title: Less HLA-G expression in Plasmodium falciparum-infected third trimester placentas is associated with more natural killer cells.
abstract: During pregnancy, maternal immune tolerance of the fetal semi-allogeneic graft is partly the consequence of extravillous trophoblast HLA-G expression and its interaction with natural killer (NK) cells. Plasmodium falciparum malaria is frequently associated with maternal and fetal complications. Local HLA-G expression and the number of NK cells were evaluated immunohistochemically in P. falciparum-infected and uninfected placentas (15 each) collected in a seasonal malaria-hypoendemic area. In control placentas, HLA-G was almost always expressed in extravillous trophoblast whereas, in infected placentas, it was significantly more weakly expressed in extravillous trophoblast but was also detected in intervillous space macrophages. NK cells were evaluated in intervillous and intravillous spaces and in basal plate. NK cells were always more abundant in basal plate than in intervillous and intravillous spaces in infected or control placentas. For each area, more NK cells were seen in infected than control placentas. These data suggest that HLA-G down-regulation and more NK cells in placentas may be among the mechanisms involved in poor birth outcome associated with P. falciparum infection.
authors.affiliation: Laboratoire Pol Bouin, Centre Hospitalier Universitaire de Reims, Reims, France. hsartelet@chu-reims.fr
authors.forename: H
authors.initials: H
authors.lastname: Sartelet
authors.forename: D
authors.initials: D
authors.lastname: Schleiermacher
authors.forename: J Y
authors.initials: JY
authors.lastname: Le-Hesran
authors.forename: O
authors.initials: O
authors.lastname: Graesslin
authors.forename: D
authors.initials: D
authors.lastname: Gaillard
authors.forename: M
authors.initials: M
authors.lastname: Fe
authors.forename: C
authors.initials: C
authors.lastname: Lechki
authors.forename: A
authors.initials: A
authors.lastname: Gaye
authors.forename: P
authors.initials: P
authors.lastname: Le Bouteiller
authors.forename: P
authors.initials: P
authors.lastname: Birembaut
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D005260:Female; D006680:HLA Antigens / Q000378:metabolism*; D059951:HLA-G Antigens; D015395:Histocompatibility Antigens Class I / Q000378:metabolism*; D006801:Humans; D007150:Immunohistochemistry; D007694:Killer Cells, Natural / Q000276:immunology* / Q000469:parasitology; D018655:Lymphocyte Count; D016778:Malaria, Falciparum / Q000276:immunology*; D010920:Placenta / Q000276:immunology / Q000378:metabolism / Q000469:parasitology*; D010963:Plasmodium falciparum; D011247:Pregnancy; D015597:Pregnancy Complications, Parasitic / Q000276:immunology* / Q000378:metabolism; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third
chemical_list: D006680:HLA Antigens; D059951:HLA-G Antigens; D015395:Histocompatibility Antigens Class I