Fetal immunology is a fascinating and complex field that delves into the intricate interactions between the developing fetus and the maternal immune system. During pregnancy, the mother's immune system undergoes dynamic changes to tolerate the semi-allogeneic fetus while maintaining its ability to defend against infections. The placenta, acting as a critical interface between the maternal and fetal circulations, plays a pivotal role in mediating immune tolerance. Specialized immune cells, such as regulatory T cells, help establish a harmonious balance, preventing the rejection of the fetal tissue. The fetal immune system also becomes active in utero, undergoing a gradual maturation process. While the fetus is protected within the amniotic environment, it begins to develop its own immune responses, preparing for the transition to the external world. Key components of the fetal immune system, including T cells, B cells, and innate immune cells, contribute to the defense against pathogens even before birth. Research in fetal immunology has unveiled the critical role of cytokines, chemokines, and immune checkpoints in orchestrating immune tolerance and responses during gestation. Understanding these intricate mechanisms is essential for addressing pregnancy-related complications and ensuring optimal maternal-fetal health. Additionally, advancements in fetal immunology contribute to the development of novel therapeutic strategies for conditions that may impact the immune health of both the mother and the developing fetus. Moreover, fetal immunology has implications beyond pregnancy, influencing our comprehension of immune development and programming throughout the lifespan. Unraveling the mysteries of fetal immune responses opens new avenues for investigating immune-related disorders, shaping the landscape of immunotherapy, and advancing our understanding of how early immune experiences impact health across generations. As technology continues to advance, the exploration of fetal immunology promises to uncover more insights, fostering breakthroughs that will benefit both maternal and child health.
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Natnicha Kitti udom, University College London, Thailand
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