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Maternal CXCR4 deletion results in placental defects and pregnancy loss mediated by immune dysregulation
Fang Lyu, Chase Burzynski, Yuan yuan Fang, Aya Tal, Alice Y. Chen, Jacqueline Kisa, Kriti Agrawal, Yuval Kluger, Hugh S. Taylor, Reshef Tal
Fang Lyu, Chase Burzynski, Yuan yuan Fang, Aya Tal, Alice Y. Chen, Jacqueline Kisa, Kriti Agrawal, Yuval Kluger, Hugh S. Taylor, Reshef Tal
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Research Article Reproductive biology

Maternal CXCR4 deletion results in placental defects and pregnancy loss mediated by immune dysregulation

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Abstract

CXCR4 is a key regulator of the development of NK cells and DCs, both of which play an important role in early placental development and immune tolerance at the maternal-fetal interface. However, the role of CXCR4 in pregnancy is not well understood. Our study demonstrates that adult-induced global genetic CXCR4 deletion, but not uterine-specific CXCR4 deletion, was associated with increased pregnancy resorptions and decreased litter size. CXCR4-deficient mice had decreased NK cells and increased granulocytes in the decidua, along with increased leukocyte numbers in peripheral blood. We found that CXCR4-deficient mice had abnormal decidual NK cell aggregates and NK cell infiltration into trophoblast areas beyond the giant cell layer. This was associated with low NK cell expression of granzyme B, a NK cell granule effector, indicative of NK cell dysfunction. Pregnancy failure in these mice was associated with abnormalities in placental vascular development and increased placental expression of inflammatory genes. Importantly, adoptive BM transfer of WT CXCR4+ BM cells into CXCR4-deficient mice rescued the reproductive deficits by normalizing NK cell function and mediating normal placental vascular development. Collectively, our study found an important role for maternal CXCR4 expression in immune cell function, placental development, and pregnancy maintenance.

Authors

Fang Lyu, Chase Burzynski, Yuan yuan Fang, Aya Tal, Alice Y. Chen, Jacqueline Kisa, Kriti Agrawal, Yuval Kluger, Hugh S. Taylor, Reshef Tal

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Figure 4

NK cells show abnormal distribution in decidua of CXCR4-KO mice.

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NK cells show abnormal distribution in decidua of CXCR4-KO mice.
(A) Imm...
(A) Immunofluorescence images of decidua from WT and KO pregnant mice at E8.5, E10.5, and E12.5 showing costaining for DBA (NK cell) and DAPI (nuclei). The myometrial (M), decidua (D), and trophoblast (T) areas within the mesometrial area are shown. Note the red circle around the mesometrial lymphoid aggregate (MLAp) area demonstrating abnormal clustering of NK cells in KO decidua. Scale bars: 200 μm (low-magnification images), 50 μm (high-magnification images). (B) Immunofluorescence images of decidua from WT and KO pregnant mice at E10.5 coimmunostained with DBA (NK cell) and DAPI (nuclei) revealing the abnormal location of DBA+ NK cells beyond the giant cell layer (white line) and into the embryonic trophoblast layer in KO decidua. Scale bar: 100 μm. (C) Histological sections of E9.5 implantation site with PAS immunostaining showing PAS+ NK cells within the mesometrial area of decidua from WT and KO mice. The bottom image of each panel is a higher magnification of the dashed red rectangular area in the image above it. Scale bar: 100 μm. M, mesometrial; AM, Antimesometrial. (D) Higher magnification of the images in C. Note the presence of abnormally located PAS+ NK cell (red arrow) within the trophoblast (embryonic) region of the placenta past the giant cell border (black line). Scale bar: 50 μm. (E) Quantitation of the percentage of DBA+ cells per histological section in decidua of WT and KO mice. n = 6–7 mice/group. In E, there was no significant difference by 2-tailed Student’s t test for comparisons between 2 groups. Graphical data are shown as mean ± SEM.

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