REVIEW ARTICLE: The Immune System in Pregnancy: A Unique Complexity
Open accessAbstract
Citation Mor G, Cardenas I. The immune system in pregnancy: a unique complexity. Am J Reprod Immunol 2010 Placental immune response and its tropism for specific viruses and pathogens affect the outcome of the pregnant woman’s susceptibility to and severity of certain infectious diseases. The generalization of pregnancy as a condition of immune suppression or increased risk is misleading and prevents the determination of adequate guidelines for treating pregnant women during pandemics. There is a need to evaluate the interaction of each specific pathogen with the fetal/placental unit and its responses to design the adequate prophylaxis or therapy. The complexity of the immunology of pregnancy and the focus, for many years, on the concept of immunology of pregnancy as an organ transplantation have complicated the field and delayed the development of new guidelines with clinical implications that could help to answer these and other relevant questions. Our challenge as scientists and clinicians interested in the field of reproductive immunology is to evaluate many of the ‘classical concepts’ to define new approaches for a better understanding of the immunology of pregnancy that will benefit mothers and fetuses in different clinical scenarios.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
There is evidence that the mother changes the balance of her T-cell responses to Th2 rather than Th1.
“There is evidence that the mother changes the balance of her T-cell responses to Th2 rather than Th1 [68].”
From Evolution of the immune system in humans from infancy to old age (2015) · cites this paper as [68]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Wegmann, T. G., Lin, H., Guilbert, L., & Mosmann, T. R. (1993) · Immunology Today · doi:10.1016/0167-5699(93)90235-d · Cited by 2,852 · see citing works
Intrauterine infection and preterm delivery
Goldenberg, R. L., Hauth, J. C., & Andrews, W. W. (2000) · New England Journal of Medicine · doi:10.1056/nejm200005183422007 · Cited by 2,548 · see citing works
Decidual NK cells regulate key developmental processes at the human fetal-maternal interface
Hanna, J. H., Goldman‐Wohl, D., Hamani, Y., Avraham, I., Greenfield, C., Natanson‐Yaron, S., Prus, D., Cohen‐Daniel, L., Arnon, T. I., Manaster, I., et al. (2006) · Nature Medicine · doi:10.1038/nm1452 · Cited by 1,690 · see citing works
Regulatory T cells mediate maternal tolerance to the fetus
Aluvihare, V. R., Kallikourdis, M., & Betz, A. G. (2004) · Nature Immunology · doi:10.1038/ni1037 · Cited by 1,661 · see citing works
Epidemiology and burden of malaria in pregnancy
Desai, M., ter Kuile, F. O., Nosten, F., McGready, R., Asamoa, K., Brabin, B., & Newman, R. D. (2007) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(07)70021-x · Cited by 1,432 · see citing works
The preterm parturition syndrome
Romero, R., Espinoza, J., Kusanovic, J., Gotsch, F., Hassan, S., Erez, O., Chaiworapongsa, T., & Mazor, M. (2006) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2006.01120.x · Cited by 1,419 · see citing works
Medawar, P. B. (1948) · PubMed · Cited by 1,084 · see citing works
Deverman, B. E., & Patterson, P. H. (2009) · Neuron · doi:10.1016/j.neuron.2009.09.002 · Cited by 865 · see citing works
Ashkar, A. A., Santo, J. P. D., & Croy, B. A. (2000) · The Journal of Experimental Medicine · doi:10.1084/jem.192.2.259 · Cited by 847 · see citing works
Maternal Alloantigens Promote the Development of Tolerogenic Fetal Regulatory T Cells in Utero
Mold, J. E., Michaëlsson, J., Burt, T. D., Muench, M. O., Beckerman, K., Busch, M. P., Lee, T., Nixon, D. F., & McCune, J. M. (2008) · Science · doi:10.1126/science.1164511 · Cited by 840 · see citing works
Medawar, P. B., & Medawar, P. B. (1953) · Symposia of the Society for Experimental Biology · Cited by 833 · see citing works
Inflammation in preterm and term labour and delivery
Romero, R. J., Espinoza, J., Gonçalves, L. F., Kusanovic, J. P., Friel, L. A., & Nien, J. K. (2006) · Seminars in Fetal and Neonatal Medicine · doi:10.1016/j.siny.2006.05.001 · Cited by 746 · see citing works
Emerging Infections and Pregnancy
Jamieson, D. J., Theiler, R. N., & Rasmussen, S. A. (2006) · Emerging Infectious Diseases · doi:10.3201/eid1211.060152 · Cited by 588 · see citing works
A pivotal role for galectin-1 in fetomaternal tolerance
Blois, S. M., Ilarregui, J. M., Tometten, M., García, M. G., Orsal, A. S., Russo, R. I. C., Toscano, M. A., Bianco, G. A., Kobelt, P., Handjiski, B., et al. (2007) · Nature Medicine · doi:10.1038/nm1680 · Cited by 488 · see citing works
Romero, R. J., Gotsch, F., Pineles, B. L., & Kusanovic, J. P. (2008) · Nutrition Reviews · doi:10.1111/j.1753-4887.2007.tb00362.x · Cited by 402 · see citing works
