PMID- 22325374 OWN - NLM STAT- MEDLINE DCOM- 20130108 LR - 20131121 IS - 1878-3279 (Electronic) IS - 0171-2985 (Linking) VI - 217 IP - 10 DP - 2012 Oct TI - Disruption of maternal immune balance maintained by innate DC subsets results in spontaneous pregnancy loss in mice. PG - 951-61 LID - 10.1016/j.imbio.2012.01.011 [doi] AB - Dendritic cells (DCs) play an important role in providing an appropriate fetal/maternal balance between Th1 and Th2 during pregnancy. The Th1/Th2 balance seems to be regulated mainly by two distinct DC subsets, DEC-205(+) DCs having the capacity to establish Th1 polarization and 33D1(+) DCs to induce Th2 dominance. Pregnancy is established and maintained by maternal hormones, such as progesterone and estrogen, and the balance of DC subtypes was affected mainly by progesterone, which induced a dose-dependent reduction of the DEC-205/33D1 ratio together with/without a stable amount of estrogen. The DEC-205/33D1 ratio decreased gradually with the progress of pregnancy and rapid augmentation of the ratio was seen around delivery in vivo. Here, we demonstrate that depletion of 33D1(+) DCs during the perinatal period caused substantial fetal loss probably mediated through Th1 up-regulation via transient IL-12 secretion, and pre-administration of progesterone could rescue the fetal loss. Similar miscarriages were also observed when pregnant mice were intraperitoneally (i.p.) injected twice with IL-12 on Gd 9.5 and 10.5. Moreover, prior inoculation of progesterone suppressed the enhanced serum IL-12 production in mice treated with 33D1 antibody, indicating that progesterone might inhibit temporal IL-12 secretion around Gd 10.5 and miscarriage was avoided. These findings suggest the importance of balancing DC subsets during pregnancy and reveal that we can avoid miscarriage by manipulating the activity of the DC subpopulation of pregnant individuals with maternal hormones. CI - Copyright (c) 2012 Elsevier GmbH. All rights reserved. FAU - Negishi, Yasuyuki AU - Negishi Y AD - Department of Microbiology and Immunology, Nippon Medical School, Bunkyo-ku, Tokyo 113-8602, Japan. FAU - Wakabayashi, Ayako AU - Wakabayashi A FAU - Shimizu, Masumi AU - Shimizu M FAU - Ichikawa, Tomoko AU - Ichikawa T FAU - Kumagai, Yoshihiro AU - Kumagai Y FAU - Takeshita, Toshiyuki AU - Takeshita T FAU - Takahashi, Hidemi AU - Takahashi H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120113 PL - Netherlands TA - Immunobiology JT - Immunobiology JID - 8002742 RN - 0 (Antibodies, Monoclonal) RN - 0 (Cytokines) RN - 187348-17-0 (Interleukin-12) RN - 4G7DS2Q64Y (Progesterone) RN - 4TI98Z838E (Estradiol) SB - IM MH - Abortion, Spontaneous/chemically induced/*immunology MH - Animals MH - Antibodies, Monoclonal/administration & dosage/immunology MH - Bone Marrow Cells/drug effects/immunology MH - Cytokines/blood/immunology MH - Dendritic Cells/drug effects/*immunology/metabolism MH - Estradiol/pharmacology MH - Female MH - Interleukin-12/administration & dosage MH - Kinetics MH - Lymphocyte Activation/immunology MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Mice, Inbred C57BL MH - Pregnancy MH - Progesterone/pharmacology MH - Spleen/cytology/immunology MH - T-Lymphocyte Subsets/immunology MH - Uterus/cytology/immunology EDAT- 2012/02/14 06:00 MHDA- 2013/01/09 06:00 CRDT- 2012/02/14 06:00 PHST- 2011/06/06 00:00 [received] PHST- 2011/11/19 00:00 [revised] PHST- 2012/01/06 00:00 [accepted] PHST- 2012/02/14 06:00 [entrez] PHST- 2012/02/14 06:00 [pubmed] PHST- 2013/01/09 06:00 [medline] AID - S0171-2985(12)00015-0 [pii] AID - 10.1016/j.imbio.2012.01.011 [doi] PST - ppublish SO - Immunobiology. 2012 Oct;217(10):951-61. doi: 10.1016/j.imbio.2012.01.011. Epub 2012 Jan 13.