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Updated: Oct 19, 2026

Isolation of Primary Human Decidual Cells from the Fetal Membranes of Term Placentae
Published on: April 30, 2018
Decidual macrophages are the population of decidual adherent cells which regulates perforin expression in cytolytic
V Sotosek1, G Laskarin, N Strbo
1Department of Physiology and Immunology, Medical Faculty, University of Rijeka, Croatia.
Insights
Decidual macrophages, not stromal cells, regulate perforin expression in decidual lymphocytes. This finding is crucial for understanding immune responses during early pregnancy.
Area of Science:
- Immunology
- Reproductive Biology
- Cell Biology
Background:
- Decidual adherent cells (DAC) influence decidual lymphocyte (DL) perforin expression.
- DAC comprise a heterogeneous mix of cell types.
Purpose of the Study:
- To immunophenotypically characterize DAC.
- To identify the specific DAC population regulating perforin expression in DL.
Main Methods:
- First-trimester decidual cells were enzymatically digested.
- Adherent cells were isolated and analyzed via flow cytometry and immunocytochemistry.
- HLA-DR depletion was used to isolate stromal cells.
Main Results:
- Peripheral blood adherent cells (PBAC) were predominantly monocytes/macrophages (approx. 90%).
- DAC showed a lower percentage of monocyte/macrophage markers (10-20%), with the remainder being stromal cells.
- HLA-DR depleted DAC (stromal cells) failed to prevent perforin downregulation in DL and PBL.
Conclusions:
- Decidual macrophages are the key cell type responsible for regulating perforin expression in decidual lymphocytes.
- This highlights a specific immunoregulatory role for decidual macrophages in the maternal-fetal interface.
Problem:
We have shown that addition of decidual adherent cells (DAC) to the culture of decidual lymphocytes (DL) prevents the downregulation of perforin expression in these cells. Because DAC are a mixture of various cell populations, the aim is to analyze immunophenotypic characteristics of DAC and to determine which cell population is involved in the regulation of perforin expression.
Method Of Study:
First trimester pregnancy decidual cells were obtained by enzymatic tissue digestion. Decidual cells and peripheral blood lymphocytes (PBL) were centrifuged on Ficoll-Hypaque density gradient and cultured overnight to obtain adherent cells, which were analyzed by flow cytometry and immunocytochemically.
Results:
Almost all peripheral blood adherent cells (PBAC) (ca 90%) expressed monocyte/macrophage markers but only 10-20% of DAC. The rest of DAC expressed markers of stromal cells. HLA-DR depleted population of DAC (stromal cells only) could not prevent downregulation of perforin expression in cultured DL and PBL.
Conclusion:
Decidual macrophages are involved in the regulation of perforin expression in DL.
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