Macrophages and Apoptotic Cell Clearance During Pregnancy
Abrahams, V. M., Kim, Y. M., Chavez, S. L., Romero, R. J., & Mor, G. (2004) · American Journal of Reproductive Immunology · doi:10.1111/j.1600-0897.2004.00156.x · Cited by 355 · see citing works
Self-citationA progesterone-dependent immunomodulatory protein alters the Th1Th2 balance
Szekeres‐Barthó, J., & Wegmann, T. G. (1996) · Journal of Reproductive Immunology · doi:10.1016/0165-0378(96)00964-3 · Cited by 338 · see citing works
A Review of the Fetal Brain Cytokine Imbalance Hypothesis of Schizophrenia
Meyer, U., Feldon, J., & Yee, B. K. (2008) · Schizophrenia Bulletin · doi:10.1093/schbul/sbn022 · Cited by 318 · see citing works
REVIEW ARTICLE: Inflammation and Implantation
Dekel, N., Gnainsky, Y., Granot, I., & Mor, G. (2009) · American Journal of Reproductive Immunology · doi:10.1111/j.1600-0897.2009.00792.x · Cited by 303 · see citing works
Self-citationActivation of the maternal immune system alters cerebellar development in the offspring
Shi, L., Smith, S. E. P., Malkova, N., Tse, D., Su, Y., & Patterson, P. H. (2009) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2008.07.012 · Cited by 277 · see citing works
McNeely, T. B., Shugars, D. C., Rosendahl, M. S., Tucker, C., Eisenberg, S. P., & Wahl, S. M. (1997) · Blood · doi:10.1182/blood.v90.3.1141 · Cited by 253 · see citing works
Golan, H. M., Lev, V., Hallak, M., Sorokin, Y., & Huleihel, M. (2005) · Neuropharmacology · doi:10.1016/j.neuropharm.2004.12.023 · Cited by 253 · see citing works
Collins, M. K., Tay, C.-S., & Erlebacher, A. (2009) · Journal of Clinical Investigation · doi:10.1172/jci38714 · Cited by 248 · see citing works
A prospective study of maternal and fetal outcome in acute Lassa fever infection during pregnancy.
Price, M. E., Fisher‐Hoch, S. P., Craven, R. B., & McCormick, J. B. (1988) · BMJ · doi:10.1136/bmj.297.6648.584 · Cited by 220 · see citing works
Mor, G. (2008) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1434.006 · Cited by 178 · see citing works
Self-citationORIGINAL ARTICLE: Activation of TLR3 in the Trophoblast is Associated with Preterm Delivery
Koga, K., Cardenas, I., Aldo, P. B., Abrahams, V. M., Peng, B., Malfertheiner, S. F., Romero, R. J., & Mor, G. (2009) · American Journal of Reproductive Immunology · doi:10.1111/j.1600-0897.2008.00682.x · Cited by 170 · see citing works
Self-citationUltrastructural Studies of Implantation Sites from Mice Deficient in Uterine Natural Killer Cells
Greenwood, J. D., Minhas, K., Santo, J. P. D., MAKITA, M., Kiso, Y., & Croy, B. A. (2000) · Placenta · doi:10.1053/plac.2000.0556 · Cited by 155 · see citing works
Placental inflammation and viral infection are implicated in second trimester pregnancy loss
Srinivas, S. K., Ma, Y., Sammel, M. D., Chou, D., McGrath, C., Parry, S., & Elovitz, M. A. (2006) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2006.05.049 · Cited by 153 · see citing works
Immunoregulatory cells in human decidua : morphology, immunohistochemistry and function
Bulmer, J. N., Pace, D., & Ritson, A. (1988) · annales de biologie animale biochimie biophysique · doi:10.1051/rnd:19881006 · Cited by 150 · see citing works
Han, Y. W., Ikegami, A., Bissada, N. F., Herbst, M., Redline, R. W., & Ashmead, G. (2006) · Journal of Clinical Microbiology · doi:10.1128/jcm.44.4.1475-1483.2006 · Cited by 147 · see citing works
King, A. E. (2000) · Molecular Human Reproduction · doi:10.1093/molehr/6.2.191 · Cited by 134 · see citing works
Do Antenatal Parasite Infections Devalue Childhood Vaccination?
LaBeaud, A. D., Malhotra, I. J., King, M. J., King, C. L., & King, C. H. (2009) · PLoS neglected tropical diseases · doi:10.1371/journal.pntd.0000442 · Cited by 133 · see citing works
Antimicrobial activity of antiproteinases
Sallenave, J. (2002) · Biochemical Society Transactions · doi:10.1042/bst0300111 · Cited by 121 · see citing works
ORIGINAL ARTICLE: The Transcriptome of the Fetal Inflammatory Response Syndrome
Madsen‐Bouterse, S. A., Romero, R. J., Tarca, A. L., Kusanovic, J. P., Espinoza, J., Kim, C. J., Kim, J.-S., Edwin, S. S., Gómez, R., & Drăghici, S. (2009) · American Journal of Reproductive Immunology · doi:10.1111/j.1600-0897.2009.00791.x · Cited by 120 · see citing works
King, A., Loke, Y. W., & Chaouat, G. (1997) · Immunology Today · doi:10.1016/s0167-5699(97)01001-3 · Cited by 118 · see citing works
Abrahams, V. M. (2006) · Human Reproduction · doi:10.1093/humrep/del178 · Cited by 114 · see citing works
Expression and Function of Toll-Like Receptors at the Maternal—Fetal Interface
Koga, K., & Mor, G. (2008) · Reproductive Sciences · doi:10.1177/1933719108316391 · Cited by 103 · see citing works
Self-citationFoetal protection against abortion: Is it immunosuppression or immunostimulation?
