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Maternal Immune Responses to the Fetus in Human Pregnancy

  • Chapter
Immunology of Pregnancy and its Disorders

Part of the book series: Immunology and Medicine Series ((IMME,volume 10))

Abstract

The fetus expresses paternally derived antigens that are genetically foreign to the mother, so how does the fetal allograft survive gestation, unharmed by the maternal immune system1? In fact, the fetus has no direct contact with the maternal immune system, and it is the trophoblast of the placenta and fetal membranes which forms the interface between maternal and fetal tissues. This chapter examines the nature of maternal immune responses to the fetoplacental unit and how they are regulated.

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References

  • Medawar, P.B. (1954). Some immunological and endocrinological problems raised by the evolution of viviparity in vertebrates. Symp. Soc. Exp. Bio/., 7, 320–38

    Google Scholar 

  • Bodmer, J. and Bodmer, W. (1984). Histocompatibility 1984. Immunol. Today, 5, 251–4

    Google Scholar 

  • Trowsdale, J., Lee, J. and McMichaeL A. (1983). HLA–DR bouillabaisse; Immunol. Today, 4, 31–5

    Google Scholar 

  • Hayry, P. (1984). Intragraft events in allograft destruction. Trans–plantation, 38, 1–6

    Google Scholar 

  • McDonald, H.R. (1984). Differentiation of cytolyticT.Lymphocytes. Immunol. Today, 3, 183–7

    Google Scholar 

  • Roitt, I., Brostoff, J. and Male, D. (1985). Immunology, ( London: Churchill Livingstone )

    Google Scholar 

  • Grey, H.M. and Chesnut, R. (1985). Antigen processing and presentation to T cells. Immunol. Today, 6, 101–6

    Google Scholar 

  • Carpenter, C.B. (1981). The cellular basis of allograft rejection. Immunol. Today, 2, 50– 4

    Google Scholar 

  • Sunderland, C.A., Redman, C.W.G. and Stirrat, G.M. (1982). Monoclonal antibodies and human pregnancy: identification and possible significance of antigens specific to the human placenta. In McMichaeL A.J., and Fabre, JLW. (eds.) Monoclonal Antibodies in Clinical Medicine, pp. 457–75. ( London: Academic Press )

    Google Scholar 

  • Faulk, W.P. and Temple, A. (1976). Distribution of beta 2 microglobulin and HLA in chorionic villi of human placentae. Nature, 262, 799–802

    Google Scholar 

  • Goodfellow, P.N., Barnstable, C.J., Bodmer, W.F., Snarv, D. and Crumpton, M.S. (1976). Expression of HLA system antigens on plac–nta. Transplantation, 22, 595–603

    Google Scholar 

  • Kawata, M., Parnes, J.R. and Herzenberg, L.A. (1984). Transcriptional control of HLA– A, B, C, antigens in human placental cytotrophoblast isolated using trophoblast and HLA–specific monoclonal antibodies and the fluorescence–activated cell sorter. J. Exp. Med., 160, 633–51

    Google Scholar 

  • Sunderland, C.A., Naiem, M., Mason, D.Y., Redman, C.W.G. and Stirrat, G.M. (1981). The expression of major histocompatibility antigens by human chorionic villi. J. Reprod. Immunol., 3, 323–31

    Google Scholar 

  • Hsi, B.L., Hey, G. and Faulk, W.P. (1984). Class I antigens of the major histocompatibility complex on cytotrophoblast of human chorion laeve. Immwiology, 52, 621–9

    Google Scholar 

  • Redman, C.W.G., McMichael, A.J., Stirrat, G.M., Sunderland, C.A. and Ting, A. (1984). Class I major histocompatibility antigens on human extra–villous trophoblast. Immunology, 52, 457–68

    Google Scholar 

  • Sunderland, C.A., Redman,C.W.G. and Stirrat, G.M. (1981). HLA-;A, B, C antigens are expressed on nonvillous trophoblast of the early human placenta. J. Immunol.. 127,2614–15

    Google Scholar 

  • Wells, M., Hsi, B.L. and Faulk, W.P. (1984). Class I antigens of the major histocompatibility complex on cytotrophoblast of the human placental basal plate. Am. J. Reprod. Immunol., 6, 167–74

    Google Scholar 

  • Ellis, S.A., Sargent, I.L., Redman, C.W.G. and McMichaeL A.J. (1986). Evidence for a novel HLA antigen found on human extra villous trophoblast and a choriocarcinoma cell line. Immunology, 59, 595–601

    Google Scholar 

  • Redman, C.W.G. (1983). HLA-DR antigen on human trophoblast: a review. Am. J. Reprod. Immunol., 3, 175–7

    Google Scholar 

  • Starkey, P.M. (1987). Reactivity of human trophoblast with an antibody to the HLA class 11 antigen, HLA-DP. J. Reprod. Immunol., II, 63–70

    Google Scholar 

  • Sutton, L., Mason, D.Y. and Redman, C.W.G. (1983). HLA–DR positive cells in the human placenta. Immunology, 49, 103–12

    Google Scholar 

  • Redman, C.W.G., Arenas. J.. Mason. D., Sargent, I.L. and Sutton, L. (1987). Maternal alloimmune recognition of the fetus in human pregnancy. In Gill, T.J.. Wegman. T.G. and Nisbet-Brown E. (eds.) Immunoregulation and Fetal Survival, pp. 210–229. ( New York: Oxford University Press )

    Google Scholar 

  • Goulmy, E., Termijteiz, A., Bradley, B.A. and Van Rood. J J. (1977). Y–antigen killing by T cells of women is restricted by HLA. Nature, 266, 544–5

    Google Scholar 

  • Galbraith, R.M., Kantor, R.R.S., Ferrara, G.B., Ades, E.W. and Galbraith. G.M.P. (1981). Differential anatomical empression of transplantation antigens within the normal human placental chorionic villus. Am. J. Reprod. Immunol., 1, 331–5

    Google Scholar 

  • Tekolf, W.A. and Shaw, S. (1983). In vitro generation of cytotoxic cells specific for human minor histocompatibility antigens by lymphocytes from a normal donor potentially primed during pregnancy. J. Exp. Med., 157, 2172–7

    Google Scholar 

  • Szulman, A.E. (1972). The A, B and H blood-group antigens in human placenta. A1. Engl. J. Med., 286, 1028–31

