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RANKL-mediated harmonious dialogue between fetus and mother guarantees smooth gestation by inducing decidual M2 macrophage polarization.


ABSTRACT: Decidual macrophages (dM?) contribute to maternal-fetal tolerance. However, the mechanism of dM? differentiation during pregnancy is still largely unknown. Here, we report that receptor activator for nuclear factor-? B ligand (RANKL), secreted by human embryonic trophoblasts and maternal decidual stromal cells (DSCs), polarizes dM? toward a M2 phenotype. This polarization is mediated through activation of Akt/signal transducer and activator of transcription 6 (STAT6) signaling, which is associated with the upregulation of histone H3 lysine-27 demethylase Jmjd3 and IRF4 in dM?. Such differentiated dM? can induce a Th2 bias that promotes maternal-fetal tolerance. Impaired expression of RANKL leads to dysfunction of dM? in vivo and increased rates of fetal loss in mice. Transfer of RANK+M? reverses mouse fetal loss induced by M? depletion. Compared with normal pregnancy, there are abnormally low levels of RANKL/RANK in villi and decidua from miscarriage patients. These results suggest that RANKL is a pivotal regulator of maternal-fetal tolerance by licensing dM? to ensure a successful pregnancy outcome. This observation provides a scientific basis on which a potential therapeutic strategy can be targeted to prevent pregnancy loss.

SUBMITTER: Meng YH 

PROVIDER: S-EPMC5682671 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature

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RANKL-mediated harmonious dialogue between fetus and mother guarantees smooth gestation by inducing decidual M2 macrophage polarization.

Meng Yu-Han YH   Zhou Wen-Jie WJ   Jin Li-Ping LP   Liu Li-Bing LB   Chang Kai-Kai KK   Mei Jie J   Li Hui H   Wang Jian J   Li Da-Jin DJ   Li Ming-Qing MQ  

Cell death & disease 20171012 10


Decidual macrophages (dMϕ) contribute to maternal-fetal tolerance. However, the mechanism of dMϕ differentiation during pregnancy is still largely unknown. Here, we report that receptor activator for nuclear factor-κ B ligand (RANKL), secreted by human embryonic trophoblasts and maternal decidual stromal cells (DSCs), polarizes dMϕ toward a M2 phenotype. This polarization is mediated through activation of Akt/signal transducer and activator of transcription 6 (STAT6) signaling, which is associat  ...[more]

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