Wegmann, T. G. (1984) · Annales de l Institut Pasteur Immunologie · doi:10.1016/s0769-2625(84)81196-4 · Cited by 100 · see citing works
The epidemiology and consequences of maternal malaria: a review of immunological basis
Okoko, B. J., Enwere, G., & Ota, M. O. C. (2003) · Acta Tropica · doi:10.1016/s0001-706x(03)00097-4 · Cited by 98 · see citing works
Is the Trophoblast an Immune Regulator?: The Role of Toll-Like Receptors During Pregnancy
Mor, G., Romero, R. J., Aldo, P. B., & Abrahams, V. M. (2005) · Critical Reviews in Immunology · doi:10.1615/critrevimmunol.v25.i5.30 · Cited by 95 · see citing works
Self-citationCD4+CD25+ T regulatory cells in murine pregnancy
Zenclussen, A. C. (2005) · Journal of Reproductive Immunology · doi:10.1016/j.jri.2005.01.003 · Cited by 86 · see citing works
Liver biopsies from human females contain male hepatocytes in the absence of transplantation
Stevens, A. M., McDonnell, W. M., Mullarkey, M. E., Pang, J. M., Leisenring, W. M., & Nelson, J. L. (2004) · Laboratory Investigation · doi:10.1038/labinvest.3700193 · Cited by 83 · see citing works
Loke, Y. W., & King, A. (2000) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1053/beog.2000.0122 · Cited by 78 · see citing works
Natural killer (NK) cell activity of first trimester human decidua
Manaseki‐Holland, S., & Searle, R. F. (1989) · Cellular Immunology · doi:10.1016/0008-8749(89)90014-2 · Cited by 74 · see citing works
REVIEW ARTICLE: Human NK Cells in Pregnant Uterus: Why There?
Bouteiller, P. L., & Piccinni, M. (2008) · American Journal of Reproductive Immunology · doi:10.1111/j.1600-0897.2008.00597.x · Cited by 66 · see citing works
Davies, J. K., Shikes, R. H., Sze, C., Leslie, K. K., McDuffie, R. S., Romero, R. J., & Gibbs, R. S. (2000) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2000.108888 · Cited by 58 · see citing works
Mor, G., & Koga, K. (2008) · Reproductive Sciences · doi:10.1177/1933719108317253 · Cited by 53 · see citing works
Self-citationShimada, S., Nishida, R., Takeda, M., Iwabuchi, K., Kishi, R., Onoé, K., Minakami, H., & Yamada, H. (2006) · American Journal of Reproductive Immunology · doi:10.1111/j.1600-0897.2006.00417.x · Cited by 47 · see citing works
Macrophage-Trophoblast Interactions
Mor, G., Chavez, S. L., & Abrahams, V. M. (2006) · Humana Press eBooks · doi:10.1385/1-59259-989-3:149 · Cited by 42 · see citing works
Self-citationMor, G., & Abrahams, V. M. (2002) · Immunology and Allergy Clinics of North America · doi:10.1016/s0889-8561(02)00009-7 · Cited by 31 · see citing works
Self-citationWicherek, Ł., Basta, P., Pityński, K., Marianowski, P., Kijowski, J., Wiatr, J., & Majka, M. (2009) · American Journal of Reproductive Immunology · doi:10.1111/j.1600-0897.2009.00696.x · Cited by 27 · see citing works
Th1/Th2 Balance of the Implantation Site in Humans
Saito, S., Miyazaki, S., & Sasaki, Y. (2007) · Springer eBooks · doi:10.1007/0-387-34944-8_4 · Cited by 20 · see citing works
Summers, A. P. (2007) · Natural history · Cited by 15 · see citing works
Seubert, D. E., Maymon, E., Pacora, P., Gervasi, M.-T., Berry, S. M., Torry, D. S., & Romero, R. J. (2000) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2000.107437 · Cited by 11 · see citing works
[Infectious placentitis and characterization of the placenta as an immune barrier].
