Evidence map›Paper›PMID 26249148›Full record

Trial reportEuropean journal of immunology2015

Progesterone promotes maternal-fetal tolerance by reducing human maternal T-cell polyfunctionality and inducing a specific cytokine profile.

David Lissauer, Suzy A Eldershaw, Charlotte F Inman, Aravinthan Coomarasamy, Paul A H Moss, Mark D Kilby

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in European journal of immunology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 121 citations in OpenAlex.

  1. Sex Steroid Hormone Regulation of T-Cell Function and Antitumor Immunity.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Review
  2. Article
  3. The HIV Reservoir and Immune Landscape Across the Life Course of Women: Implications for Cure Strategies.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
  4. Immunomodulatory Role of Natural Progesterone in Pregnancy: A Review.The journal of obstetrics and gynaecology research · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
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  20. Article

5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

David LissauerCentre for Women's and Children's Health, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Suzy A EldershawSchool of Cancer Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Charlotte F InmanSchool of Cancer Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Aravinthan CoomarasamyCentre for Women's and Children's Health, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Paul A H MossSchool of Cancer Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Mark D KilbyCentre for Women's and Children's Health, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Birmingham Dental Hospital · GBUniversity of Birmingham · GBBirmingham Women’s and Children’s NHS Foundation Trust · GB

Funding

Arthritis Research UKBritish Heart FoundationMedical Research CouncilWellcome Trust
6 · The paper itself

Abstract

Progesterone is a steroid hormone essential for the maintenance of human pregnancy, and its actions are thought to include promoting maternal immune tolerance of the semiallogenic fetus. We report that exposure of maternal T cells to progesterone at physiological doses induced a unique skewing of the cytokine production profile of CD4(+) and CD8(+) T cells, with reductions not only in potentially deleterious IFN-γ and TNF-α production but also in IL-10 and IL-5. Conversely, production of IL-4 was increased. Maternal T cells also became less polyfunctional, focussing cytokine production toward profiles including IL-4. This was accompanied by reduced T-cell proliferation. Using fetal and viral antigen-specific CD8(+) T-cell clones, we confirmed that this as a direct, nonantigen-specific effect. Yet human T cells lacked conventional nuclear progesterone receptors, implicating a membrane progesterone receptor. CD4(+) and CD8(+) T cells responded to progesterone in a dose-dependent manner, with subtle effects at concentrations comparable to those in maternal blood, but profound effects at concentrations similar to those at the maternal-fetal interface. This characterization of how progesterone modulates T-cell function is important in understanding the normal biology of pregnancy and informing the rational use of progesterone therapy in pregnancies at risk of fetal loss.

Indexed as

AdultCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCytokinesFemaleFetusHumansImmune TolerancePregnancyProgesteroneCytokinesProgesteroneHumanIL-4Maternal-fetal toleranceProgesteroneT cell

Identifiers

PMID26249148
PMCPMC4833190
OpenAlexW2139710410

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.