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a Charité, Campus Virchow Klinikum, Humbolt University, 13353 Berlin, Germany
b Department of Obstetrics and Gynecology, University of Würzberg, 97080 Würzberg, Germany
c Departments of Medicine and Obstetrics/Gynocology, McMaster University, Hamilton, Ontario, Canada L7N 3Z5
The mammalian fetus has been perceived, paradoxically, as a successful allograft, a successful tumor, and a successful parasite. Success depends on fetal trophoblast cells, which form the interface with the mother. The maternal immune system is involved in the success of pregnancy and in its failure. The discovery that maternal 
T cells may recognize and react to the fetal trophoblast and the definition of a vascular mechanism whereby their Th1 and Th2/3-type cytokines may abort embryos replaces confusion and debate with a new and simple clarity that enables further research.
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