A comprehensive review of the roles of T-cell immunity in preeclampsia

Preeclampsia (PE) is an obstetrical disorder that occurs after the 20th week of gestation. It is recognized as one of the “Great Obstetrical Syndromes” and principally contributes to maternal morbidity and mortality. PE has been associated with a range of immune disorders, including a preponderance...

Full description

Saved in:
Bibliographic Details
Main Authors: Xu Peng, Ibeh Chinwe Oluchi-Amaka, Joanne Kwak-Kim, Xiuhua Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1476123/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832087109799772160
author Xu Peng
Ibeh Chinwe Oluchi-Amaka
Joanne Kwak-Kim
Joanne Kwak-Kim
Xiuhua Yang
author_facet Xu Peng
Ibeh Chinwe Oluchi-Amaka
Joanne Kwak-Kim
Joanne Kwak-Kim
Xiuhua Yang
author_sort Xu Peng
collection DOAJ
description Preeclampsia (PE) is an obstetrical disorder that occurs after the 20th week of gestation. It is recognized as one of the “Great Obstetrical Syndromes” and principally contributes to maternal morbidity and mortality. PE has been associated with a range of immune disorders, including a preponderance of T helper (Th) 1 over Th2 cells and imbalanced levels of Th17 and T regulatory cells (Tregs). During pregnancy, T cells safeguard the placenta against immune rejection and aid embryo implantation while involved in pregnancy complications, such as PE. Promoting alloantigen-specific Treg cells is a potential preventive and therapeutic strategy for PE. However, ensuring the safety of mothers and infants is of the utmost importance since the risk-benefit ratio of reproductive and obstetric conditions differs significantly from that of immune diseases that pose a life-threatening risk. In this review, we systematically summarize the roles of T-cell immunity in the peripheral blood, reproductive tissues, and at the maternal-fetal interface of PE patients. Furthermore, the recent therapeutic approaches centered on targeting T cell immunity in PE are critically appraised.
format Article
id doaj-art-3673939e5ec54d618a9a01b023e2ef7c
institution Kabale University
issn 1664-3224
language English
publishDate 2025-02-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-3673939e5ec54d618a9a01b023e2ef7c2025-02-06T07:10:04ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-02-011610.3389/fimmu.2025.14761231476123A comprehensive review of the roles of T-cell immunity in preeclampsiaXu Peng0Ibeh Chinwe Oluchi-Amaka1Joanne Kwak-Kim2Joanne Kwak-Kim3Xiuhua Yang4Department of Obstetrics, The First Hospital of China Medical University, Shenyang, ChinaDepartment of Obstetrics, The First Hospital of China Medical University, Shenyang, ChinaReproductive Medicine and Immunology, Obstetrics and Gynecology, Clinical Sciences Department, Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, IL, United StatesClinical Immunology Laboratory, Foundational Sciences and Humanities, Microbiology and Immunology, Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, IL, United StatesDepartment of Obstetrics, The First Hospital of China Medical University, Shenyang, ChinaPreeclampsia (PE) is an obstetrical disorder that occurs after the 20th week of gestation. It is recognized as one of the “Great Obstetrical Syndromes” and principally contributes to maternal morbidity and mortality. PE has been associated with a range of immune disorders, including a preponderance of T helper (Th) 1 over Th2 cells and imbalanced levels of Th17 and T regulatory cells (Tregs). During pregnancy, T cells safeguard the placenta against immune rejection and aid embryo implantation while involved in pregnancy complications, such as PE. Promoting alloantigen-specific Treg cells is a potential preventive and therapeutic strategy for PE. However, ensuring the safety of mothers and infants is of the utmost importance since the risk-benefit ratio of reproductive and obstetric conditions differs significantly from that of immune diseases that pose a life-threatening risk. In this review, we systematically summarize the roles of T-cell immunity in the peripheral blood, reproductive tissues, and at the maternal-fetal interface of PE patients. Furthermore, the recent therapeutic approaches centered on targeting T cell immunity in PE are critically appraised.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1476123/fullpregnancypreeclampsiaT cellsTreg cellsTh17 cells
spellingShingle Xu Peng
Ibeh Chinwe Oluchi-Amaka
Joanne Kwak-Kim
Joanne Kwak-Kim
Xiuhua Yang
A comprehensive review of the roles of T-cell immunity in preeclampsia
Frontiers in Immunology
pregnancy
preeclampsia
T cells
Treg cells
Th17 cells
title A comprehensive review of the roles of T-cell immunity in preeclampsia
title_full A comprehensive review of the roles of T-cell immunity in preeclampsia
title_fullStr A comprehensive review of the roles of T-cell immunity in preeclampsia
title_full_unstemmed A comprehensive review of the roles of T-cell immunity in preeclampsia
title_short A comprehensive review of the roles of T-cell immunity in preeclampsia
title_sort comprehensive review of the roles of t cell immunity in preeclampsia
topic pregnancy
preeclampsia
T cells
Treg cells
Th17 cells
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1476123/full
work_keys_str_mv AT xupeng acomprehensivereviewoftherolesoftcellimmunityinpreeclampsia
AT ibehchinweoluchiamaka acomprehensivereviewoftherolesoftcellimmunityinpreeclampsia
AT joannekwakkim acomprehensivereviewoftherolesoftcellimmunityinpreeclampsia
AT joannekwakkim acomprehensivereviewoftherolesoftcellimmunityinpreeclampsia
AT xiuhuayang acomprehensivereviewoftherolesoftcellimmunityinpreeclampsia
AT xupeng comprehensivereviewoftherolesoftcellimmunityinpreeclampsia
AT ibehchinweoluchiamaka comprehensivereviewoftherolesoftcellimmunityinpreeclampsia
AT joannekwakkim comprehensivereviewoftherolesoftcellimmunityinpreeclampsia
AT joannekwakkim comprehensivereviewoftherolesoftcellimmunityinpreeclampsia
AT xiuhuayang comprehensivereviewoftherolesoftcellimmunityinpreeclampsia