3389/fimmu.2022.877314/fulldeciduamacrophageTh cellsTreg cellsterm laborpreterm labor
spellingShingle Ying Zha
Haiyi Liu
Xingguang Lin
Long Yu
Peng Gao
Yuqi Li
Min Wu
Xun Gong
Xinyi Bian
Qi Kang
Pan Zhi
Xiaohe Dang
Jingyu Wang
Ling Feng
Fuyuan Qiao
Yafei Huang
Wanjiang Zeng
Immune Deviation in the Decidua During Term and Preterm Labor
Frontiers in Immunology
decidua
macrophage
Th cells
Treg cells
term labor
preterm labor
title Immune Deviation in the Decidua During Term and Preterm Labor
title_full Immune Deviation in the Decidua During Term and Preterm Labor
title_fullStr Immune Deviation in the Decidua During Term and Preterm Labor
title_full_unstemmed Immune Deviation in the Decidua During Term and Preterm Labor
title_short Immune Deviation in the Decidua During Term and Preterm Labor
title_sort immune deviation in the decidua during term and preterm labor
topic decidua
macrophage
Th cells
Treg cells
term labor
preterm labor
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.877314/full
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