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Updated: Jul 22, 2026

Isolation of Leukocytes from the Human Maternal-fetal Interface
Published on: May 21, 2015
Reciprocal activation between M1 macrophages and trophoblasts through CXCL9/STAT1/ZEB1/CCL2 axis promotes recurrent
Sisi Yan1, Xiang Wang1, Qiuji Wu1
1Department of Radiation and Medical Oncology, Hubei Key Laboratory of Tumor Biological Behaviors, Hubei Cancer Clinical Study Center, Zhongnan Hospital of Wuhan University, Wuhan, China.
Background:
The crosstalk between macrophages and trophoblasts plays a crucial role in the development and progression of recurrent spontaneous abortion (RSA). Although M1 macrophages (M1-Mφ) are known to accumulate in RSA decidual tissues, their direct functional impact on trophoblasts remains poorly characterized.
Methods:
We established an M1-Mφ-trophoblast coculture system to investigate this interaction. CXCL9 expression was quantified in clinical samples and cell lines using qPCR, ELISA, and immunofluorescence. The migration and invasion capacities of trophoblasts were evaluated through wound healing and Transwell assays. A series of rescue experiments were conducted to uncover the underlying mechanism. Finally, an in vivo animal model was carried out to validate the corresponding functions of the CXCL9-related axis.
Results:
Our results revealed that M1-Mφ inhibited the migration and invasion of trophoblasts by releasing CXCL9. The expression of CXCL9 in decidual tissues was significantly increased in RSA samples compared to healthy controls. Mechanistically, CXCL9 activated the CXCR3-dependent JAK/STAT1 signaling pathway. Activated STAT1 induced transcriptional upregulation of ZEB1 via IRF1, which in turn promoted the release of CCL2 to enhance macrophage recruitment. In vivo, inhibition of CXCL9 reduced embryo resorption in LPS-induced abortion mice, attenuated macrophage infiltration, and restored trophoblast migration and invasion.
Conclusion:
Our work identifies a novel mechanism by which M1-Mφ regulate trophoblast migration and invasion through the CXCL9/STAT1/IRF1/ZEB1 axis, which in turn leads to the release of CCL2 that promotes macrophage infiltration in RSA, highlighting a new form of crosstalk between macrophages and trophoblasts.
Insights
M1 macrophages inhibit trophoblast function in recurrent spontaneous abortion (RSA) by releasing CXCL9, a key factor in this immune-related pregnancy complication. This interaction highlights a novel pathway impacting early pregnancy health.
Area of Science:
- Immunology
- Reproductive Biology
- Cell Biology
Background:
- Crosstalk between macrophages and trophoblasts is critical in recurrent spontaneous abortion (RSA).
- M1 macrophages (M1-Mφ) are found in RSA decidual tissues, but their specific effects on trophoblasts are unclear.
- Understanding this interaction is key to addressing RSA pathogenesis.
Purpose of the Study:
- To investigate the functional impact of M1 macrophages on trophoblast behavior in RSA.
- To elucidate the molecular mechanisms underlying M1-Mφ and trophoblast crosstalk.
- To identify potential therapeutic targets for RSA.
Main Methods:
- Established an M1-Mφ-trophoblast coculture system.
- Quantified CXCL9 expression using qPCR, ELISA, and immunofluorescence.
- Assessed trophoblast migration and invasion via wound healing and Transwell assays.
- Conducted rescue experiments and an in vivo animal model.
Main Results:
- M1-Mφ inhibited trophoblast migration and invasion through CXCL9 release.
- CXCL9 expression was elevated in RSA decidual tissues.
- CXCL9 activated the CXCR3-JAK/STAT1 pathway, leading to ZEB1 upregulation via IRF1.
- ZEB1 promoted CCL2 release, enhancing macrophage recruitment.
- In vivo, CXCL9 inhibition reduced embryo resorption and macrophage infiltration.
Conclusions:
- Identified a novel M1-Mφ-mediated mechanism regulating trophoblast function in RSA via the CXCL9/STAT1/IRF1/ZEB1 axis.
- This axis promotes macrophage recruitment through CCL2, exacerbating RSA.
- Highlights a new aspect of macrophage-trophoblast interaction in pregnancy complications.
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