The etiological role of allogeneic fetal rejection in pre-eclampsia

Haruki Nishizawa, Kiyoshi Hasegawa, Machiko Suzuki, Shingo Kamoshida, Takema Kato, Kuniaki Saito, Yutaka Tsutsumi, Hiroki Kurahashi, Yasuhiro Udagawa

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31 Citations (Scopus)


Problem: It has been demonstrated that allogeneic fetal rejection in normal pregnancy is prevented by placental indoleamine 2,3-dioxygenase (IDO). Further, an immunological etiology has been implicated in pre-eclampsia. Method of study: We examined the differences in placental IDO activity between normal and pre-eclamptic pregnancies. Results: IDO mRNA expression and enzyme activity levels in the placenta were low in patients with severe pre-eclampsia. The enzyme activity also inversely correlates with the blood pressure of the patients. In the placentas from severe pre-eclampsia, IDO immunoreactivity was low, whereas regional T-cell infiltration was observed reciprocally proportional to the IDO activity. Conclusion: Our findings implicate a potential role for IDO activity and a maternal immunological reaction against an allogeneic fetus in the etiology of pre-eclampsia.

Original languageEnglish
Pages (from-to)11-20
Number of pages10
JournalAmerican Journal of Reproductive Immunology
Issue number1
Publication statusPublished - 07-2007

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Immunology
  • Reproductive Medicine
  • Obstetrics and Gynaecology


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