Human Chorionic Gonadotropin as a Pivotal Endocrine Immune Regulator Initiating and Preserving Fetal Tolerance

Int J Mol Sci. 2017 Oct 17;18(10):2166. doi: 10.3390/ijms18102166.

Abstract

The pregnancy hormone, human chorionic gonadotropin (hCG), is crucially involved in processes such as implantation and placentation, two milestones of pregnancy whose successful progress is a prerequisite for adequate fetal growth. Moreover, hCG determines fetal fate by regulating maternal innate and adaptive immune responses allowing the acceptance of the foreign fetal antigens. As one of the first signals provided by the embryo to its mother, hCG has the potential to regulate very early pregnancy-driven immune responses, allowing the establishment and preservation of fetal tolerance. This mini review focuses on how hCG modulates the adaptive arm of the immune system including dendritic cells as key regulators of adaptive immune responses.

Keywords: B cells; dendritic cells; fetal tolerance; human chorionic gonadotropin; regulatory T cells.

Publication types

  • Review

MeSH terms

  • B-Lymphocytes / immunology
  • B-Lymphocytes / metabolism
  • Chorionic Gonadotropin / metabolism*
  • Dendritic Cells / immunology
  • Dendritic Cells / metabolism
  • Female
  • Fetal Development / immunology*
  • Humans
  • Immune Tolerance*
  • Immunologic Factors / metabolism*
  • Immunomodulation*
  • Pregnancy
  • T-Lymphocytes / immunology
  • T-Lymphocytes / metabolism

Substances

  • Chorionic Gonadotropin
  • Immunologic Factors