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What is DCs in pregnancy?

Published in Pregnancy Immunology 2 mins read

In pregnancy, DCs refer to dendritic cells, which play a vital role in the maternal immune system. They are crucial for maintaining tolerance towards the fetus while still protecting the mother from pathogens.

The Role of Dendritic Cells in Pregnancy

Dendritic cells (DCs) are a type of immune cell that acts as messengers between the innate and adaptive immune systems. In pregnancy, this role is particularly important due to the unique immunological challenges:

  • Immune Tolerance: The maternal immune system must tolerate the fetus, which is genetically different (semiallogeneic).
  • Defense Against Pathogens: The mother still needs to be protected against infections.

How DCs Mediate Immune Tolerance

DCs contribute to immune tolerance in several ways:

  • T cell Regulation: They help regulate T cells, which are key players in the adaptive immune response.
  • Induction of T regulatory cells (Tregs): DCs promote the development of Tregs, which suppress immune responses that could harm the fetus.

Maintaining Defense Against Pathogens

While promoting tolerance, DCs must also ensure that the mother's immune system can still effectively fight off infections:

  • Antigen Presentation: DCs capture and process antigens (foreign substances) from pathogens.
  • Activation of Immune Responses: They present these antigens to other immune cells, initiating immune responses when necessary.

Importance of DCs

The balance maintained by DCs between tolerance and immunity is crucial for a successful pregnancy. Dysregulation of DCs has been linked to pregnancy complications such as:

  • Miscarriage
  • Preeclampsia

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