    Google Scholar 

  • Feizi. T., Kabat, A., Vicari, G., Anderson, B. and Marsh, W.L. (1971). Immunochemical studies on blood groups. XLIX. The 1 antigen complex: specificity differences among anti-I sera revealed by quantitative precipitin studies: partial structure of the I determinant specific for one anti-I serum. J. Immunol., 106, 1578–92

    Google Scholar 

  • Boughton, J. (1979). Anti–i cold agglutinins in choriocarcinomatosis: trophoblastic i antigen. J. Clin. Pathol., 32, 523–7

    Google Scholar 

  • Goto, S., Nishi, H. and Tomoda, Y. (1980). Blood group Rh–D factor in human trophoblast determined by immune-fluorescent method. Am. J. Obstet. Gvnecol., 137, 707–12

    Google Scholar 

  • Johnson, P.M. (1984). Immunobiology of the human trophoblast. Crighton, D. B. (ed.) Immunological Aspects of Reproduction in Mammals, pp. 109–31. ( London: B uttervvorths )

    Google Scholar 

  • Mclntyre, J.A. and Faulk, W.P. (1982). Allotypic trophoblast-lymphocyte cross-reactive (TLX) cell surface antigens. Human Immunol., 4, 27–35

    Google Scholar 

  • Redman, C.W.G., Sargent, I.L. and Sutton, L. (1984). Immunological aspects of human pregnancy and its disorders, In Crighton, D.B. (ed.) Immunological Aspects of Reproduction in Mammals, pp. 219–50. ( London: Butterworths )

    Google Scholar 

  • Hamilton, G.A., Wada, H.G. and Sussman, H.H. (1980). Expression of human placental cell surface antigens on peripheral blood lymphocytes and lymphoblastoid cell lines. Scand. J. Immunol, 115, 195–201

    Google Scholar 

  • Johnson, P.M., Cheng, H.M., Molloy, C M., Stern, C.M.M. and Slade, M.B. (1981). Human trophoblast-specific surface antigens identified using monoclonal antibodies. Am. J. Reprod. Immunol, 15, 246–54

    Google Scholar 

  • Lipinski, M., Parks, D.R., Rouse, R.V. and Herzenberg, L.A. (1981). Human trophoblast cell-surface antigens defined by monoclonal antibodies. Proc. Natl Acad. Sci. USA, 78, 5147–50

    Google Scholar 

  • McLaughlin, P.J., Cheng, H.M., Slade, M.B. and Johnson, P.M. (1982). Expression on cultured human tumour cells of placental trophoblast membrane antigens and placental alkaline phosphatase by monoclonal antibodies. Int. J. Cancer, 30, 21 6

    Google Scholar 

  • Bulmer, J.N., Billington, W.D. and Johnson, P.M. (1984). Immuno-histologic identification of trophoblast populations in early human pregnancy with the use of monoclonal antibodies. Am. J. Obstet Gynecol, 148, 19–26

    Google Scholar 

  • Johnson, P.M. and Molloy, C.M. (1983). Localisation in human term placental bed and amniochorion of cells bearing trophoblast antigens identified by monoclonal antibodies. Am. J. Reprod. Immunol, 4, 33–7

    Google Scholar 

  • McLaughlin, P.J., Travers, P.J., McDicken, I.W. and Johnson, P.M. (1984). Demonstration of placental and placental-like alkaline phosphatase antibodies in an enzyme immunoassay. Clin. Chim Acta, 137, 341–8

    Google Scholar 

  • Faulk, W.P., Yeager, C, Mclntyre, J.A. and Ueda, M. (1979). Oncofetal antigens on human trophoblast. Proc. R. Soc. London B., 206, 163–82

    Google Scholar 

  • Loke, Y.W., Whyte, A. and Davis, S.P. (1980). Differential expression of trophoblast-specific membrane antigens by normal and abnormal human placenta and by neoplasms of trophoblastic and non-trophoblastic origin. Int. J. Cancer, 25, 359–461

    Google Scholar 

  • Shah, L.C.P., Ogbimi, O. A. and Johnson, P.M. (1980). A cell membrane antigen expressed by both human breast carcinoma cells and normal human trophoblast. Placenta, 1, 299–307

    Google Scholar 

  • Stirrat, G.M., Sunderland, C.A. and Redman, C.W.G. (1983). Human reproductive immunology-elucidation by monoclonal antibody techniques. Obstetrics and Gynaecology Annual. Vol. 12, pp. 43–59. (Connecticut: Appleton–Century–Crofts)

    Google Scholar 

  • Jones, C.J.P. and Fox, H. (1976). An immunohistochemical study of the distribution of acid and alkaline phosphatases in placentae from normal and complicated pregnancies. J.Pathol, 118, 143–50

    Google Scholar 

  • Fishman, W.H. (1974). Perspectives on alkaline phosphatase isoenzymes. Am. J. Med., 56, 617–50

    Google Scholar 

  • Contractor, S.F. (1983). Metabolic and enzymatic activity of human trophoblast. In Loke, Y.W. and Whyte, A. (eds.) Biology of Trophoblast. pp. 235–81. ( Amsterdam: Elsevier )

    Google Scholar 

  • McLaughlin, P.J., Gee, H. and Johnson, P.M. (1983). Placental-type alkaline phosphatase in pregnancy and malignancy plasma. Clin. Chim. Acta, 130, 199–210

    Google Scholar 

  • Sunderland, C.A., Redman, C.W.G., and Stirrat, G.M. (1981). Monoclonal antibodies to human syncytiotrophoblast. Immunology, 43, 541–6

    Google Scholar 

  • Sunderland, C.A., Bulmer, J.N., Luscombe, M.A., Redman, C.W.G. and Stirrat G.M.(1985)Immunohistological and biochemical evidence for a role of hyaluronic acid in the growth and development of the placenta. J. Reprod. Immunol, 8, 197–212

    Google Scholar 

  • Comper, W.D. and Laurent, T.C. (1978). Physiological function of connective tissue polysaccharides. Physiol. Rev., 58, 255–315

    Google Scholar 

  • Toole, B.P., Bisivas, C. and Gross, B. (1979). Hyaluronate and invasiveness of the rabbit V2 carcinoma. Proc. Natl. Acad. Sci. USA, 76, 6299–303

    Google Scholar 

  • Ashall, F. BramwelL M.E. and Harris, H. (1980). A new marker for human cancer cells. I. The Ca antigen and the Ca. 1 antibody. Lancet, 2, 1–6

