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논문 기본 정보

자료유형
학술저널
저자정보
Jin Soo Joo (Yonsei University) Dongeun Lee (Yonsei University) Jun Young Hong (Yonsei University)
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대한면역학회 Immune Network Immune Network Vol.24 No.4
발행연도
2024.8
수록면
54 - 69 (16page)

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초록· 키워드

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Pregnancy represents an immunological paradox where the maternal immune system must tolerate the semi-allogeneic fetus expressing paternally-derived Ags. Accumulating evidence over decades has revealed that successful pregnancy requires the active development of robust immune tolerance mechanisms. This review outlines the multi-layered processes that establish fetomaternal tolerance, including the physical barrier of the placenta, restricted chemokine-mediated leukocyte trafficking, lack of sufficient alloantigen presentation, the presence of immunosuppressive regulatory T cells and tolerogenic decidual natural killer cells, expression of immune checkpoint molecules, specific glycosylation patterns conferring immune evasion, and unique metabolic/hormonal modulations. Interestingly, many of the strategies that enable fetal tolerance parallel those employed by cancer cells to promote angiogenesis, invasion, and immune escape. As such, further elucidating the mechanistic underpinnings of fetal-maternal tolerance may reciprocally provide insights into developing novel cancer immunotherapies as well as understanding the pathogenesis of gestational complications linked to dysregulated tolerance processes.

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ABSTRACT
INTRODUCTION
REQUIREMENT OF ACTIVE IMMUNE TOLERANCE DEVELOPMENT FOR SUCCESSFUL PREGNANCY
MECHANISMS OF IMMUNOLOGICAL TOLERANCE DEVELOPMENT DURING PREGNANCY
IMPLICATIONS AND TRANSLATIONAL PERSPECTIVES BEYOND PREGNANCY
CONCLUSION
REFERENCES

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