Three Types of Functional Regulatory T Cells Control T Cell Responses at the Human Maternal-Fetal Interface

Cell Rep. 2019 May 28;27(9):2537-2547.e5. doi: 10.1016/j.celrep.2019.04.109.

Abstract

During pregnancy, maternal regulatory T cells (Tregs) are important in establishing immune tolerance to invading fetal extravillous trophoblasts (EVTs). CD25HIFOXP3+ Tregs are found at high levels in decidual tissues and have been shown to suppress fetus-specific and nonspecific responses. However, limited data are available on additional decidual Treg types and the mechanisms by which they are induced. This study investigated three distinct decidual CD4+ Treg types in healthy pregnancies with a regulatory phenotype and the ability to suppress T cell responses: CD25HIFOXP3+, PD1HIIL-10+, and TIGIT+FOXP3dim. Moreover, co-culture of HLA-G+ EVTs or decidual macrophages with blood CD4+ T cells directly increased the proportions of CD25HIFOXP3+ Tregs compared to T cells cultured alone. EVTs also increased PD1HI Tregs that could be inhibited by HLA-C and CD3 antibodies, suggesting an antigen-specific induction. The presence of distinct Treg types may allow for the modulation of a variety of inflammatory responses in the placenta.

Keywords: FOXP3; HLA-C; HLA-G; IL-10; Trl cell; decidua; immune tolerance; placenta; pregnancy; trophoblast.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • CD4-Positive T-Lymphocytes / immunology*
  • CD4-Positive T-Lymphocytes / metabolism
  • Cells, Cultured
  • Decidua / immunology*
  • Decidua / metabolism
  • Female
  • Fetus / immunology*
  • Forkhead Transcription Factors / metabolism
  • HLA-C Antigens / immunology*
  • Humans
  • Immune Tolerance / immunology*
  • Interleukin-10 / immunology
  • Interleukin-10 / metabolism
  • Placenta / immunology
  • Placenta / metabolism
  • Pregnancy
  • Programmed Cell Death 1 Receptor / metabolism
  • T-Lymphocytes, Regulatory / immunology*
  • T-Lymphocytes, Regulatory / metabolism
  • Trophoblasts / immunology
  • Trophoblasts / metabolism

Substances

  • FOXP3 protein, human
  • Forkhead Transcription Factors
  • HLA-C Antigens
  • IL10 protein, human
  • PDCD1 protein, human
  • Programmed Cell Death 1 Receptor
  • Interleukin-10