Abstract
Intrauterine infection is one of the most frequent causes of miscarriage. CpG oligodeoxynucleotide (CpG ODN) can mimic intrauterine infection. CpG ODN-induced embryo-resorption was observed consistently in the NK-cell deficient non-obese diabetic (NOD) mice but not in the wild-type (WT) mice. To elucidate the molecular mechanisms of differential pregnancy outcomes, differentially expressed genes (DEGs) in the placenta and decidua basalis was revealed by RNA-Seq with CpG ODN or control ODN treatment. Common DEGs in the WT and NOD mice were enriched in antimicrobial/antibacterial humoral responses that may be activated as a primary response to bacterial infection. The susceptibility to CpG ODN-induced embryo-resorption in the NOD mice might mainly be attributed to M1 macrophage polarization and the immunodeficient status, such as the down-regulation in antigen processing and presentation, allograft rejection, and natural killer cell mediated cytotoxicity. In contrast, the WT mice with normal immune systems could activate multiple immune responses and be resistant to CpG ODN-induced embryo-resorption, such as M2 macrophage differentiation and activation regulated by complement component C1q and peroxisome proliferation-activated receptor (PPAR) signaling pathways. Collectively, this study suggests that the immunodeficient status of NOD mice and the macrophage polarization regulated by C1q and PPAR signaling might be the basis for differential pregnancy outcomes between the NOD and WT mice.
Highlights
Reproductive success in mammals depends on coordinated interaction between the placenta and uterus [1]
The non-obese diabetic (NOD) mice are sensitive to intrauterine bacterial infection simulated by injection with CpG oligodeoxynucleotide (CpG ODN), while the WT mice are resistant to CpG-induced embryo loss
Antimicrobial/antibacterial humoral responses may be activated as a primary response to bacterial infection
Summary
Reproductive success in mammals depends on coordinated interaction between the placenta and uterus [1]. Miscarriage is a common complication of pregnancy [2]. One of the most frequent causes is intrauterine infection [3]. CpG oligodeoxynucleotide (CpG ODN) is a synthetic oligonucleotide containing non-methylated CpG dinucleotides (CpG motifs), which are present with 20-fold greater frequency in bacterial DNA than in mammalian DNA [4,5]. Systemic or intrauterine bacterial infection may produce excessive hypomethylated CpG DNA motifs, which are recognized by Toll-like receptor 9 (TLR9) [4,6,7]. The interaction initiates immune responses that impair pregnancy and result in embryo loss [7,8]
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