Vf, M., & Aksenov, O. A. (1993) · PubMed · Cited by 3 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Host Remodeling of the Gut Microbiome and Metabolic Changes during Pregnancy
Koren, O., Goodrich, J. K., Cullender, T. C., Spor, A., Laitinen, K., Kling Bäckhed, H., Gonzalez, A., Werner, J. J., Angenent, L. T., Knight, R., et al. (2012) · Cell · doi:10.1016/j.cell.2012.07.008 · Cited by 2,165 · see citing works
Evolution of the immune system in humans from infancy to old age
Simon, A. K., Hollander, G. A., & McMichael, A. (2015) · Proceedings of the Royal Society B: Biological Sciences · doi:10.1098/rspb.2014.3085 · Cited by 1,796 · see citing works
Perez-Muñoz, M. E., Arrieta, M.-C., Ramer-Tait, A. E., & Walter, J. (2017) · Microbiome · doi:10.1186/s40168-017-0268-4 · Cited by 1,096 · see citing works
Inflammation and pregnancy: the role of the immune system at the implantation site
Mor, G., Cardenas, I., Abrahams, V. M., & Guller, S. M. (2011) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2010.05938.x · Cited by 1,111 · see citing works
Self-citationThe unique immunological and microbial aspects of pregnancy
Mor, G., Aldo, P., & Alvero, A. B. (2017) · Nature Reviews Immunology · doi:10.1038/nri.2017.64 · Cited by 1,041 · see citing works
Self-citationKourtis, A. P., Read, J. S., & Jamieson, D. J. (2014) · New England Journal of Medicine · doi:10.1056/nejmra1213566 · Cited by 850 · see citing works
Maternal Immunological Adaptation During Normal Pregnancy
Abu-Raya, B., Michalski, C., Sadarangani, M., & Lavoie, P. M. (2020) · Frontiers in Immunology · doi:10.3389/fimmu.2020.575197 · Cited by 674 · see citing works
Microbial Changes during Pregnancy, Birth, and Infancy
Nuriel‐Ohayon, M., Neuman, H., & Koren, O. (2016) · Frontiers in Microbiology · doi:10.3389/fmicb.2016.01031 · Cited by 624 · see citing works
Viral Infections During Pregnancy
Silasi, M., Cardenas, I., Kwon, J., Racicot, K. E., Aldo, P. B., & Mor, G. (2015) · American Journal of Reproductive Immunology · doi:10.1111/aji.12355 · Cited by 502 · see citing works
Self-citationRomero, R. J., Miranda, J., Chaiworapongsa, T., Korzeniewski, S. J., Chaemsaithong, P., Gotsch, F., Dong, Z., Ahmed, A. I., Yoon, B. H., Hassan, S. S., et al. (2014) · American Journal of Reproductive Immunology · doi:10.1111/aji.12296 · Cited by 488 · see citing works
Crusell, M. K. W., Hansen, T. H., Nielsen, T., Allin, K. H., Rühlemann, M. C., Damm, P., Vestergaard, H., Rørbye, C., Jørgensen, N. R., Christiansen, O. B., et al. (2018) · Microbiome · doi:10.1186/s40168-018-0472-x · Cited by 480 · see citing works
The Role of Placental Hormones in Mediating Maternal Adaptations to Support Pregnancy and Lactation
Napso, T., Yong, H. E. J., Lopez-Tello, J., & Sferruzzi-Perri, A. N. (2018) · Frontiers in Physiology · doi:10.3389/fphys.2018.01091 · Cited by 470 · see citing works
A systematic scoping review of COVID‐19 during pregnancy and childbirth
Elshafeey, F., Magdi, R., Hindi, N., Elshebiny, M., Farrag, N., Mahdy, S., Sabbour, M., Gebril, S., Nasser, M. F., Kamel, M., et al. (2020) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.13182 · Cited by 408 · see citing works
Iron deficiency and heart failure: diagnostic dilemmas and therapeutic perspectives
Jankowska, E. A., von Haehling, S., Anker, S. D., Macdougall, I. C., & Ponikowski, P. (2013) · European Heart Journal · doi:10.1093/eurheartj/ehs224 · Cited by 399 · see citing works
Obesity ‑ a risk factor for increased COVID‑19 prevalence, severity and lethality (Review)
Petrakis, D., Margina, D. M., Tsarouhas, K., Tekos, F., Stan, M., Nikitovic, D., Kouretas, D., Spandidos, D. A., & Tsatsakis, A. M. (2020) · Molecular Medicine Reports · doi:10.3892/mmr.2020.11127 · Cited by 388 · see citing works
Microbial Vertical Transmission during Human Pregnancy
Arora, N., Sadovsky, Y., Dermody, T. S., & Coyne, C. B. (2017) · Cell Host & Microbe · doi:10.1016/j.chom.2017.04.007 · Cited by 384 · see citing works
Kingebeni, P. M., Huggins, J. W., Riu-Rovira, T., Ahuka, S. M., Mulembakani, P. M., Rimoin, A. W., Martin, J. W., & Muyembe, J. (2017) · The Journal of Infectious Diseases · doi:10.1093/infdis/jix260 · Cited by 379 · see citing works
Epidemiology and Immune Pathogenesis of Viral Sepsis
Lin, G.-L., McGinley, J. P., Drysdale, S. B., & Pollard, A. J. (2018) · Frontiers in Immunology · doi:10.3389/fimmu.2018.02147 · Cited by 351 · see citing works
Cotechini, T., Komisarenko, M., Sperou, A., Macdonald-Goodfellow, S. K., Adams, M. A., & Graham, C. H. (2014) · The Journal of Experimental Medicine · doi:10.1084/jem.20130295 · Cited by 343 · see citing works
Understanding the Complexity of the Immune System during Pregnancy
Racicot, K. E., Kwon, J., Aldo, P. B., Silasi, M., & Mor, G. (2014) · American Journal of Reproductive Immunology · doi:10.1111/aji.12289 · Cited by 337 · see citing works
Self-citationSorsa, T. A., Gürsoy, U. K., Nwhator, S. O., Hernández, M., Tervahartiala, T. I., Leppilahti, J. M., Gürsoy, M., Könönen, E., Emingil, G., Pussinen, P. J., et al. (2015) · Periodontology 2000 · doi:10.1111/prd.12101 · Cited by 319 · see citing works
