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Biomarkers in Fetomaternal Tolerance.

Sudipta Tripathi1, Indira Guleria2

  • 1Transplantation Research Center, Harvard Medical School, LMRC #316, 221 Longwood Avenue, Boston, MA 02115, USA.

Clinics in Laboratory Medicine
|February 3, 2019
PubMed
Summary

Successful pregnancy relies on complex immune interactions at the fetomaternal interface. This review explores potential biomarkers to predict immune tolerance failure and subsequent fetal loss.

Keywords:
AllograftBiomarkersBregsFetomaternal toleranceMDSCsTregsmiRNA

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Area of Science:

  • Reproductive immunology
  • Maternal-fetal medicine
  • Immunology

Background:

  • Successful pregnancy involves intricate immune cross-talk at the fetomaternal interface.
  • This interaction includes cellular subsets, cytokines, and endocrine system molecules.
  • The precise mechanisms of fetal tolerance are not fully understood.

Purpose of the Study:

  • To review potential biomarkers for predicting fetal loss.
  • To discuss the failure of immune tolerance at the fetomaternal interface.

Main Methods:

  • Literature review of immune mechanisms and biomarkers in pregnancy.
  • Analysis of existing research on fetomaternal tolerance.

Main Results:

  • Dysregulation of immune tolerance mechanisms can lead to fetal loss.
  • Currently, few effective biomarkers exist to predict fetal loss.
  • Several potential biomarkers warrant further investigation.

Conclusions:

  • Understanding fetomaternal immune cross-talk is crucial for successful pregnancy.
  • Identifying reliable biomarkers can aid in predicting and potentially preventing fetal loss.
  • Further research into these biomarkers is needed to improve pregnancy outcomes.