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Sialic acid is a critical fetal defense against maternal complement attack
Markus Abeln, … , Anja Münster-Kühnel, Birgit Weinhold
Markus Abeln, … , Anja Münster-Kühnel, Birgit Weinhold
Published November 1, 2018
Citation Information: J Clin Invest. 2019;129(1):422-436. https://doi.org/10.1172/JCI99945.
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Research Article Immunology Reproductive biology

Sialic acid is a critical fetal defense against maternal complement attack

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Abstract

The negatively charged sugar sialic acid (Sia) occupies the outermost position in the bulk of cell surface glycans. Lack of sialylated glycans due to genetic ablation of the Sia-activating enzyme CMP–sialic acid synthase (CMAS) resulted in embryonic lethality around day 9.5 post coitum (E9.5) in mice. Developmental failure was caused by complement activation on trophoblasts in Cmas–/– implants and was accompanied by infiltration of maternal neutrophils at the fetal-maternal interface, intrauterine growth restriction, impaired placental development, and a thickened Reichert’s membrane. This phenotype, which shared features with complement receptor 1-related protein Y (Crry) depletion, was rescued in E8.5 Cmas–/– mice upon injection of cobra venom factor, resulting in exhaustion of the maternal complement component C3. Here we show that Sia is dispensable for early development of the embryo proper but pivotal for fetal-maternal immune homeostasis during pregnancy, i.e., for protecting the allograft implant against attack by the maternal innate immune system. Finally, embryos devoid of cell surface sialylation suffered from malnutrition due to inadequate placentation as a secondary effect.

Authors

Markus Abeln, Iris Albers, Ulrike Peters-Bernard, Kerstin Flächsig-Schulz, Elina Kats, Andreas Kispert, Stephen Tomlinson, Rita Gerardy-Schahn, Anja Münster-Kühnel, Birgit Weinhold

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Figure 7

Maternal decomplementation rescues defects in extraembryonic tissues and growth restriction of Cmas–/– mice.

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Maternal decomplementation rescues defects in extraembryonic tissues and...
Pregnant Cmas+/– mice were treated at E4.5 and E6.5 either with PBS (n = 3) or CVF (n = 3) to deplete maternal C3. E8.5 sagittal uteri paraffin sections (A and B). (A) The reduced size of the EPC and lack of a CP in Cmas–/– embryos of PBS-treated mothers was reverted to the control phenotype upon CVF treatment, as visualized by immunohistochemical cytokeratin-8 staining. The lack of CEBPB reactivity (indirect immunofluorescence) in Cmas–/– embryos of PBS-treated mothers was restored upon CVF treatment. PNA reactivity documenting the loss of cell surface sialylation was maintained in Cmas–/– embryos of PBS- and CVF-treated mothers, indicating that the asialo phenotype was not influenced by CVF. Representative images of experiments with PBS-treated mice: control, n = 5; Cmas–/–, n = 3 embryos; CVF treated mice: control, n = 5; Cmas–/–, n = 4 embryos. (B) Collagen IV indirect immunofluorescence (red). Thickened RM (arrow) in Cmas–/– embryos of PBS-treated mothers was converted to the control phenotype upon CVF treatment. Parietal endoderm is marked by arrowheads. Nuclei shown in white were stained with DAPI. (C) Quantification of RM thickness measured on collagen IV immunofluorescence images at the anti-mesometrial pole (PBS: control, n = 6; Cmas–/–, n = 3 embryos; CVF: control, n = 5; Cmas–/–, n = 4 embryos). (D) Mean of fetal size as measured by the sum of the areas of the amniotic cavity, exocoelomic cavity, ectoplacental cavity, and embryo proper in (μm2/105) (PBS: control, n = 5; Cmas–/–, n = 4 embryos; CVF: control, n = 5; Cmas–/–, n = 3 embryos); a schematic of the areas is shown in Supplemental Figure 5. Statistical analyses by 1-way ANOVA with Newman-Keuls post test (*P < 0.05; **P < 0.01; ***P < 0.001). Error bars indicate SD (C and D).

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