Role of the Monocyte-Macrophage System in Normal Pregnancy and Preeclampsia

被引:64
作者
Vishnyakova, Polina [1 ]
Elchaninov, Andrey [1 ,2 ]
Fatkhudinov, Timur [2 ,3 ]
Sukhikh, Gennady [1 ]
机构
[1] Minist Healthcare Russian Federat, Natl Med Res Ctr Obstet Gynecol & Perinatol, 4 Oparina St, Moscow 117997, Russia
[2] Peoples Friendship Univ Russia, 6 Miklukho Maklaya St, Moscow 117198, Russia
[3] Sci Res Inst Human Morphol, 3 Tsurupa St, Moscow 117418, Russia
关键词
preeclampsia; monocyte; macrophage; placenta; decidua; inflammation; SYNCYTIOTROPHOBLAST EXTRACELLULAR VESICLES; HOFBAUER CELLS; T-CELLS; IMMUNE TOLERANCE; TISSUE-REPAIR; SEX-HORMONES; ESTROGEN; EXPRESSION; ACTIVATION; BLOOD;
D O I
10.3390/ijms20153695
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
The proper functioning of the monocyte-macrophage system, an important unit of innate immunity, ensures the normal course of pregnancy. In this review, we present the current data on the origin of the monocyte-macrophage system and its functioning in the female reproductive system during the ovarian cycle, and over the course of both normal and complicated pregnancy. Preeclampsia is a crucial gestation disorder characterized by pronounced inflammation in the maternal body that affects the work of the monocyte-macrophage system. The effects of inflammation at preeclampsia manifest in changes in monocyte counts and their subset composition, and changes in placental macrophage counts and their polarization. Here we summarize the recent data on this issue for both the maternal organism and the fetus. The influence of estrogen on macrophages and their altered levels in preeclampsia are also discussed.
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页数:17
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