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Abstract
Although CD8+ T lymphocytes are present in human decidua
throughout pregnancy, albeit as a minor population in
early pregnancy, their role in normal pregnancy is largely
unknown. The present study aimed to characterise their
effector phenotype including cytolytic activity, cytokine
profile and capacity to affect placental invasion. CD8+
lymphocytes were positively selected from normal early
pregnancy decidua (7-14 weeks gestational age). Decidual
CD8+ T lymphocytes were studied using standard and
redirected chromium release assays to investigate NK cell
sensitive cytotoxicity and cytotoxicity that requires T
cell receptor signal transduction respectively, multiplex
cytokine analysis to analyse cytokine production and a
placental explant invasion model to assess the effect of
soluble products of decidual CD8+ T lymphocytes on
trophoblast invasion. Decidual CD8+ T lymphocytes
exhibited cytolytic ability against P815 target cells
(mean %SCR32 32.7 ± 5.8) and against K562 target
cells (mean SCR32 20.3 ± 0.5).
Phytohaemagglutinin-P (PHA-P) stimulated decidual CD8+ T
lymphocytes produced high levels of both interferon gamma
(IFNG) and interleukin (IL)8, and low levels of
granulocyte-macrophage colony stimulating factor (CSF2),
IL1B, IL2, IL6, IL10, IL12 and tumor necrosis factor
(TNF); these did not vary with gestational age. IL4 was
undetectable. Decidual CD8+ T lymphocyte supernatants
increased the capacity of extravillous trophoblast cells
to invade through Matrigel compared with the PHA-P
control. These findings suggest that decidual CD8+ T cells
can display cytolytic activity, do not evoke a predominant
local intrauterine Th2 type cytokine environment and may
act to regulate invasion of extravillous trophoblast cells
into the uterus, a crucial process for normal
uteroplacental development.
Key words:
Immunology
Cytokines
Decidua
Trophoblast
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