title: IL-6 trans-signaling and the frequency of CD4+FOXP3+ cells in women with reproductive failure.
abstract: Pregnancy constitutes a major challenge to the maternal immune system, as it requires tolerance of paternal alloantigen. Maternal rejection of the fetus may develop when T regulatory (Treg) cells fail to control the balance between tolerance and immunity. Increasing evidence supports the role of IL-6 trans-signaling within T cells as a key pathway for blockade of the development of adaptive Treg cells. The present study investigated whether alteration of the components of the IL-6 trans-signaling might be a mechanism associated with modified immune responses in patients experiencing recurrent spontaneous abortion (RSA). In contrast with control women, sera from RSA women induced an enhanced mixed lymphocyte reaction (MLR) against paternal PBMCs, showing increased proliferation and lack of MLR-blocking factor activity. The sera from RSA women inhibited expansion of the FOXP3+ T cell population in TCR-activated PBMCs and showed an imbalance in levels of soluble components of the IL-6 trans-signaling pathway. In comparison with fertile women, those with RSA showed significantly increased levels of soluble IL-6 receptor and IL-6, and decreased levels of soluble gp130, the trans-signaling inhibitor. Finally we found that paternal alloimmunization acts to modulate serum levels of factors involved in the IL-6 trans-signaling pathway and increases the frequency of Treg cells. Consequently, women with reproductive failure show evidence of alteration in the IL-6 trans-signaling pathway which might be associated with abnormal performance of Treg cells in mediating feto-maternal tolerance.
authors: Immunogenetics Laboratory, José de San Martín Clinical Hospital, School of Medicine, University of Buenos Aires, Buenos Aires, Argentina.
authors: L
authors: L
authors: Arruvito
authors: A
authors: A
authors: Billordo
authors: M
authors: M
authors: Capucchio
authors: M E
authors: ME
authors: Prada
authors: L
authors: L
authors: Fainboim
mesh_terms: D000026:Abortion, Habitual / Q000097:blood / Q000276:immunology* / Q000473:pathology; D000328:Adult; D015704:CD4 Antigens / Q000096:biosynthesis; D050822:Cytokine Receptor gp130 / Q000097:blood / Q000276:immunology; D005260:Female; D051858:Forkhead Transcription Factors / Q000096:biosynthesis; D006801:Humans; D007106:Immune Sera; D015850:Interleukin-6 / Q000097:blood / Q000276:immunology*; D007519:Isoantigens / Q000276:immunology*; D007959:Lymphocyte Culture Test, Mixed; D011247:Pregnancy; D019947:Receptors, Interleukin-6 / Q000097:blood / Q000276:immunology; D016176:T-Lymphocyte Subsets / Q000187:drug effects / Q000473:pathology*; D050378:T-Lymphocytes, Regulatory / Q000187:drug effects / Q000473:pathology*
chemical_list: D015704:CD4 Antigens; C418974:FOXP3 protein, human; D051858:Forkhead Transcription Factors; C494199:IL6ST protein, human; D007106:Immune Sera; D015850:Interleukin-6; D007519:Isoantigens; D019947:Receptors, Interleukin-6; D050822:Cytokine Receptor gp130