Connections between the human gut microbiome and gestational diabetes mellitus
Kuang, Y., Lu, J., Li, S., Li, J., Yuan, M., He, J., Chen, N., Xiao, W., Shen, S., Qiu, L., et al. (2017) · GigaScience · doi:10.1093/gigascience/gix058 · Cited by 313 · see citing works
Koga, K., & Mor, G. (2010) · American Journal of Reproductive Immunology · doi:10.1111/j.1600-0897.2010.00848.x · Cited by 288 · see citing works
Self-citationInflammation: A Proposed Intermediary Between Maternal Stress and Offspring Neuropsychiatric Risk
Hantsoo, L., Kornfield, S., Anguera, M. C., & Epperson, C. N. (2019) · Biological Psychiatry · doi:10.1016/j.biopsych.2018.08.018 · Cited by 269 · see citing works
Horst, E. A., Kvidera, S. K., & Baumgard, L. H. (2021) · Journal of Dairy Science · doi:10.3168/jds.2021-20330 · Cited by 268 · see citing works
Pathogens and the placental fortress
Robbins, J. R., & Bakardjiev, A. I. (2011) · Current Opinion in Microbiology · doi:10.1016/j.mib.2011.11.006 · Cited by 264 · see citing works
Sex-related factors in multiple sclerosis susceptibility and progression
Voskuhl, R. R., & Gold, S. M. (2012) · Nature Reviews Neurology · doi:10.1038/nrneurol.2012.43 · Cited by 262 · see citing works
Human fetal dendritic cells promote prenatal T-cell immune suppression through arginase-2
McGovern, N. N., Shin, A., Low, G., Low, D., Duan, K., Yao, L. J., Msallam, R., Low, I., Shadan, N. B., Sumatoh, H., et al. (2017) · Nature · doi:10.1038/nature22795 · Cited by 258 · see citing works
The influence of pregnancy on systemic immunity
Pazos, M. A., SPERLING, R. S., Moran, T. M., & Kraus, T. (2012) · Immunologic Research · doi:10.1007/s12026-012-8303-9 · Cited by 247 · see citing works
Dumitriu, D., Emeruwa, U. N., Hanft, E., Liao, G. V., Ludwig, E., Walzer, L., Arditi, B., Saslaw, M., Andrikopoulou, M., Scripps, T., et al. (2020) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/jamapediatrics.2020.4298 · Cited by 246 · see citing works
Hickey, D. K., Patel, M. V., Fahey, J. V., & Wira, C. R. (2011) · Journal of Reproductive Immunology · doi:10.1016/j.jri.2011.01.005 · Cited by 238 · see citing works
Mechanisms of Key Innate Immune Cells in Early- and Late-Onset Preeclampsia
Aneman, I., Pienaar, D., Suvakov, S. R., Simic, T. P., Garovic, V. D., & McClements, L. (2020) · Frontiers in Immunology · doi:10.3389/fimmu.2020.01864 · Cited by 239 · see citing works
Raiten, D. J., Ashour, F. A. S., Ross, A. C., Meydani, S. N., Dawson, H. D., Stephensen, C. B., Brabin, B. J., Suchdev, P. S., & van Ommen, B. (2015) · The Journal of Nutrition · doi:10.3945/jn.114.194571 · Cited by 234 · see citing works
Hasain, Z., Mokhtar, N. M., Kamaruddin, N. A., Ismail, N. A. M., Razalli, N. H., Gnanou, J. V., & Ali, R. A. R. (2020) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2020.00188 · Cited by 234 · see citing works
Inflammation in Complicated Pregnancy and Its Outcome
Kalagiri, R. R., Carder, T., Choudhury, S., Vora, N., Ballard, A. R., Govande, V. P., Drever, N. N., Beeram, M., & Uddin, M. N. (2016) · American Journal of Perinatology · doi:10.1055/s-0036-1582397 · Cited by 226 · see citing works
Kraus, T., Engel, S. M., SPERLING, R. S., Kellerman, L., Lo, Y., Wallenstein, S. R., Escribese, M. M., Garrido, J. L. V., Singh, T., Loubeau, M., et al. (2011) · Journal of Clinical Immunology · doi:10.1007/s10875-011-9627-2 · Cited by 216 · see citing works
Extracellular Vesicles as Signaling Mediators and Disease Biomarkers across Biological Barriers
Simeone, P., Bologna, G., Lanuti, P., Pierdomenico, L., Guagnano, M. T., Pieragostino, D., Boccio, P. D., Vergara, D., Marchisio, M., Miscia, S., et al. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21072514 · Cited by 213 · see citing works
Physiologic Uterine Inflammation and Labor Onset: Integration of Endocrine and Mechanical Signals
Shynlova, O. P., Lee, Y.-H., Srikhajon, K., & Lye, S. J. (2012) · Reproductive Sciences · doi:10.1177/1933719112446084 · Cited by 211 · see citing works
Vallès, Y., Artacho, A., Pascual‐García, A., Ferrús, M. L., Gosalbes, M. J., Abellan, J. J., & Francino, M. P. (2014) · PLoS Genetics · doi:10.1371/journal.pgen.1004406 · Cited by 202 · see citing works
Pregnancy Complications and Cardiovascular Disease Death
Cirillo, P. M., & Cohn, B. A. (2015) · Circulation · doi:10.1161/circulationaha.113.003901 · Cited by 203 · see citing works
Schlaudecker, E. P., Muñoz, F. M., Bardají, A., Boghossian, N. S., Khalil, A. A., Mousa, H., Nesin, M., Nisar, M. I., Pool, V., Spiegel, H. M. L., et al. (2017) · Vaccine · doi:10.1016/j.vaccine.2017.01.040 · Cited by 205 · see citing works
Freitas, A. C., Chaban, B. L., Bocking, A. D., Rocco, M., Yang, S., Hill, J. E., Money, D., Hemmingsen, S. M., Reid, G., Dumonceaux, T., et al. (2017) · Scientific Reports · doi:10.1038/s41598-017-07790-9 · Cited by 198 · see citing works
Multifunctional Role of S100 Protein Family in the Immune System: An Update
Singh, P., & Ali, S. A. (2022) · Cells · doi:10.3390/cells11152274 · Cited by 196 · see citing works
