Go to JCI Insight
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
  • Clinical Research and Public Health
  • Current issue
  • Past issues
  • By specialty
    • COVID-19
    • Cardiology
    • Gastroenterology
    • Immunology
    • Metabolism
    • Nephrology
    • Neuroscience
    • Oncology
    • Pulmonology
    • Vascular biology
    • All ...
  • Videos
    • Conversations with Giants in Medicine
    • Video Abstracts
  • Reviews
    • View all reviews ...
    • Pancreatic Cancer (Jul 2025)
    • Complement Biology and Therapeutics (May 2025)
    • Evolving insights into MASLD and MASH pathogenesis and treatment (Apr 2025)
    • Microbiome in Health and Disease (Feb 2025)
    • Substance Use Disorders (Oct 2024)
    • Clonal Hematopoiesis (Oct 2024)
    • Sex Differences in Medicine (Sep 2024)
    • View all review series ...
  • Viewpoint
  • Collections
    • In-Press Preview
    • Clinical Research and Public Health
    • Research Letters
    • Letters to the Editor
    • Editorials
    • Commentaries
    • Editor's notes
    • Reviews
    • Viewpoints
    • 100th anniversary
    • Top read articles

  • Current issue
  • Past issues
  • Specialties
  • Reviews
  • Review series
  • Conversations with Giants in Medicine
  • Video Abstracts
  • In-Press Preview
  • Clinical Research and Public Health
  • Research Letters
  • Letters to the Editor
  • Editorials
  • Commentaries
  • Editor's notes
  • Reviews
  • Viewpoints
  • 100th anniversary
  • Top read articles
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
Uterine DCs are essential for pregnancy
Jeffrey W. Pollard
Jeffrey W. Pollard
Published November 20, 2008
Citation Information: J Clin Invest. 2008;118(12):3832-3835. https://doi.org/10.1172/JCI37733.
View: Text | PDF
Commentary

Uterine DCs are essential for pregnancy

  • Text
  • PDF
Abstract

Successful embryo implantation requires complex interactions between the uterus and embryo, including the establishment of maternal immunologic tolerance of fetal material. The maternal-fetal interface is dynamically populated by a wide variety of innate immune cells; however, the relevance of uterine DCs (uDCs) within the decidua to the success of implantation has remained unclear. In this issue of the JCI, Plaks et al. show, in a transgenic mouse model, that uDCs are essential for pregnancy, as their ablation results in a failure of decidualization, impaired implantation, and embryonic resorption (see the related article beginning on page 3954). Depletion of uDCs altered decidual angiogenesis, suggesting that uDCs contribute to successful implantation via their effects on decidual tissue remodeling, including angiogenesis, and independent of their anticipated role in the establishment of maternal-fetal tolerance.

Authors

Jeffrey W. Pollard

×

Figure 2

Proposed roles of uDCs in the regulation of angiogenesis and T cell action at the maternal-fetal interface.

Options: View larger image (or click on image) Download as PowerPoint
Proposed roles of uDCs in the regulation of angiogenesis and T cell acti...
During pregnancy, monocytes are recruited to the uterus, where they differentiate into mature tolerogenic cells such as uDCs, under the influence of CSF-1, GM-CSF, and other cytokines (usually IL-4, although this cytokine has not been found in the uterus). uDCs produce sFLT1 and TGF-β1, which act to maintain the intricate balance of vascular development: sFLT1 modulates the actions of VEGF, and TGF-β1 influences endothelial cell viability and vascular maturation. This fine-tuning of angiogenesis is required for decidualization and embryo implantation. In addition, other studies have shown that TGF-β1 is presented by DCs at their surface on αvβ8 integrin. TGF-β1 suppresses cytotoxic CD8+ T cell function and promotes the development of Tregs. These data suggest that in addition to their role in decidual development, as shown in the present study by Plaks et al (7), uDCs also play a role in immunoregulation. Together, these dual functions of uDCs contribute to successful implantation and the progression of an allogeneic pregnancy. This whole process is further coordinated during implantation and decidualization by the uterine synthesis of the growth factors VEGF and CSF-1 under the control of the ovarian hormones E2 and P4 (see Figure 1), which are the master regulators of pregnancy.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

Sign up for email alerts