Imbalance polarization of M1/M2 macrophages in miscarried uterus

Jun Feng1,2, Ping Gao3, Ting Wu1

  • 1Department of Obstetrics and Gynecology, The Fourth Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.

Plos One
|July 25, 2024
PubMed
Abstract

Insights

Lipopolysaccharides (LPS) trigger M1 macrophage polarization in the uterus, leading to miscarriage. This study reveals uterine M1/M2 macrophage imbalance and increased monocyte migration as key factors in LPS-induced pregnancy loss.

Area of Science:

  • Immunology
  • Reproductive Biology
  • Cell Biology

Background:

  • Lipopolysaccharides (LPS) are known to induce miscarriage during early pregnancy.
  • LPS activates macrophages, promoting M1 polarization, but its specific role in LPS-related miscarriage is unclear.

Purpose of the Study:

  • To investigate the role of macrophage polarization in LPS-induced miscarriage.
  • To analyze gene expression and macrophage populations in the uterus following LPS exposure.

Main Methods:

  • RNA sequencing (RNA-seq) and Flow Cytometry were used to analyze uterine immune cells.
  • Quantitative real-time PCR (qRT-PCR) assessed chemokine expression related to monocyte migration.

Main Results:

  • Uterine M1 macrophage percentage increased, while M2 decreased after LPS injection.
  • Significant upregulation of MCP-1, CCL3, CCL4, and monocyte numbers was observed in the uterus.
  • No significant changes in M1/M2 macrophage percentages were found in the spleens.

Conclusions:

  • Uterine macrophage polarization and proportion shifts contribute to LPS-induced miscarriage.
  • Aberrant M1/M2 macrophage polarization is linked to adverse pregnancy outcomes.
  • Findings provide insights into immune cell differentiation's role in maintaining normal pregnancy.

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