Single-cell Immune Landscape of Human Recurrent Miscarriage
Successful pregnancy in placental mammals substantially depends on the establishment of maternal immune tolerance to the semi-allogenic fetus. Disorders in this process are tightly associated with adverse pregnancy outcomes including recurrent miscarriage (RM). However, an in-depth understanding of...
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2021
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oai:doaj.org-article:fb619ef6a70444ebb02f3c91a8f1af312021-11-16T04:09:21ZSingle-cell Immune Landscape of Human Recurrent Miscarriage1672-022910.1016/j.gpb.2020.11.002https://doaj.org/article/fb619ef6a70444ebb02f3c91a8f1af312021-04-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1672022921000036https://doaj.org/toc/1672-0229Successful pregnancy in placental mammals substantially depends on the establishment of maternal immune tolerance to the semi-allogenic fetus. Disorders in this process are tightly associated with adverse pregnancy outcomes including recurrent miscarriage (RM). However, an in-depth understanding of the systematic and decidual immune environment in RM remains largely lacking. In this study, we utilized single-cell RNA-sequencing (scRNA-seq) to comparably analyze the cellular and molecular signatures of decidual and peripheral leukocytes in normal and unexplained RM pregnancies at the early stage of gestation. Integrative analysis identifies 22 distinct cell clusters in total, and a dramatic difference in leukocyte subsets and molecular properties in RM cases is revealed. Specifically, the cytotoxic properties of CD8+ effector T cells, nature killer (NK), and mucosal-associated invariant T (MAIT) cells in peripheral blood indicates apparently enhanced pro-inflammatory status, and the population proportions and ligand–receptor interactions of the decidual leukocyte subsets demonstrate preferential immune activation in RM patients. The molecular features, spatial distribution, and the developmental trajectories of five decidual NK (dNK) subsets have been elaborately illustrated. In RM patients, a dNK subset that supports embryonic growth is diminished in proportion, while the ratio of another dNK subset with cytotoxic and immune-active signature is significantly increased. Notably, a unique pro-inflammatory CD56+CD16+ dNK subset substantially accumulates in RM decidua. These findings reveal a comprehensive cellular and molecular atlas of decidual and peripheral leukocytes in human early pregnancy and provide an in-depth insight into the immune pathogenesis for early pregnancy loss.Feiyang WangWentong JiaMengjie FanXuan ShaoZhilang LiYongjie LiuYeling MaYu-Xia LiRong LiQiang TuYan-Ling WangElsevierarticleDecidual and peripheral leukocytesSingle-cell RNA-sequencingRecurrent miscarriageEarly pregnancyDevelopmental trajectoryBiology (General)QH301-705.5ENGenomics, Proteomics & Bioinformatics, Vol 19, Iss 2, Pp 208-222 (2021) |
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Decidual and peripheral leukocytes Single-cell RNA-sequencing Recurrent miscarriage Early pregnancy Developmental trajectory Biology (General) QH301-705.5 |
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Decidual and peripheral leukocytes Single-cell RNA-sequencing Recurrent miscarriage Early pregnancy Developmental trajectory Biology (General) QH301-705.5 Feiyang Wang Wentong Jia Mengjie Fan Xuan Shao Zhilang Li Yongjie Liu Yeling Ma Yu-Xia Li Rong Li Qiang Tu Yan-Ling Wang Single-cell Immune Landscape of Human Recurrent Miscarriage |
description |
Successful pregnancy in placental mammals substantially depends on the establishment of maternal immune tolerance to the semi-allogenic fetus. Disorders in this process are tightly associated with adverse pregnancy outcomes including recurrent miscarriage (RM). However, an in-depth understanding of the systematic and decidual immune environment in RM remains largely lacking. In this study, we utilized single-cell RNA-sequencing (scRNA-seq) to comparably analyze the cellular and molecular signatures of decidual and peripheral leukocytes in normal and unexplained RM pregnancies at the early stage of gestation. Integrative analysis identifies 22 distinct cell clusters in total, and a dramatic difference in leukocyte subsets and molecular properties in RM cases is revealed. Specifically, the cytotoxic properties of CD8+ effector T cells, nature killer (NK), and mucosal-associated invariant T (MAIT) cells in peripheral blood indicates apparently enhanced pro-inflammatory status, and the population proportions and ligand–receptor interactions of the decidual leukocyte subsets demonstrate preferential immune activation in RM patients. The molecular features, spatial distribution, and the developmental trajectories of five decidual NK (dNK) subsets have been elaborately illustrated. In RM patients, a dNK subset that supports embryonic growth is diminished in proportion, while the ratio of another dNK subset with cytotoxic and immune-active signature is significantly increased. Notably, a unique pro-inflammatory CD56+CD16+ dNK subset substantially accumulates in RM decidua. These findings reveal a comprehensive cellular and molecular atlas of decidual and peripheral leukocytes in human early pregnancy and provide an in-depth insight into the immune pathogenesis for early pregnancy loss. |
format |
article |
author |
Feiyang Wang Wentong Jia Mengjie Fan Xuan Shao Zhilang Li Yongjie Liu Yeling Ma Yu-Xia Li Rong Li Qiang Tu Yan-Ling Wang |
author_facet |
Feiyang Wang Wentong Jia Mengjie Fan Xuan Shao Zhilang Li Yongjie Liu Yeling Ma Yu-Xia Li Rong Li Qiang Tu Yan-Ling Wang |
author_sort |
Feiyang Wang |
title |
Single-cell Immune Landscape of Human Recurrent Miscarriage |
title_short |
Single-cell Immune Landscape of Human Recurrent Miscarriage |
title_full |
Single-cell Immune Landscape of Human Recurrent Miscarriage |
title_fullStr |
Single-cell Immune Landscape of Human Recurrent Miscarriage |
title_full_unstemmed |
Single-cell Immune Landscape of Human Recurrent Miscarriage |
title_sort |
single-cell immune landscape of human recurrent miscarriage |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://doaj.org/article/fb619ef6a70444ebb02f3c91a8f1af31 |
work_keys_str_mv |
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