[HTML][HTML] Listeria monocytogenes Cytoplasmic Entry Induces Fetal Wastage by Disrupting Maternal Foxp3+ Regulatory T Cell-Sustained Fetal Tolerance

JH Rowe, JM Ertelt, L Xin, SS Way - 2012 - journals.plos.org
JH Rowe, JM Ertelt, L Xin, SS Way
2012journals.plos.org
Although the intracellular bacterium Listeria monocytogenes has an established predilection
for disseminated infection during pregnancy that often results in spontaneous abortion or
stillbirth, the specific host-pathogen interaction that dictates these disastrous complications
remain incompletely defined. Herein, we demonstrate systemic maternal Listeria infection
during pregnancy fractures fetal tolerance and triggers fetal wastage in a dose-dependent
fashion. Listeria was recovered from the majority of concepti after high-dose infection …
Although the intracellular bacterium Listeria monocytogenes has an established predilection for disseminated infection during pregnancy that often results in spontaneous abortion or stillbirth, the specific host-pathogen interaction that dictates these disastrous complications remain incompletely defined. Herein, we demonstrate systemic maternal Listeria infection during pregnancy fractures fetal tolerance and triggers fetal wastage in a dose-dependent fashion. Listeria was recovered from the majority of concepti after high-dose infection illustrating the potential for in utero invasion. Interestingly with reduced inocula, fetal wastage occurred without direct placental or fetal invasion, and instead paralleled reductions in maternal Foxp3+ regulatory T cell suppressive potency with reciprocal expansion and activation of maternal fetal-specific effector T cells. Using mutants lacking virulence determinants required for in utero invasion, we establish Listeria cytoplasmic entry is essential for disrupting fetal tolerance that triggers maternal T cell-mediated fetal resorption. Thus, infection-induced reductions in maternal Foxp3+ regulatory T cell suppression with ensuing disruptions in fetal tolerance play critical roles in pathogenesis of immune-mediated fetal wastage.
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