    Google Scholar 

  • McGee, J.O.D., Woods, J.C., Ashall, F., BramwelL M.E. and Harris, H. (1982). A new marker for human cancer cells. 2. Immunohistological detection of the antigen in human tissues with Ca 1 antibody. Lancet, 2, 7–10

    Google Scholar 

  • Brown, P.J., Molloy, C.M. and Johnson, P.M. (1983). Immunochemical identification of human trophoblast membrane antigens using monoclonal antibodies. J. Reprod. Immunol, 5, 351–61

    Google Scholar 

  • Wild, A.E. (1983). Trophoblast cell surface receptors. In Loke, Y.W. and Whyte, A. (eds.) Biology of Trophoblast, pp. 471–502. ( Amsterdam: Elsevier )

    Google Scholar 

  • Golding, H. and Singer, A. (1984). Role of accessory cell processing and presentation of shed H-2 alloantigens in allospecific cytotoxic T lymphocyte responses. J. Immunol, 133, 597–605

    Google Scholar 

  • Elcock, J.M. and Searle, R.F. (1985). Antigen presenting capacity of mouse placenta and decidua. Am. J. Reprod. Immunol Microbiol, 7, 99–103

    Google Scholar 

  • Searle, R.F. and Elcock, J.M. (1984). Mouse uterine decidua has antigen presenting activity. Am. J. Reprod. Immunol, 6, 66

    Google Scholar 

  • Oksenberg, J.P., Mor-Yosef, S., Persitz, E., Schenke, Y., Mozes, E. and Brautbar, C. (1986)Antigen presenting cells in human decidual tissue. Am. J. Reprod. Immunol Microbiol, 11, 82–6

    Google Scholar 

  • Attwood, H.D. and Park, W.W. (1961). Embolism to the lungs by trophoblast. J. Obstet. Gynaecol Br. Commomv., 68, 611–17

    Google Scholar 

  • Covone, A., Mutton, E.D., Johnson, P.M. and Adinolfi, M. (1984). Trophoblast cells in peripheral blood from pregnant women. Lancet, 2, 841–3

    Google Scholar 

  • Goodfellow, C.F. and Taylor, P.V. (1982). Extraction and identification of trophoblast cells in peripheral blood during pregnancy. Br. J. Obstet. Gynaecol, 89, 65–8

    Google Scholar 

  • Goodfellow, C.F., Taylor, P.V. and Jackson, S. (1984).Culturing trophoblast from peripheral blood. Lancet, 2, 1479

    Google Scholar 

  • Kozma, R., Spring, J., Johnson, P.M. and Adinolfi, M. (1986). Detection of syncytiotrophoblast in maternal peripheral and uterine veins using a monoclonal antibody and flow cytometry. Reproduction, 1, 335–6

    Google Scholar 

  • Shroder, J. (1975). Transplacental passage of blood cells. J. Med. Genet., 12, 230–42

    Google Scholar 

  • Zipursky, A., Pollock, J., Neelands, R, Chown, B. and Israels, L.G. (1963). The transplacental passage of foetal red blood–cells and the pathogenesis of Rh immunisation during pregnancy. Lancet, 2, 489–93

    Google Scholar 

  • Woodrow, J.C. and Finn, R. (1966). Transplacental haemorrhage. Br. J. Haematol., 12, 297–309

    Google Scholar 

  • Iverson, G., Bianchi, D.W., Cann, H.M. and Herzenberg, L.A. (1981). Detection and isolation of fetal cells from maternal blood using the fluorescence activated cell sorter. Perinatal Diagnos., 1, 63–73

    Google Scholar 

  • Liegois, A., Gaillard, M.C., Ouvre. E. and Lewin, D. (1981). Microchimerism in pregnant mice. Transplant. Proc., 13, 1250–2

    Google Scholar 

  • Van Rood, G.G., Eernisse, G. and Van Leu ween, A. (1958). Leucocyte antibodies in sera from pregnant women. Nature, 181, 1735–6

    Google Scholar 

  • Ahrons, S. (1971). Leukocyte antibodies: Occurrence in primigravidae. Tissue Antigens, 1, 178–83

    Google Scholar 

  • Burke, J. and Johansen, K. (1974). The formation of HLA antibodies in pregnanes The antigenicity of aborted and term fetuses. J. Obstet. Gynaecol. Br. Commonw., 81.

    Google Scholar 

  • Hogarth, P.J. (1982). Immunological Aspects of Mammalian Reproduction. (Glagow Blackie)

    Google Scholar 

  • Vives, J., Gelabert, A. and Castillo, R. (1976). HLA antibodies and period of gestation: decline in pregnancy of positive sera during last trimester. Tissue Antigens, 7, 209–12

    Google Scholar 

  • Borelli, I., Amoroso, A., Richiardi, P. and Curtoni, E.S. (1982). Evaluation of different technical approaches for the research of human antila alloantisera. Tissue Antigens, 19, 380–7

    Google Scholar 

  • Bashir, H., Doran, T. and Honeman, M. (1977). The FT system of B cell alloantigens. Tissue Antigens, 10, 126

    Google Scholar 

  • Carter, J., Sargent, I.L. and Redman, C.W.G. (1986). Antibodies in human pregnancy. J. Reprod. Immunol. Suppl., 105

    Google Scholar 

  • Power, D.A., Catto, G.R.D., Mason, R.J., MacLeod, A.M., Stewart,G.M., Stewart, K.N. and Shewan, W.G. (1983). The fetus as an allograft; evidence for protective antibodies to HLA-linked paternal antigens. Lancet 2, 701–4

    Google Scholar 

  • Power, D.A., Mason, R.J., Stewart, K.N., Noble, D.N., MacLeod, A., Shewan, G. and Catto, G.R.D. (1983). B–lymphocyte antibodies associated with successful pregnancy: evidence for MHC linkage. Transplant. Proc., 15, 890–902

    Google Scholar 

  • Doughty, R.W. and Gelsthorpe, K. (1974). An initial investigation of lymphocyte antibody activity through pregnancy and in eluates prepared from placental material. Tissue Antigens, 4, 291–8

    Google Scholar 

  • Doughty, R.W. and Gelsthorpe, K. (1976). Some parameters of lymphocyte antibody activity through pregnancy and further eluates of placental material. Tissue Antigens, 8, 43–8

