PMID- 12470559 OWN - NLM STAT- MEDLINE DCOM- 20030130 LR - 20190916 IS - 1472-6483 (Print) IS - 1472-6483 (Linking) VI - 4 Suppl 3 DP - 2002 TI - Implantation and immunology: maternal inflammatory and immune cellular responses to implantation and trophoblast invasion. PG - 14-7 AB - Implantation and placentation present an immune challenge because of the semi-allogeneic nature of the conceptus. In this review, histological evidence for maternal immune cellular responses at the implantation site is summarized. Decidualization of the endometrium itself has features in common with an inflammatory response. During decidualization, infiltration by uterine natural killer (NK) cells occurs, and these interact with the non-polymorphic human leukocyte antigen (HLA) class I antigens expressed by invading extravillous trophoblasts. In humans, extension of trophoblast invasion beyond the decidual layer into the myometrium presents an additional challenge, which might be relevant for pregnancy complications such as pre-eclampsia. How far maternal cellular responses to invading trophoblasts seen at later stages of pregnancy can be traced back to the implantation period is an open question. FAU - Pijnenborg, Robert AU - Pijnenborg R AD - Department of Obstetrics and Gynaecology, Katholieke Universiteit Leuven, B3000 Leuven, Belgium. Robert.Pijnenborg@uz.kuleuven.ac.be LA - eng PT - Journal Article PT - Review PL - Netherlands TA - Reprod Biomed Online JT - Reproductive biomedicine online JID - 101122473 RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - Embryo Implantation/*immunology MH - Endometrium/*immunology/physiology MH - Female MH - Histocompatibility Antigens Class I/immunology MH - Humans MH - Hypertension MH - Inflammation MH - Killer Cells, Natural/cytology/immunology MH - Leukocytes/immunology MH - Macrophages/immunology MH - Models, Biological MH - Myometrium/immunology MH - Neutrophils/immunology MH - Pregnancy MH - Trophoblasts/*immunology MH - Uterus/*immunology/physiology RF - 20 EDAT- 2002/12/10 04:00 MHDA- 2003/01/31 04:00 CRDT- 2002/12/10 04:00 PHST- 2002/12/10 04:00 [pubmed] PHST- 2003/01/31 04:00 [medline] PHST- 2002/12/10 04:00 [entrez] AID - S1472-6483(12)60110-2 [pii] AID - 10.1016/s1472-6483(12)60110-2 [doi] PST - ppublish SO - Reprod Biomed Online. 2002;4 Suppl 3:14-7. doi: 10.1016/s1472-6483(12)60110-2.