Decidual RANKL/RANK interaction promotes the residence and polarization of TGF-?1-producing regulatory ?? T cells.
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ABSTRACT: ABSTACT:Decidual ??? (d???) cells play an essential role during successful pregnancy; however, the residence and polarization of ??? cells in decidua remain unclear. In this study, we observed higher levels of receptor activator for nuclear factor-? B ligand (RANKL) on decidual stromal cells (DSCs), and its receptor RANK on d??? cells in decidua from normal pregnancy compared with patients with recurrent spontaneous abortion (RSA). RANKL expressed by DSCs can induce the polarization of peripheral blood ??? (p???) and d??? cells to Foxp3?+???? cells, and upregulate the expression of transforming growth factor (TGF)-?1. This process is mediated through activation of nuclear factor kappa-light-chain-enhancer of activated B cells (NF-?B). In addition, RANKL promotes the adhesion of d??? cells to DSCs in vitro, which is associated with the upregulation of ICAM-1 and VCAM-1 on DSCs and integrins on d??? cells. RANKL knockout leads to the decreased numbers of uterus total ??? cells, Foxp3+??? cells and the expression of TGF-?1, and the increased pregnancy loss in mice. These results suggest that RANKL is a pivotal regulator of maternal-fetal tolerance by triggering the polarization and residence of TGF-?1-producing Foxp3+??? cells in early pregnancy. The abnormal low level of RANKL/RANK results in pregnancy loss because of the dialogue disorder between DSCs and d??? cells. This observation provides a scientific basis on which a potential marker can be detected to early warning of pregnancy loss.
SUBMITTER: Chang RQ
PROVIDER: S-EPMC6368618 | biostudies-literature | 2019 Feb
REPOSITORIES: biostudies-literature
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