    Google Scholar 

  • McCormick, J.N., Faulk, W.P., Fox, H. and Fudenberg, H.H. (1971). Immunohistological and elution studies of the human placenta. J. Exp. Med., 133, 1–18

    Google Scholar 

  • Brochier, J., Bonneau, M., Robert, M., Sambrut, C., Revillard, J.P. and Traeger, J. (1979). Anti-HLA-DR alloantibodies eluted from human placental tissue. Transplant. Proc., 11, 779–82

    Google Scholar 

  • Faulk, W.P., Jeannet, J., Creighton, W.S. and Carbonara, A. (1974). Characterisation of immunoglobulins on trophoblastic basement membranes. J. Clin. Invest., 54, 1011–19

    Google Scholar 

  • Johnson, P.M., Natvig, J.B., Ystehede, U.A. and Faulk, W.P. (1977). Immunological studies of human placentae: the distribution and character of immunoglobulin in chorionic villi. Clin. Exp. Immunol., 30, 145–53

    Google Scholar 

  • Davies, M. (1985). An ELISA for the detection of maternal anti-trophoblast antibodies in human pregnancy. J. Immunol. Meth77, 109–18

    Google Scholar 

  • Davies, M. and Browne, C.M. (1985). Anti-trophoblast antibody responses during normal human pregnancy. J. Reprod. Immunol., 7, 285–97

    Google Scholar 

  • Davies, M. and Browne, C.M. (1985). Identification of selectively solubilised syncytiotrophoblast plasma membrane proteins as potential targets during normal human pregnancy. J. Reprod. Immunol., 8, 33–44

    Google Scholar 

  • Davies, M. (1985). Antigenic analysis of immune complexes formed in normal human pregnancy. Clin. Exp. Immunol, 61, 406–15

    Google Scholar 

  • Nickson, D.A. and Sutcliffe, R.G. (1986). A search for antibodies in term maternal sera to soiubilised syncytiotrophoblast surface components. A passive haemaggluti nation assay yields negative evidence. J. Reprod. Immunol.. 9, 303 12

    Google Scholar 

  • Burns, G.F., Glenn Beglev. L., Mackay. I.R., Triglia, T. and Werkmeister. A. (1985). -Supernatural- killer cells. Immunol. Today, 6, 370 13

    Google Scholar 

  • Sulke, A.N., Jones, D.B. and Wood, PJ. (1985). Variation in natural killer activity in peripheral blood during the menstrual cycle. Br. Med. X. 290.884∓6

    Google Scholar 

  • Sulke, A.N., Jones, D.B. and Wood, P.J. (1985). Hormonal modulation of human natural killer activity in vitro. J. Reprod. Immunol, 7, 105–10

    Google Scholar 

  • Uksila, J. (1985). Human NK cell activity is not inhibited by pregnancy and cord serum factors and female steroid hormones in vitro. J. Reprod. Immunol.. 7, 111–20

    Google Scholar 

  • Baines, M.G., Pross, H.F. and Millar, K.B. (1978). Spontaneous human lymphocyte- mediated cytotoxicity against tumour target cells. IV The suppressive effect of normal pregnancy. Am. J. Obstet. Gynecol., 130, 741–4

    Google Scholar 

  • Toder, V., Nebel, L. and Gleicher, N. (1984). Studies of natural killer cells in pregnancy. I. Analysis at the single cell level. J. Clin. Lab. Immunol.. 14, 123–7

    Google Scholar 

  • Gregory, C D., Shah, L.P., Lee, H., Scott, I.V. and Golding, P.R. (1985). Cytotoxic reactivity of human natural killer (NK) cells during normal pregnancy: a longitudinal study. J. Clin. Lab. Immunol., 18, 175–82

    Google Scholar 

  • Gregory, C.D., Lee, H., Rees, G.B., Scott I.V., Shah, L.P. and Golding, P.R. (1985). Natural killer cells in normal pregnancy: analysis using monoclonal antibodies and single cell cytotoxic assays. Clin. Exp. Immunol., 62, 121–7

    Google Scholar 

  • Tanaka, K. and Chang, S.S. (1982). Modulation of natural killer sensitivity of murine trophoblast cells by tumour promoters and interferon. Int. J. Cancer, 29, 315–20

    Google Scholar 

  • 100.Paul, S. and Jailkani, B.L. (1982). Lysis of placental syncytiotrophoblast by allogeneic leukocytes in vitro: effects of neuraminidase and chorionic gonadotrophins. Am. J. Reprod. Immunol., 2, 204–7

    Google Scholar 

  • Lala, P.K., Parhar, R.S., Kearns, M., Johnson, S. and Scodras, J.M. (1986). Immunologic aspects of the decidual response. In Clark, D.A. and Croy, B.A. (eds.) Reproductive Immunology. 1986. pp. 190–8. ( Amsterdam: Elsevier )

    Google Scholar 

  • Zekeres-Bartho, J., Hadnagy, J., Csernus, V., Balazs, L., Magyarlaki, T. and Pacsa, A.S. (1985). Increased NK activity is responsible for higher cytotoxicity of HEF cells by lymphocytes of women with threatened pre-term delivery. Am. J. Reprod. Immunol. Microbiol., 7, 22–6

    Google Scholar 

  • Toder, V., Blank, M., Gleicher, N., Voljovich, I., Mashuah, S. and Nebel, L. (1985). Activity of natural killer cells in normal pregnancy and edema–proteinuria hypertension gestosis. Am. J. Obstet. Gynecol., 145, 7–10

    Google Scholar 

  • 104.Alanen, A. and Lassila, O. (1982). Deficient natural killer cell function in pre–eclampsia. Obstet. Gynecol., 60, 631 4

    Google Scholar 

  • Simpson, E. (1983). The cellular basis of the immune response. In Crighton, D.B. (ed.) Immunological Aspects of Reproduction in Mammals, pp. l–11. ( London: Butterworths )

    Google Scholar 

  • Bondevik, H. and Thorsby, E. (1974). The human mixed lymphocyte culture (MLC). 2. Interaction after in vivo allo–immunisation. Cell. Immunol., 13, 385–96

    Google Scholar 

  • Bondevik, H. and Thorsby, E. (1974). The human mixed lymphocyte culture (MLC). 1. Kinetics. Cell. Immunol., 11, 409–18