Antoun, L., Eltaweel, N. A., Ahmed, I., Patni, S., & Honest, H. (2020) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2020.07.008 · Cited by 189 · see citing works
Viral Infection of the Pregnant Cervix Predisposes to Ascending Bacterial Infection
Racicot, K. E., Cardenas, I., Wünsche, V., Aldo, P. B., Guller, S. M., Means, R. E., Romero, R. J., & Mor, G. (2013) · The Journal of Immunology · doi:10.4049/jimmunol.1300661 · Cited by 186 · see citing works
Self-citationZika Virus Targeting in the Developing Brain
van den Pol, A. N., Mao, G., Yang, Y., Ornaghi, S., & Davis, J. N. (2017) · Journal of Neuroscience · doi:10.1523/jneurosci.3124-16.2017 · Cited by 178 · see citing works
COVID-19 in pregnant women: A systematic review and meta-analysis
Capobianco, G., Saderi, L., Aliberti, S., Mondoni, M., Piana, A., Dessole, F., Dessole, M., Cherchi, P., Dessole, S., & Sotgiu, G. (2020) · European Journal of Obstetrics, Gynecology, and Reproductive Biology · doi:10.1016/j.ejogrb.2020.07.006 · Cited by 127 · see citing works
Zhao, X., Jiang, Y., Zhao, Y., Xi, H., Liu, C., Qu, F., & Feng, X. (2020) · European Journal of Clinical Microbiology & Infectious Diseases · doi:10.1007/s10096-020-03897-6 · Cited by 175 · see citing works
Is pregnancy a risk factor of COVID-19?
Phoswa, W. N., & Khaliq, O. P. (2020) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2020.06.058 · Cited by 173 · see citing works
Dash, S., Syed, Y. A., & Khan, M. R. (2022) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2022.880544 · Cited by 179 · see citing works
Immune Dysregulation in Autism Spectrum Disorder: What Do We Know about It?
Robinson-Agramonte, M. D. L. A., Noris García, E., Fraga Guerra, J., Vega Hurtado, Y., Antonucci, N., Semprún-Hernández, N., Schultz, S., & Siniscalco, D. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23063033 · Cited by 176 · see citing works
Vulvovaginal Candidiasis in Pregnancy
Aguin, T., & Sobel, J. D. (2015) · Current Infectious Disease Reports · doi:10.1007/s11908-015-0462-0 · Cited by 166 · see citing works
The Immunomodulatory Role of Syncytiotrophoblast Microvesicles
Southcombe, J. H., Tannetta, D., Redman, C. W. G., & SARGENT, I. L. (2011) · PLoS ONE · doi:10.1371/journal.pone.0020245 · Cited by 164 · see citing works
Infections and Pregnancy: Effects on Maternal and Child Health
Kumar, M., Saadaoui, M., & Khodor, S. A. (2022) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2022.873253 · Cited by 173 · see citing works
Fever and sickness behavior: Friend or foe?
Harden, L. M., Kent, S., Pittman, Q. J., & Roth, J. (2015) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2015.07.012 · Cited by 161 · see citing works
Natural killer cells and regulatory T cells in early pregnancy loss
Sharma, S. (2014) · The International Journal of Developmental Biology · doi:10.1387/ijdb.140109ss · Cited by 158 · see citing works
The role of the PD-1/PD-L1 axis in macrophage differentiation and function during pregnancy
Zhang, Y., Ma, L., Hu, X., Ji, J., Mor, G., & Liao, A. (2018) · Human Reproduction · doi:10.1093/humrep/dey347 · Cited by 155 · see citing works
Self-citationSzczuko, M., Kikut, J., Komorniak, N., Bilicki, J., Celewicz, Z., & Ziętek, M. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21249628 · Cited by 156 · see citing works
The maternal immune system during pregnancy and its influence on fetal development
Morelli, S. S., Mandal, M., Goldsmith, L. T., Kashani, B. N., & Ponzio, N. M. (2015) · Research and Reports in Biology · doi:10.2147/rrb.s80652 · Cited by 155 · see citing works
Kaur, H., Merchant, M., Haque, M. M., & Mande, S. S. (2020) · Frontiers in Microbiology · doi:10.3389/fmicb.2020.00551 · Cited by 155 · see citing works
Evidence for a Role for the Adaptive Immune Response in Human Term Parturition
Gomez‐Lopez, N., Vega‐Sánchez, R., Castillo‐Castrejón, M., Romero, R. J., Cubeiro‐Arreola, K., & Vadillo‐Ortega, F. (2013) · American Journal of Reproductive Immunology · doi:10.1111/aji.12074 · Cited by 151 · see citing works
Achtyes, E. D., Keaton, S. A., Smart, L., Burmeister, A. R., Heilman, P. L., Krzyżanowski, S., Nagalla, M., Guillemin, G. J., Galvis, M. L. E., Lim, C. K., et al. (2019) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2019.10.017 · Cited by 147 · see citing works
Ortega, M. A., Fraile‐Μartinez, O., Montero, C. G., Sáez, M. A., Álvarez-Mon, M. Á., Torres‐Carranza, D., Álvarez‐Mon, M., Buján, J., García‐Honduvilla, N., Bravo, C., et al. (2022) · Cells · doi:10.3390/cells11030568 · Cited by 156 · see citing works
Wira, C. R., Patel, M. V., Ghosh, M., Mukura, L. R., & Fahey, J. V. (2011) · American Journal of Reproductive Immunology · doi:10.1111/j.1600-0897.2011.00970.x · Cited by 144 · see citing works
Impact of prior flavivirus immunity on Zika virus infection in rhesus macaques
McCracken, M. K., Gromowski, G. D., Friberg, H., Lin, X., Abbink, P., Barrera, R. A. D. L., Eckles, K. H., Garver, L. S., Boyd, M. B., Jetton, D., et al. (2017) · PLoS Pathogens · doi:10.1371/journal.ppat.1006487 · Cited by 144 · see citing works
Maternal immunization: where are we now and how to move forward?
