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

Cell Death Dis. 2017 Oct 12;8(10):e3105. doi: 10.1038/cddis.2017.505.

Abstract

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 associated with the upregulation of histone H3 lysine-27 demethylase Jmjd3 and IRF4 in dMϕ. Such differentiated dMϕ can induce a Th2 bias that promotes maternal-fetal tolerance. Impaired expression of RANKL leads to dysfunction of dMϕ in vivo and increased rates of fetal loss in mice. Transfer of RANK+Mϕ reverses mouse fetal loss induced by Mϕ 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 dMϕ 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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abortion, Spontaneous / pathology*
  • Animals
  • Decidua / cytology
  • Decidua / immunology*
  • Enzyme Activation / physiology
  • Female
  • Humans
  • Immune Tolerance / immunology*
  • Interferon Regulatory Factors / biosynthesis
  • Jumonji Domain-Containing Histone Demethylases / biosynthesis
  • Macrophages / immunology*
  • Maternal-Fetal Exchange / immunology*
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred CBA
  • Mice, Inbred DBA
  • Pregnancy
  • Proto-Oncogene Proteins c-akt / metabolism
  • RANK Ligand / metabolism*
  • Receptor Activator of Nuclear Factor-kappa B / metabolism*
  • STAT6 Transcription Factor / metabolism
  • Signal Transduction / immunology
  • Stromal Cells / metabolism
  • Th2 Cells / immunology
  • Trophoblasts / metabolism

Substances

  • Interferon Regulatory Factors
  • RANK Ligand
  • Receptor Activator of Nuclear Factor-kappa B
  • STAT6 Transcription Factor
  • STAT6 protein, human
  • TNFRSF11A protein, human
  • TNFSF11 protein, human
  • interferon regulatory factor-4
  • Jumonji Domain-Containing Histone Demethylases
  • KDM6B protein, human
  • Proto-Oncogene Proteins c-akt