CD4+ CD25+ regulatory T cells in human pregnancy: development of a Treg‐MLC‐ELISPOT suppression assay and indications of paternal specific Tregs

J Mjösberg, G Berg, J Ernerudh, C Ekerfelt - Immunology, 2007 - Wiley Online Library
J Mjösberg, G Berg, J Ernerudh, C Ekerfelt
Immunology, 2007Wiley Online Library
The current study was aimed at developing a one‐way mixed leucocyte culture–enzyme‐
linked immunospot (MLC‐ELISPOT) assay for the study of CD4+ CD25+ regulatory T (Treg)
cells and applying this method in the study of antifetal immune reactions during human
pregnancy. Twenty‐one pregnant women and the corresponding fathers‐to‐be, and 10 non‐
pregnant control women and men, participated in the study. CD4+ CD25+ cells were
isolated from peripheral blood mononuclear cells (PBMC) by immunomagnetic selection …
Summary
The current study was aimed at developing a one‐way mixed leucocyte culture–enzyme‐linked immunospot (MLC‐ELISPOT) assay for the study of CD4+ CD25+ regulatory T (Treg) cells and applying this method in the study of antifetal immune reactions during human pregnancy. Twenty‐one pregnant women and the corresponding fathers‐to‐be, and 10 non‐pregnant control women and men, participated in the study. CD4+ CD25+ cells were isolated from peripheral blood mononuclear cells (PBMC) by immunomagnetic selection. Maternal/control PBMC were stimulated with paternal or unrelated PBMC in MLC. Secretion of interleukin‐4 (IL‐4) and interferon‐γ (IFN‐γ) from responder cells, with or without the presence of autologous Treg cells, was analysed by ELISPOT. PBMC from pregnant women showed increased secretion of IL‐4 compared to controls. In pregnant and non‐pregnant controls, Treg cells suppressed IFN‐γ reactivity against paternal and unrelated alloantigens. Interestingly, Treg cells suppressed IL‐4 secretion against paternal but not unrelated alloantigens during pregnancy. We have successfully developed a model for studying Treg cells in antifetal cytokine reactions during pregnancy. Results indicate that Treg cells contribute to strict regulation of both T helper type 1‐like and type 2‐like antifetal immune reactions. Interestingly, T helper type 2‐like cells specific to unrelated alloantigens are able to escape the suppression of Treg cells, which would allow for IL‐4, alongside CD4+ CD25+ Treg cells, to control potentially detrimental IFN‐γ reactions during pregnancy.
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