Vojtek, I., Dieussaert, I., Doherty, T. M., Franck, V., Hanssens, L., Miller, J. M., Bekkat-Berkani, R., Kandeil, W., Prado-Cohrs, D., & Vyse, A. (2018) · Annals of Medicine · doi:10.1080/07853890.2017.1421320 · Cited by 136 · see citing works
Placental Viral Infection Sensitizes to Endotoxin-Induced Pre-Term Labor: A Double Hit Hypothesis
Cardenas, I., Mor, G., Aldo, P. B., Lang, S. M., Stabach, P. R., Sharp, A., Romero, R. J., Mazaki‐Tovi, S., Gervasi, M.-T., & Means, R. E. (2010) · American Journal of Reproductive Immunology · doi:10.1111/j.1600-0897.2010.00908.x · Cited by 135 · see citing works
Self-citationHealthy Vaginal Microbiota and Influence of Probiotics Across the Female Life Span
Lehtoranta, L., Ala‐Jaakkola, R., Laitila, A., & Maukonen, J. (2022) · Frontiers in Microbiology · doi:10.3389/fmicb.2022.819958 · Cited by 138 · see citing works
Immunity and Inflammation in the Uterus
Turner, M. L., Healey, G. D., & Sheldon, I. M. (2012) · Reproduction in Domestic Animals · doi:10.1111/j.1439-0531.2012.02104.x · Cited by 134 · see citing works
The Immune System and the Role of Inflammation in Perinatal Depression
Leff, P., Mancilla‐Herrera, I., Flores‐Ramos, M., Cruz-Fuentes, C. S., Reyes‐Grajeda, J. P., García-Cuétara, M. D. P., Bugnot-Pérez, M. D., & Pulido-Ascencio, D. E. (2016) · Neuroscience Bulletin · doi:10.1007/s12264-016-0048-3 · Cited by 132 · see citing works
Mother-to-Child HTLV-1 Transmission: Unmet Research Needs
Rosadas, C., & Taylor, G. P. (2019) · Frontiers in Microbiology · doi:10.3389/fmicb.2019.00999 · Cited by 133 · see citing works
Biology and pathology of the uterine microenvironment and its natural killer cells
Wang, F., Qualls, A., Marques-Fernandez, L., & Colucci, F. (2021) · Cellular and Molecular Immunology · doi:10.1038/s41423-021-00739-z · Cited by 132 · see citing works
The long and short term effects of motherhood on the brain
Duarte‐Guterman, P., Leuner, B., & Galea, L. A. M. (2019) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2019.02.004 · Cited by 127 · see citing works
Early life events influence whole-of-life metabolic health via gut microflora and gut permeability
Kerr, C. A., Grice, D. M., Tran, C. D., Bauer, D. C., Li, D., Hendry, P. L., & Hannan, G. N. (2014) · Critical Reviews in Microbiology · doi:10.3109/1040841x.2013.837863 · Cited by 125 · see citing works
Differentiation and functional regulation of human fetal NK cells
Ivarsson, M. A., Loh, L., Marquardt, N., Kekäläinen, E., Berglin, L., Björkström, N. K., Westgren, M., Nixon, D. F., & Michaëlsson, J. (2013) · Journal of Clinical Investigation · doi:10.1172/jci68989 · Cited by 124 · see citing works
Maternal Serum Cytokine Concentrations in Healthy Pregnancy and Preeclampsia
Spence, T., Allsopp, P. J., Yeates, A. J., Mulhern, M. S., Strain, J., & McSorley, E. M. (2021) · Journal of Pregnancy · doi:10.1155/2021/6649608 · Cited by 123 · see citing works
Galley, J. D., Mashburn‐Warren, L., Blalock, L. C., Lauber, C. L., Carroll, J., Ross, K. M., Hobel, C. J., Coussons‐Read, M. E., Schetter, C. D., & Gur, T. (2022) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2022.10.005 · Cited by 120 · see citing works
Giaglis, S., Stoikou, M., Chowdhury, C. S., Schaefer, G., Grimolizzi, F., Rossi, S. W., Hoesli, I. M., Lapaire, O., Hasler, P., & Hahn, S. (2016) · Frontiers in Immunology · doi:10.3389/fimmu.2016.00565 · Cited by 120 · see citing works
COVID‐19 in pregnancy: Placental and neonatal involvement
Prochaska, E. C., Jang, M., & Burd, I. D. (2020) · American Journal of Reproductive Immunology · doi:10.1111/aji.13306 · Cited by 120 · see citing works
Diversity of Vaginal Microbiome in Pregnancy: Deciphering the Obscurity
Gupta, P., Singh, M. P., & Goyal, K. (2020) · Frontiers in Public Health · doi:10.3389/fpubh.2020.00326 · Cited by 119 · see citing works
Extracellular vesicles and their immunomodulatory functions in pregnancy
