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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Autores principales: Feiyang Wang, Wentong Jia, Mengjie Fan, Xuan Shao, Zhilang Li, Yongjie Liu, Yeling Ma, Yu-Xia Li, Rong Li, Qiang Tu, Yan-Ling Wang
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Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/fb619ef6a70444ebb02f3c91a8f1af31
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Decidual and peripheral leukocytes
Single-cell RNA-sequencing
Recurrent miscarriage
Early pregnancy
Developmental trajectory
Biology (General)
QH301-705.5
spellingShingle 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
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