    Google Scholar 

  • Oppenheim, J.J., Whang, J. and Frei, E. (1965). The effect of skin homograft rejection on recipient and donor mixed leukocyte cultures. J. Exp. Med., 122, 651–664

    Google Scholar 

  • Sargent, I.L. and Redman, C.W.G. (1985). Maturnal cell–mediated immunity to the fetus in human pregnancy. J. Reprod. Immunol., 7, 95–104

    Google Scholar 

  • Mawas, C, Christen, Y., Legrand, L. and Dausset J. (1973). Cell–mediated cytotoxicity toward human lymphocytes: comparison between in vivo immunisation and in vivo sensitisation. Transplant. Proc., 5, 1691–95

    Google Scholar 

  • Wunderlich, J.R., Rogentine, G.N. and Yankee, R.A. (1972). Rapid in vivo detection of cellular immunity in man against freshly explanted allogeneic cells. Transplantation, 13, 31–7

    Google Scholar 

  • Birkeland, S.A. and Kristoffersen, K. (1980). The fetus as an allograft: a longitudinal study of normal human pregnancies studied with mixed lymphocyte cultures between mother–father and mother-child. Scand. J. Immunol., II, 311–19

    Google Scholar 

  • Ceppellini, R., Bonnard, G.D., Coppo, F., Miggiano, V.C., Pospisil, M., Curtoni, E.S. and Pellegrino, M. (1971). Mixed leucocyte cultures and HLA antigens 1. Reactivity of young fetuses, newborns and mothers at delivery. Transplant. Proc., 3, 58 63

    Google Scholar 

  • Jenkins, D.M. and Hancock. K.W. (1972). Maternal unresponsiveness to paternal histo-compatibility antigens in human pregnancy. Transplantation, 13, 618–19

    Google Scholar 

  • Carr, M.C., Stites, D.P. and Fudenberg, H.H. (1974). Cellular immune aspects of the human fetal-maternal relationship, iii. mixed lymphocyte reactivity between related maternal and cord blood lymphocytes. Cell. Immunol., 11, 332–41

    Google Scholar 

  • Genetet, N., Genetet, EL, Amice, V. and Fauchet, R. (1982). Allogeneic responses in vivo induced by fetomaternal alloimmunisation. Am. J. Reprod. Immunol., 2, 90 6

    Google Scholar 

  • Herva, E. and Tiilikainen, A. (1977). Mixed lymphocyte culture reactions at delivery and in the puerperium: effects of parity, HLA antigens and maternal serum. Acta Pathol. Microbiol. Scand. Sect. C., 85, 333–4

    Google Scholar 

  • Moen, T., Moen, M., Palbo, V. and Thorsby, E. (1980). In vitro feto–maternal lymphocyte responses at delivery: no gross changes in MLC and PLT responsiveness. J. Reprod. Immunol., 2, 213–24

    Google Scholar 

  • Moore, M.P., Sargent, I.L., Ting, A. and Redman, C.W.G. (1983). Cell-mediated immunity in pregnancy: lymphocyte responses of mothers and their non–pregnant HLA-identical sisters to paternal HLA. Clin. Exp. Immunol., 54, 91–4

    Google Scholar 

  • Sargent, I.L., Redman, C.W.G. and Stirrat, G.M. (1982). Maternal cell–mediated immunity in normal and pre-eclamptic pregnancy. Clin. Exp. Immunol., 50, 601–9

    Google Scholar 

  • Vanderbeeken, Y., Vlieghe, M.P., Duchateau. J. and Delespesse, G. (1984). Suppressor T lymphocytes in pregnancy. Am. J. Reprod. Immunol., 5. 20–4

    Google Scholar 

  • Rocklin, R.E., Kitzmiller, J. and Garvoy. M.R. (1982). Maternal-fetal relation, ii Further characterisation of an immunologic blocking factor that develops during pregnancy. Clin. Immunol. Immunopathol., 22, 305–15

    Google Scholar 

  • Rocklin, R.E., Zuckerman, J.R. Alpert, E. and David, J.R. (1973). Effect of multiparity on human maternal hypersensitivity to fetal antigen. Nature, 241, 130–1

    Google Scholar 

  • Chardonnens, X. and Jeannet, M. (1980). Lymphocyte mediated cytotoxicity and humoral antibodies in pregnancy. Int. Arch. Allergy Appl. Immunol., 61, 467 71

    Google Scholar 

  • Wattanasak, K. and Matangasombut, P. (1978). Specific human maternal lymphocyte cytotoxic effects on cord blood lymphocytes. In Bratanov, K. (ed.) Proceedings of the 3rd International Symposium. Bulg. Acad. Sci., Sofia, Bulgaria, pp. 862–6

    Google Scholar 

  • Sargent, I.L., Arenas, J. and Redman, C.W.G. (1987). Maternal cell-mediated sensitisation to paternal HLA may occur, but is not a regular event in normal human pregnancy. J. Reprod. Immunol., 10, 111–20

    Google Scholar 

  • Ward, F.E., Mendell, N R., Seigler, H.F., MacQueen, J.M. and Amos, D.B. (1978). Factors which have a significant effect on the survival of human skin grafts. Transplantation, 26, 194–8

    Google Scholar 

  • Andresen, R.H. and Monroe, C.W. (1962). Experimental study of the behavior of adult human skin homografts during pregnancy. Am. J. Obstet. Gynecol., 84, 1096–101

    Google Scholar 

  • Peer, L.A. (1958). Behaviour of skin grafts exchanged between parents and offspring. Ann. N.Y. Acad. Sci., 73, 584–9

    Google Scholar 

  • Stimson, W.H., Strachan, A.F. and Shepherd, A. (1979). Studies on the maternal immune response to placental antigens: absence of a blocking factor from the blood of abortion-prone women. Br. J. Obstet. Gynaecol., 86, 41–5

    Google Scholar 

  • Youtananukorn, V., Matangkasombut, P. and Osathanondh, V. (1974). Onset of human maternal cell-mediated immune reaction to placental antigens during the first pregnancy. Clin. Exp. Immunol., 16, 593–8

    Google Scholar 

  • Khalfoun, B.M., Degenne, D., Crouzat-Reynes, G. and Bardos. P. (1986). Effect of human syncytiotrophoblast plasma membrane–soluble extracts on in vitro mitogen- induced lymophocyte proliferation. A possible inhibition mechanism involving the transferrin receptor. J. Immunol., 1187–93

