Mechanisms of T cell tolerance towards the allogeneic fetus

Nat Rev Immunol. 2013 Jan;13(1):23-33. doi: 10.1038/nri3361. Epub 2012 Dec 14.

Abstract

Work on the mechanisms of fetomaternal tolerance has undergone a renaissance in recent years, and the general outlines of a solution to this long-standing paradox of 'transplantation' immunology have come into view. Here, we discuss several mechanisms, recently described in mice, that either minimize the activation of maternal T cells with fetal or placental specificity, or minimize the possibility that such T cells, if activated, are able to harm the fetus. The T cell response to antigens expressed by the conceptus serves as a paradigm for the study of tissue-specific immune tolerance and is relevant to the pathogenesis of immune-mediated pregnancy complications.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Female
  • Fetus / immunology*
  • Histocompatibility, Maternal-Fetal / immunology
  • Humans
  • Immune Tolerance*
  • Isoantigens
  • Lymphocyte Activation
  • Male
  • Maternal-Fetal Exchange / immunology
  • Mice
  • Models, Immunological
  • Pregnancy
  • T-Lymphocytes / immunology*
  • T-Lymphocytes, Regulatory / immunology
  • Uterus / anatomy & histology
  • Uterus / immunology

Substances

  • Isoantigens