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Dysfunction of CCR1+ decidual macrophages is a potential risk factor in the occurrence of unexplained recurrent pregnancy loss
Sang, Yifei1,2; Li, Yanhong1,2; Xu, Ling1,2; Chen, Jiajia1,2; Li, Dajin1,2; Du, Meirong1,2,3,4
2022-12-02
Source PublicationFrontiers in Immunology
Volume13
Abstract

Recurrent pregnancy loss (RPL) puzzles 1–3% of women of childbearing age worldwide. Immunological factors account for more than 60% of cases of unexplained RPL (URPL); however, the underlying mechanism remains unclear. Here, using single-cell sequencing data and functional experiments with clinical samples, we identified a distinct population of CCR1 decidual macrophages (dMφ) that were preferentially enriched in the decidua from normal early pregnancies but were substantially decreased in patients with URPL. Specific gene signatures endowed CCR1 dMφ with immunosuppressive and migration-regulatory properties, which were attenuated in URPL. Additionally, CCR1 dMφ promoted epithelial-to-mesenchymal transition (EMT) to promote trophoblast migration and invasion by activating the ERK1/2 signaling pathway. Decidual stromal cell (DSC)-derived CCL8 was the key regulator of CCR1 dMφ as CCL8 recruited peripheral CCR1 monocytes, induced a CCR1 dMφ-like phenotype, and reinforced the CCR1 dMφ-exerted modulation of trophoblasts. In patients with URPL, CCL8 expression in DSCs was decreased and trophoblast EMT was defective. Our findings revealed that CCR1 dMφ play an important role in immune tolerance and trophoblast functions at the maternal–fetal interface. Additionally, decreased quantity and dysregulated function of CCR1 dMφ result in URPL. In conclusion, we provide insights into the crosstalk between CCR1 dMφ, trophoblasts, and DSCs at the maternal–fetal interface and macrophage-targeted interventions of URPL.

KeywordCcl8 Ccr1 Decidual Macrophages Epithelial-to-mesenchymal Transition Trophoblasts Unexplained Recurrent Pregnancy Loss
DOI10.3389/fimmu.2022.1045532
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaImmunology
WOS SubjectImmunology
WOS IDWOS:000898965900001
Scopus ID2-s2.0-85144042420
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Citation statistics
Document TypeJournal article
CollectionUniversity of Macau
Corresponding AuthorLi, Dajin; Du, Meirong
Affiliation1.National Health Council (NHC) Key Laboratory of Reproduction Regulation, Shanghai Institute of Planned Parenthood Research, Obstetrics and Gynecology Hospital, Fudan University, Shanghai, China
2.Shanghai Key Laboratory of Female Reproductive Endocrine Related Diseases, Obstetrics and Gynecology Hospital, Fudan University Shanghai Medical College, Shanghai, China
3.Department of Obstetrics and Gynecology, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai, China
4.State Key Laboratory of Quality Research in Chinese Medicine and School of Pharmacy, Macau University of Science and Technology, Macau, Macau SAR, China
Corresponding Author AffilicationUniversity of Macau
Recommended Citation
GB/T 7714
Sang, Yifei,Li, Yanhong,Xu, Ling,et al. Dysfunction of CCR1+ decidual macrophages is a potential risk factor in the occurrence of unexplained recurrent pregnancy loss[J]. Frontiers in Immunology, 2022, 13.
APA Sang, Yifei., Li, Yanhong., Xu, Ling., Chen, Jiajia., Li, Dajin., & Du, Meirong (2022). Dysfunction of CCR1+ decidual macrophages is a potential risk factor in the occurrence of unexplained recurrent pregnancy loss. Frontiers in Immunology, 13.
MLA Sang, Yifei,et al."Dysfunction of CCR1+ decidual macrophages is a potential risk factor in the occurrence of unexplained recurrent pregnancy loss".Frontiers in Immunology 13(2022).
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