    Google Scholar 

  • Davies, M. and Sutcliffe, R.G. (1982). A quantitative assay for the measurement of immune responses directed against the human placenta. J. Immunol. Meth., 48, 373–83

    Google Scholar 

  • Hunt, J.S., King, C.R. and Wood, G.W. (1984). Evaluation of human chorionic trophoblast cells and placental macrophages as stimulators of maternal lymphocyte proliferation in vivo. J. Reprod. Immunol., 6, 377–91

    Google Scholar 

  • Robb, R.J. (1984). Tnterleukin 2: the molecule and its function. Immunol. Today, 5, 203 9

    Google Scholar 

  • Toder. V., Blank, M. and NebeL L. (1984). Trophoblast cells do not provide the ‘second’ signal for CTL generation. Am. J. Reprod. Immunol, 6, 58

    Google Scholar 

  • Taylor, P.V. (1980). Maternal and fetal immune responses to human trophoblast antigens. Am. J. Obstet. Gynecol, 138, 293–6

    Google Scholar 

  • Taylor, P.V., Gowland, G., Hancock, K.W. and Scott, J.S. (1976). Effect of the length of gestation on maternal cellular immunity to human trophoblast antigens. Am. J. Obstet. Gynecol., 125, 528–31

    Google Scholar 

  • Douthwaite, R. M. and Urbach, G.L. (1971). In vivo antigenicity of trophoblast. Am. J. Obstet. Gynecol, 109, 1023–8

    Google Scholar 

  • Larsen, B. and Galask, R.P. (1978). Host-parasite interactions during pregnancy. Obstet. Gynaecol Survey, 33, 297–318

    Google Scholar 

  • Due, H.T., Masse, A., Bobe, P., Kinskv, R.G. and Voisin, G.A. (1985). Deviation of humoral and cellular alloimmune reactions by placental extracts. J. Reprod. Immunol, 7, 27–39

    Google Scholar 

  • Remacle-Bonnett, M.M., Ranee, R.J. and Depieds, R.C. (1983). Non-specific, immunoregulatory factors in the cvtosol fraction of human trophoblast. J. Reprod. Immunol, 5, 123–34

    Google Scholar 

  • Rubenstein, A.. Koren, Z. and Murphy, R.A. (1982). Suppression of maternal lymphocyte mitogenic responses by supernatants from short term placental cell cultures. Am.. J. Reprod. Immunol, 2, 260–4

    Google Scholar 

  • Daya, S., Lee, S,, Underwood, J., Mowbray, J., Craft, I. and Clark, D.A. (1986). Prediction of outcome following transfer of in vivo fertilised human embryos by measurement of embryo–associated suppressor factor. In Clark, D.A. and Croy, B.A. (eds.) Reproductive Immunology 1986. pp. 277–85. ( Amsterdam: Elsevier )

    Google Scholar 

  • Jha, P., Talwar, G.P. and Hingorani, V. (1975). Depression of blast transformation of peripheral leucocytes by plasma from pregnant women. Am. J. Obstet. Gynecol., 122, 965–8

    Google Scholar 

  • St Hill, C.A., Finn, P. and Denye, V. (1973). Depression of cellular immunity in pregnancy due to a serum factor. Br. Med. J., 3, 513–14

    PubMed  CAS  Google Scholar 

  • Davies, M. and Browne, C.M. (1985). Pregnancy associated nonspecific immunosuppression: Kinetics of the generation and identification of an active factor. Am. J. Reprod. Immunol Microbiol, 9, 77–83

    Google Scholar 

  • Rickets, R.M. and Jones, D.B. (1985). Differential effect of human chorionic gonadotropin on lymphocyte proliferation induced by mitogens. J. Reprod. Immunol., 7, 225–32

    Google Scholar 

  • Szekeres-Bartho, 1., Csernus, V., Pejtsik, B., Emody, L. and Pasca, A.S. (1981). Progesterone as an immunologic blocking factor in pregnancy serum. J. Reprod. Immunol, 33, 333–9

    Google Scholar 

  • Szekeres-Bartho, J., Csernus, V., Hadnagy, J. and Pacsa, A.S. (1983). Progesterone prostaglandin balance influences lymphocyte function in relation to pregnancy. Am. J. Reprod. Immunol, 4, 139–41

    Google Scholar 

  • Nicholas, N.S. and Panayi, G.S. (1985). Inhibition of interleukin 2 production by retro– placental sera: a possible mechanism for human fetal allograft survival. Am. J. Reprod. Immunol Microbiol, 9, 6–11

    Google Scholar 

  • Nicholas, N.S., Panayi, G.S., Murphy, J. and Pitzalis, C. (1986). Human retroplacental sera inhibit the expression of class II major histocompatibility antigens. J. Reprod. Immunol, 9, 95–102

    Google Scholar 

  • Nakamura, T., Persellin, R.H. and Russell, I.J. (1983). Induction of suppressor cell activity by human pregnancy serum. Am. J. Reprod. Immunol, 4, 133–8

    Google Scholar 

  • Fuchs, T., Hammarstrom, L., Smith, E. and Brundi, J. (1977). In vivo suppression of uterine lymphocytes during early human pregnancy. Acta Obstet. Gynecol Scand., 56, 151–2

    Google Scholar 

  • Davies, M. and Browne, C.M. (1985) Pregnancy-associated nonspecific immunosuppression: mechanism for the activation of the immunosuppressive factors. Am. J. Reprod. Immunol Microbiol, 9, 84–90

    Google Scholar 

  • Bohn, H., Dati, F. and Luben, G. (1983). Human trophoblast specific products other than hormones. In Loke, Y.W. and Whyte, A. (eds.) Biology of Trophoblast. pp. 317–52. ( Amsterdam: Elsevier )

    Google Scholar 

  • Neoplastic human trophoblast. In Loke, Y.W. and Whyte, A. (eds.) Biology of Trophoblast. pp. 283–316. (Amsterdam: Elsevier)

    Google Scholar 

  • Gill, TJ. and Repetti, C.F. (1979). Immunologic and genetic factors influencing reproduction. Am. J. Pathol., 95, 464–570

    Google Scholar 

  • Nicholas, N.S. and Panayi, G.S. (1986). Immunosuppressive properties of pregnancy serum on the mixed lymphocyte reaction. Br. J. Obstet. Gynaecol., 93, 1251–5

