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Updated: Aug 9, 2026

Isolation of Leukocytes from the Human Maternal-fetal Interface
Published on: May 21, 2015
Distribution of cell adhesion molecules on CD56++, CD3-, CD16- large granular lymphocytes and endothelial cells in
K Marzusch1, P Ruck, A Geiselhart
1Department of Obstetrics and Gynaecology, University of Tübingen, Germany.
Insights
This study investigates how large granular lymphocytes (LGLs) with a natural killer (NK) cell phenotype adhere to and migrate into the human decidua during early pregnancy. Findings reveal specific adhesion molecules involved in this crucial process for uterine immune surveillance.
Area of Science:
- Immunology
- Reproductive Biology
- Cell Biology
Background:
- Human decidua contains a unique population of large granular lymphocytes (LGLs) with a natural killer (NK) cell phenotype.
- Understanding the interaction between these LGLs and the maternal vascular endothelium is crucial for early pregnancy success.
Purpose of the Study:
- To investigate the mechanisms of circulating LGL binding to decidual vascular endothelium.
- To identify the molecules involved in LGL migration into the decidual stroma.
Main Methods:
- Immunohistochemistry was used to examine adhesion molecules on decidual endothelium and leukocytes.
- Flow cytometry analyzed the expression of adhesion molecules on decidual and peripheral blood LGLs.
Main Results:
- Decidual LGLs express alpha 4 and alpha L integrin subunits, platelet endothelial cell adhesion molecule (PECAM), and intercellular adhesion molecule-1 (ICAM-1).
- PECAM and ICAM-1 are abundant on decidual blood vessels, particularly capillaries, which are sites of leukocyte migration.
- Vascular cell adhesion molecule (VCAM) and endothelial leukocyte adhesion molecule (ELAM) show more limited expression.
Conclusions:
- Specific integrins and adhesion molecules mediate the binding and migration of NK-phenotype LGLs into the first-trimester human decidua.
- Capillary endothelium plays a significant role in leukocyte extravasation into the decidual tissue.
Abstract:
Human decidua exhibits a unique infiltrate of large granular lymphocytes (LGL) with a natural killer (NK) cell phenotype (CD56++, CD16-, CD3-). The mechanisms underlying the binding of circulating LGL to vascular endothelium in the decidua and their migration into the decidual stroma were investigated immunohistochemically in first-trimester decidua with antibodies against endothelial adhesion molecules and their counter-receptors on leukocytes. Decidual and peripheral blood LGL were also investigated by flow cytometry. In the immunohistochemical investigations, moderate to large numbers of lymphoid cells in the decidua were found to express the alpha 4 and alpha L integrin subunits, platelet endothelial cell adhesion molecule (PECAM) and intercellular adhesion molecule-1 (ICAM-1). PECAM and ICAM-1 were found on the endothelium of large numbers of decidual blood vessels of all types. Vascular cell adhesion molecule (VCAM), however, was found on the endothelium of only small to moderate numbers of arterioles and venules and a few capillaries, the latter being the main site of migration of leukocytes into the stroma. Weak staining for endothelial leukocyte adhesion molecule (ELAM) was seen only in a moderate number of blood vessels. Flow cytometry revealed expression of the alpha L integrin subunit by 72 +/- 10% and 97 +/- 3% of decidual and peripheral blood CD56+ LGL, respectively, of the alpha 4 integrin subunit by 85 +/- 7% and 90 +/- 5%, of PECAM by 40 +/- 12% and 30 +/- 15%, and of ICAM-1 by 22 +/- 10% and 1 +/- 1%.(ABSTRACT TRUNCATED AT 250 WORDS)
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