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10.1038/cddis.2017.505

http://scihub22266oqcxt.onion/10.1038/cddis.2017.505
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C5682671!5682671!29022922
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suck abstract from ncbi


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pmid29022922      Cell+Death+Dis 2017 ; 8 (10): e3105-
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  • RANKL-mediated harmonious dialogue between fetus and mother guarantees smooth gestation by inducing decidual M2 macrophage polarization #MMPMID29022922
  • Meng YH; Zhou WJ; Jin LP; Liu LB; Chang KK; Mei J; Li H; Wang J; Li DJ; Li MQ
  • Cell Death Dis 2017[Oct]; 8 (10): e3105- PMID29022922show ga
  • Decidual macrophages (dM?) contribute to maternal?fetal tolerance. However, the mechanism of dM? differentiation during pregnancy is still largely unknown. Here, we report that receptor activator for nuclear factor-? B ligand (RANKL), secreted by human embryonic trophoblasts and maternal decidual stromal cells (DSCs), polarizes dM? toward a M2 phenotype. This polarization is mediated through activation of Akt/signal transducer and activator of transcription 6 (STAT6) signaling, which is associated with the upregulation of histone H3 lysine-27 demethylase Jmjd3 and IRF4 in dM?. Such differentiated dM? can induce a Th2 bias that promotes maternal?fetal tolerance. Impaired expression of RANKL leads to dysfunction of dM? in vivo and increased rates of fetal loss in mice. Transfer of RANK+M? reverses mouse fetal loss induced by M? depletion. Compared with normal pregnancy, there are abnormally low levels of RANKL/RANK in villi and decidua from miscarriage patients. These results suggest that RANKL is a pivotal regulator of maternal?fetal tolerance by licensing dM? to ensure a successful pregnancy outcome. This observation provides a scientific basis on which a potential therapeutic strategy can be targeted to prevent pregnancy loss.
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