    Google Scholar 

  • Clark, D.A., Slapsys, R.M., Croy, B.A. and Rossant, J. (1984). Immunoregulation of host-versus-graft responses in the uterus. Immunol. Today, 5, 111–15

    Google Scholar 

  • Clark, D.A. Slapsys, R., Croy, B.A., Kreck, J. and Rossant, J. (1984). Local active suppression by suppressor cells in the decidua: a review. Am. J. Reprod. Immunol., 5, 78– 83

    Google Scholar 

  • Clark, D.A., Brierly, J., Slapsys, R., Daya, S., Damyi, N., Chaput, A. and Rosenthal, K. (1986). Trophoblast-dependent and trophoblast independent suppressor cells of maternal origin in murine and human decidua. In Clark, D.A., and Croy, B.A. (eds.) Reproductive Immunology 1986. pp. 219–26. ( Amsterdam: Elsevier )

    Google Scholar 

  • Badet, M.T., Bell, S.C. and Billington, W.D. (1985). Immunoregulatory activity of supernatants from short term cultures of mouse decidual tissue. J. Reprod. Fertii., 68, 351–5

    Google Scholar 

  • Badet, M.T. (1986). Comparative study of biological properties of proteins synthesised in vivo by murine decidua and deciduoma. Am. J. Reprod. Immunol. Microbiol., 10, 20 5

    Google Scholar 

  • Tawfik, O.W-, Hunt, J.S. and Wood, G.W. (1986). Implication of prostaglandin E2 in soluble factor-mediated immune suppression by murine decidua cells. Am. J. Reprod. Immunol. Microbiol., 12, 111–17

    Google Scholar 

  • Hunt, J.S., Manning, L.S. and Wood, G.W. (1984). Macrophages in murine uterus are immunosuppressive. Cell. Immunol., 85, 499–510

    Google Scholar 

  • Golander, G., Zakuth, V., Scechter, Y. and Spirer, Z. (1981). Suppression of lymphocyte reactivity in vivo by a soluble factor secreted by explants of human decidua. Eur. J. Immunol., 11, 849–51

    Google Scholar 

  • Nakayama, E., Asano, S., Kodo, H. and Muira, S. (1985). Suppression of mixed lymphocyte reaction by cells of human first trimester pregnancy endometrium. J. Reprod. Immunol., 8, 25–31

    Google Scholar 

  • Daya, S., Clark, D.A., Devlin, C., Jarrell, I. and Chaput, A. (1985). Suppressor cells in human decidua. Am. J. Obstet. Gynecol., 151, 267–70

    Google Scholar 

  • Daya, S., Clark, D.A., Devlin, C. and Jarrell, J. (1985). Preliminary characterisation of two types of suppressor cells in the human uterus. Fertii. Steril., 44, 778–85

    Google Scholar 

  • Clark, D.A., Mowbray, J., Underwood, J. and Liddel, H. (1987), Histopathologic alterations in the decidua in human spontaneous abortion: loss of cells with large cytoplasmic granules. Am. J. Reprod. Immunol. Microbiol., 13, 19–22

    Google Scholar 

  • Bulmer, J.N. and Sunderland, C.A. (1984). Immunohistological characterisation of lymphoid cell populations in the early human placental bed. Immunology, 52, 349–57

    Google Scholar 

  • Bulmer, J.N., Johnson, P.M. and Bulmer, D. (1987). Leucocyte populations in human decidua and endometrium. In Gill, T.J., Wegmann, T.G. and Nisbet-Brown, E. (eds.) Immunoregulation and Fetal Survival, pp. 111–34. ( New York: Oxford University Press )

    Google Scholar 

  • McMichael, A.J. and Sasazuki, T. (1977). A suppressor T cell in the human mixed lymphocyte reaction. J. Exp. Med., 146, 368–80

    Google Scholar 

  • Kovithavongs, T. and Dossetor, J.B. (1978). Suppressor ceils in human pregnancy. Transplantation, 10, 911–13

    Google Scholar 

  • 176.Bonnard, G.D. and Lemos, L. (1972). The cellular immunity of mother versus child at delivery: sensitisation in unidirectional mixed lymphocyte culture and subsequent 51Cr release cytotoxicity test. Transplant. Proc., 4, 177–80

    Google Scholar 

  • Granberg, C.M., Hitvonen, T. and Toivanen, P. (1979). Cell-mediated lympholysis by human maternal and neonatal lymphocytes: mother’s reactivity against neonatal cells and vice versa. J. Immunol., 123, 2563–7

    Google Scholar 

  • Bissenden, J.G., Ling, N.R. and Mackintosh, P. (1980). Suppression of mixed lymphocyte reactions by pregnancy serum. Clin. Exp. Immunol., 39, 195–202

    Google Scholar 

  • Herva, E. and Jouppila, P. (1977). Mixed lymphocyte culture reactions between parental cells in pregnancy and puerperium. Acta Pathol. Microbiol. Scand. Sect. C., 85, 99–106

    Google Scholar 

  • Robert, M., Betuel, H. and Revillard, LP. (1973). Inhibition of the mixed lymphocyte reaction by sera from multipara. Tissue Antigens, 3, 39–56

    Google Scholar 

  • Kajino, T., Kanazawa, K. and Takeuchi, S. (1985). Blocking effects of maternal serum IgG and placental eluate IgG on materno fetal mixed Lymphocyte reaction and their individual specificity. Am. J. Reprod. Immunol., 4, 27–32

    Google Scholar 

  • Rocklin, R.E., Kitzmiller, J.L., Carpenter, C.B., Garovoy. M.R. and David, J.R. (1976). Absence of an immunologic blocking factor from the serum of women with chronic abortions. N. Engl. J. Med., 295, 1209–13

    Google Scholar 

  • Stimson, W.H., Strachan, A.F. and Shepherd, A. (1974). Studies on the maternal immune response to placental antigens. Absence of a blocking factor from the blood of abortion prone women. Br. J. Obstet. Gynaecol., 86, 41–5

    Google Scholar 

  • Takeuchi. S. (1980). Immunology of spontaneous abortion and hydatidiform mole. Am. J. Reprod. Immunol., 1, 23–8

    PubMed  Google Scholar 

  • Albrechtsen, D., Solfaeim, B.G. and Thorsby, E. (1977). Antiserum inhibition of the mixed lymphocyte culture (MLC) interaction. Inhibitory effect of antibodies reactive with HLA-D associated determinants. Cell. Immunol., 28, 258 –73

