The Journal of Experimental Medicine
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Published 18 October 2004. doi:10.1084/jem.20041783
Rockefeller University Press, 0022-1007 $8.00
JEM, Volume 200, Number 8, 951-955
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Commentary

NK Cells and Trophoblasts : Partners in Pregnancy



Peter Parham

Department of Structural Biology and Department of Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA 94305

Address correspondence to Peter Parham, Dept. of Structural Biology, Sherman Fairchild Bldg., 299 Campus Dr. West, Stanford, CA 94305-5126. Phone: (650) 856-2963; Fax: (650) 424-8912; email: peropa{at}stanford.edu


Abstract
In placental mammals, viviparity—the production of living young within the mother's body—evolved under the auspices of the immune system. Elements of immunity were incorporated, giving pregnancy a mildly inflammatory character. Formation of the placenta, the organ that feeds the fetus, involves a cooperation between maternal natural killer (NK) cells and fetal trophoblast cells that remodels the blood supply. Recent research reveals that this process and human reproductive success are influenced by polymorphic HLA-C ligands and their killer cell immunoglobulin-like receptors (KIR).



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