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The Journal of Clinical Investigation
Article . 2015 . Peer-reviewed
Data sources: Crossref
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Progesterone and HMOX-1 promote fetal growth by CD8+ T cell modulation

Authors: Solana, Maria Emilia; Kowal, Mirka Katharine; O'Rourke, Greta Eugenia; Horst, Andrea Kristina; Modest, Kathrin; Ploesch, Torsten; Barikbin, Roja; +11 Authors

Progesterone and HMOX-1 promote fetal growth by CD8+ T cell modulation

Abstract

Intrauterine growth restriction (IUGR) affects up to 10% of pregnancies in Western societies. IUGR is a strong predictor of reduced short-term neonatal survival and impairs long-term health in children. Placental insufficiency is often associated with IUGR; however, the molecular mechanisms involved in the pathogenesis of placental insufficiency and IUGR are largely unknown. Here, we developed a mouse model of fetal-growth restriction and placental insufficiency that is induced by a midgestational stress challenge. Compared with control animals, pregnant dams subjected to gestational stress exhibited reduced progesterone levels and placental heme oxygenase 1 (Hmox1) expression and increased methylation at distinct regions of the placental Hmox1 promoter. These stress-triggered changes were accompanied by an altered CD8+ T cell response, as evidenced by a reduction of tolerogenic CD8+CD122+ T cells and an increase of cytotoxic CD8+ T cells. Using progesterone receptor- or Hmox1-deficient mice, we identified progesterone as an upstream modulator of placental Hmox1 expression. Supplementation of progesterone or depletion of CD8+ T cells revealed that progesterone suppresses CD8+ T cell cytotoxicity, whereas the generation of CD8+CD122+ T cells is supported by Hmox1 and ameliorates fetal-growth restriction in Hmox1 deficiency. These observations in mice could promote the identification of pregnancies at risk for IUGR and the generation of clinical interventional strategies.

Keywords

Male, Placenta, Drug Evaluation, Preclinical, CD8-Positive T-Lymphocytes, Fetal Development, Mice, Fetus, Animals, Placental Circulation, OXIDATIVE STRESS, CARBON-MONOXIDE, GESTATIONAL-AGE, MOUSE PLACENTA, HO-1 EXPRESSION, TERM HUMAN PLACENTA, Mice, Inbred BALB C, Fetal Growth Retardation, HEME OXYGENASE EXPRESSION, Membrane Proteins, DNA Methylation, Placental Insufficiency, BIRTH-WEIGHT, Mice, Inbred C57BL, Disease Models, Animal, Mice, Inbred DBA, RISK-FACTORS, STRESS-TRIGGERED ABORTION, Female, Noise, Heme Oxygenase-1

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    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    66
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
66
Top 10%
Top 10%
Top 10%
gold