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Open AccessJournal ArticleDOI

Th1/Th2/Th17 and Regulatory T-Cell Paradigm in Pregnancy

TLDR
In this article, the authors reviewed the immunological environment in normal pregnancy and complicated pregnancy from the viewpoint of the new Th1/Th2/Th17 and Treg paradigms.
Abstract
T-helper (Th) cells play a central role in modulating immune responses. The Th1/Th2 paradigm has now developed into the new Th1/Th2/Th17 paradigm. In addition to effector cells, Th cells are regulated by regulatory T (Treg) cells. Their capacity to produce cytokines is suppressed by immunoregulatory cytokines such as transforming growth factor (TGF)-beta and interleukin (IL)-10 or by cell-to-cell interaction. Here, we will review the immunological environment in normal pregnancy and complicated pregnancy, such as implantation failure, abortion, preterm labor, and preeclampsia from the viewpoint of the new Th1/Th2/Th17 and Treg paradigms.

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Journal ArticleDOI

Inflammation and pregnancy: the role of the immune system at the implantation site.

TL;DR: A new paradigm in terms of the fetal–maternal immune interaction as well as the immunological response of the mother to microorganism is proposed in order to better understand the immunology of pregnancy and to deliver the appropriate treatment to patients with pregnancy complications.
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Immunology of the Maternal-Fetal Interface

TL;DR: How key immune cell types are either enriched or excluded from the decidua, how their function is regulated within the decodua, and how they variously contribute to pregnancy success or failure are discussed.
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The unique immunological and microbial aspects of pregnancy

TL;DR: Recent evidence that supports the idea that immunological responses at the receptive maternal–fetal interface are not simply suppressed but are instead highly dynamic is discussed.
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Monocytes and Macrophages in Pregnancy and Pre-Eclampsia

TL;DR: The role of monocytes and macrophages in the pathophysiology of pre-eclampsia is focused on and appears to be present in larger numbers and are also activated.
Journal ArticleDOI

Physiological and molecular determinants of embryo implantation

TL;DR: A better understanding of underlying mechanisms governing embryo implantation should generate new strategies to rectify implantation failure and improve pregnancy rates in women.
References
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Journal Article

Two types of murine helper T cell clone. I. Definition according to profiles of lymphokine activities and secreted proteins.

TL;DR: A panel of antigen-specific mouse helper T cell clones was characterized according to patterns of lymphokine activity production, and two types of T cell were distinguished.
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Naturally arising Foxp3-expressing CD25+CD4+ regulatory T cells in immunological tolerance to self and non-self.

TL;DR: Naturally arising CD25+CD4+ regulatory T cells actively maintain immunological self-tolerance, and are a good target for designing ways to induce or abrogate immunological tolerance to self and non-self antigens.
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Bidirectional cytokine interactions in the maternal-fetal relationship: is successful pregnancy a TH2 phenomenon?

TL;DR: In this article, the authors hypothesize that TH2 cytokines inhibit TH1 responses, improving fetal survival but impairing responses against some pathogens, since pregnant females are susceptible to intracellular pathogens and are biased towards humoral rather than cell mediated immunity.
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Toll Pathway-Dependent Blockade of CD4+CD25+ T Cell-Mediated Suppression by Dendritic Cells

TL;DR: A second mechanism of immune induction by TLRs is described, which is independent of effects on costimulation, and dependent in part on interleukin-6, which was induced byTLRs upon recognition of microbial products.
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Interleukins 1beta and 6 but not transforming growth factor-beta are essential for the differentiation of interleukin 17-producing human T helper cells.

TL;DR: These results identify cytokines, antigen-presenting cells and microbial products that promote the polarization of human TH-17 cells and emphasize an important difference in the requirements for the differentiation of TH- 17 cells in humans and mice.
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