    Google Scholar 

  • Brochier, J., Roitt, I.M. and Festenstein, H. (1974). Inhibition of lymphocyte proliferative responses by anti–HLA alloantisera. Eur. J. Immunol., 4, 709 15

    Google Scholar 

  • 1Jonker, M. and De Rooy-Dover, L. (1980). Possible mechanisms by which alloantisera inhibit in the MLC test. Tissue Antigens, 15, 1–10

    Google Scholar 

  • Jonker, M., Van Leeuwen, A. and Van Rood, J.J. (1977). Inhibition of the mixed lymphocyte reaction by alloantisera in man ii. Incidence and characteristics of MLC- inhibiting antisera from muciparous women. Tissue Antigens, 9, 246–58

    Google Scholar 

  • Takakuwa, K., Kanazawa, K. and Takeuchi, S. (1986). Production ofblocking antibodies by vaccination with husband’s lymphocytes in unexplained recurrent abortion: the role in successful pregnancy. Am. J. Reprod. Immunol. Microbiol., 10, 1–9

    Google Scholar 

  • 1Burke, J. and Johnasen, K. (1974). The formation of HLA antibodies in pregnancy. The antigenicity of aborted and term fetuses. J. Obstet. Gynaecol. Br. Commw., 81,222– 8

    Google Scholar 

  • Singal, D.P., Butler, L., Liao, S.K. and Joseph, S.’ (1984). The fetus as an allograft: Evidence for anti-idiotypic antibodies induced by pregnancy. Am J. Reprod. Immunol., 6, 145–51

    Google Scholar 

  • Suciu-Foca, N., Reed, E. Rohowsky, C„ Kung, F. and King, D.W. (1983). Anti-idiotypic antibodies to anti-HLA receptors induced by pregnancy. Proc. Natl. A cad. Sci. USA, 80, 830–4

    Google Scholar 

  • Singal, D.P., Fagnilli, L. and Joseph, S. (1983). Blood transfusions induce anti-idiotypic antibodies in renal transplant patients. Transplant. Proc., 15, 1005–8

    Google Scholar 

  • MacLeod, A.M., Mason, R.J., Stewart, K.N., Power, D.A., Shewan, W.G., Edward, N. and Catto, G.R.D. (1983). Fc–receptor–blocking antibodies develop after blood transfusions and correlate with good graft outcome. Transplant. Proc., 15, 1019–21

    Google Scholar 

  • Macleod, A.M., Mason, R.J., Shewan, W.G., Power, D.A., Stewart, K.N., Edward, N. and Catto, G.R.D. (1982). Possible mechanisms of action of transfusion effect in renal transplantation. Lancet, 2, 468–70

    Google Scholar 

  • Mason, R.J., Power, D.A. and Mclntyre, J.A. (1986). Differential expression of trophoblast lymphocyte cross–reactive (TLX) antigens on T and B lymphocytes. Am, J. Reprod. Immunol. Microbiol., 10, 151–5

    Google Scholar 

  • Faulk, W.P., Temple, A. Lovins, R E. and Smith, N. (1978). Antigens of human trophoblast: a working hypothesis for their role in normal and abnormal pregnancies. Proc. Natl. Acad. Sci USA, 75, 1947–51

    Google Scholar 

  • Clntyre, J.A. and W.P. Faulk. (1979). Suppression of mixed lymphocyte cultures by antibodies against human trophoblast membrane antigens. J. Exp. Med., 149, 824–36

    Google Scholar 

  • Faulk, W.P. and Mclntyre, J.A. (1986). Role of anti TLX antibody in human pregnancy. In Clark, D.A. and Croy, B.A. (eds.) Reproductive Immunology 1986. pp. 106 14 ( Amsterdam: Elsevier )

    Google Scholar 

  • Szerkeres-;Bartho, J., Hadnagy, J. and Pacsa, A.S. (1985). The suppressive effect of progesterone on lymphocyte cytotoxicity: unique progesterone sensitivity of pregnancy lymphocytes. J. Reprod. Immunol., 7, 121–8

    Google Scholar 

  • Kolb, J.P., Chaouat, G. and Chassoux, D. (1984). Immunoactive products of placenta. III. Suppression of natural killing activity. J. Immunol., 132, 2305 10

    Google Scholar 

  • Degenne, D., Khalfoun, B. and Bardes. P. (1986). In vitro inhibitory effect of human syncytiotrophoblast plasma membrane on the cytolytic activities of CTL and NK cells. Am J. Reprod. Immunol, 12, 106–10

    Google Scholar 

  • Taylor, P.V. and Hancock, K.W. (1975). Antigenicity of trophoblast and possible antigen masking effects during pregnancy. Immunology, 28, 973–82

    Google Scholar 

  • Johnson, P.M., Faulk, W.P. and Wang, C. (1976). Immunological studies of human placentae: subclass and fragment specificity of binding of aggregated IgG by placental endothelial cells. Immunology, 31, 659–64

    Google Scholar 

  • Wood, G.W., Bjerrum, K. and Johnson, B. (1982). Detection of IgG bound within human trophoblast. J. Immunol., 129, 1479–84

    Google Scholar 

  • Johnson, P.M. and Brown, P.J. (1981). Fc receptors in the human placenta. Placenta, 2, 355–70

    Google Scholar 

  • Tongio, M-M., Meyer, S. and Lebec. A. (1975). Transfer of HLA antibodies from the mother to the child. Transplantation, 20, 163 6

    Google Scholar 

  • Miyagawa, Y. (1984). Further characterisation of IgM antibodies against maternal alio-reactive T cells produced by clonal Epstein Barr virus transformed cord B cells, J. Immunol., 133, 1270–7

    Google Scholar 

  • Racoby, D.R., Olding, L.B. and Oldstone, M.B. (1984). Immunologic regulation of fetal– maternal balance. Adv. Immunol., 35, 157–208

    Google Scholar 

  • Jayfield, L.S., Brent, L. and C.H. Rodeck. (1980). Development of cell-mediated lympholysis in human fetal blood lymphocytes. Clin. Exp. Immunol. 42, 561–80

    Google Scholar 

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Sargent, I.L., Redman, C.W.G. (1989). Maternal Immune Responses to the Fetus in Human Pregnancy. In: Stern, C.M.M. (eds) Immunology of Pregnancy and its Disorders. Immunology and Medicine Series, vol 10. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-1247-2_5

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