ArticleFrontiers in immunology2026
Decidua macrophages display a restrained inflammatory profile during chorioamnionitis.
Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Decidual macrophages (DMs) are strategically located at the maternal-fetal interface to orchestrate innate host defense while balancing tolerance to the allogenic fetus. An important pregnancy complication is chorioamnionitis characterized by infection/inflammation in the fetal membranes and the amniotic fluid with upregulation of TNFα and other pro-inflammatory cytokines. The goal of this study was to determine maternal vs fetal origin of DMs and to investigate whether TNF signaling play a role in DM response to chorioamnionitis. Methods: Decidua tissue from pregnant Rhesus macaques given intraamniotic injection of lipopolysaccharide/saline with or without the TNF inhibitor Adalimumab (n=33) and human subjects with/out chorioamnionitis (n=11) were used for bulk RNAseq, scRNAseq, and flow cytometry experiments. Results: In both human and Rhesus macaques, DMs coordinately upregulate both pro- and anti-inflammatory cytokines during chorioamnionitis. Although DMs did not express TNF during chorioamnionitis, inhibition of TNF signaling downregulated 50% of LPS induced genes. About 4% of the DMs were of male fetus origin. These fetal origin DMs selectively upregulated Discussion: We suggest that DMs orchestrate a carefully balanced host defense with a restrained pro-inflammatory profile during chorioamnionitis to potentially prevent adverse outcomes while protecting the mother-fetus dyad. Activation of fetal origin macrophages during chorioamnionitis may have implications for shaping neonatal immune responses.
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