Nair, S., & Salomón, C. (2018) · Seminars in Immunopathology · doi:10.1007/s00281-018-0680-2 · Cited by 116 · see citing works
Cytokine Patterns in Maternal Serum From First Trimester to Term and Beyond
Jarmund, A. H., Giskeødegård, G. F., Ryssdal, M., Steinkjer, B., Stokkeland, L. M. T., Madssen, T. S., Stafne, S. N., Stridsklev, S., Moholdt, T. T., Heimstad, R., et al. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.752660 · Cited by 118 · see citing works
Metabolic Syndrome During Perinatal Period in Sows and the Link With Gut Microbiota and Metabolites
Cheng, C., Wei, H., Yu, H., Xu, C., Jiang, S., & Peng, J. (2018) · Frontiers in Microbiology · doi:10.3389/fmicb.2018.01989 · Cited by 115 · see citing works
Monocytes and macrophages in pregnancy: The good, the bad, and the ugly*
True, H., Blanton, M. B., Sureshchandra, S., & Messaoudi, I. (2022) · Immunological Reviews · doi:10.1111/imr.13080 · Cited by 115 · see citing works
Corwin, E. J., PAJER, K. A., Paul, S., Lowe, N. K., Weber, M., & McCarthy, D. O. (2015) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2015.04.012 · Cited by 112 · see citing works
The Placenta as a Barrier to Viral Infections
Delorme‐Axford, E., Sadovsky, Y., & Coyne, C. B. (2014) · Annual Review of Virology · doi:10.1146/annurev-virology-031413-085524 · Cited by 113 · see citing works
Winkler, C. W., Myers, L. M., Woods, T. A., Messer, R. J., Carmody, A., McNally, K. L., Scott, D. P., Hasenkrug, K. J., Best, S. M., & Peterson, K. E. (2017) · The Journal of Immunology · doi:10.4049/jimmunol.1601949 · Cited by 112 · see citing works
Blažková, J., Gupta, S., Liu, Y., Gaudilliere, B. L., Ganio, E. A., Bolen, C. R., Dover, R. S., Fragiadakis, G. K., Angst, M. S., Hasni, S., et al. (2017) · The Journal of Immunology · doi:10.4049/jimmunol.1601855 · Cited by 112 · see citing works
Melatonin: the placental antioxidant and anti-inflammatory
Joseph, T. T., Schuch, V., Hossack, D. J., Chakraborty, R., & Johnson, E. L. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2024.1339304 · Cited by 112 · see citing works
Placental Protein 13 (PP13) – A Placental Immunoregulatory Galectin Protecting Pregnancy
Than, N. G., Balogh, A., Romero, R. J., Kárpáti, Ã., Erez, O., Szilágyi, A., Kovalszky, I., Sammar, M., Gizurarson, S. S., Matkó, J., et al. (2014) · Frontiers in Immunology · doi:10.3389/fimmu.2014.00348 · Cited by 111 · see citing works
Ding, J., Maxwell, A. J., Adzibolosu, N. K., Hu, A., You, Y., Liao, A., & Mor, G. (2022) · Immunological Reviews · doi:10.1111/imr.13077 · Cited by 110 · see citing works
Self-citationAbrams, E. T., & Miller, E. M. (2011) · American Journal of Physical Anthropology · doi:10.1002/ajpa.21621 · Cited by 110 · see citing works
Vitamin D in pregnancy: Where we are and where we should go
Kiely, M. E., Wagner, C. L., & Roth, D. E. (2020) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/j.jsbmb.2020.105669 · Cited by 107 · see citing works
Determinants of cortisol during pregnancy – The ABCD cohort
Bleker, L. S., Roseboom, T. J., Vrijkotte, T. G. M., Reynolds, R. M., & de Rooij, S. R. (2017) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2017.05.026 · Cited by 107 · see citing works
Estrogen signaling impacts temporomandibular joint and periodontal disease pathology
Robinson, J. L., Johnson, P. M., Kister, K., Yin, M. T., Chen, J., & Wadhwa, S. (2019) · Odontology · doi:10.1007/s10266-019-00439-1 · Cited by 106 · see citing works
Diagnostic biomarkers for active tuberculosis: progress and challenges
Nogueira, B. M. F., Krishnan, S., Barreto‐Duarte, B., Araújo‐Pereira, M., Queiroz, A. T. L., Ellner, J. J., Salgame, P. R., Scriba, T. J., Sterling, T. R., Gupta, A., et al. (2022) · EMBO Molecular Medicine · doi:10.15252/emmm.202114088 · Cited by 106 · see citing works
From Maternal Diet to Neurodevelopmental Disorders: A Story of Neuroinflammation
Bordeleau, M., de Cossío, L. F., Chakravarty, M. M., & Tremblay, M. (2021) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2020.612705 · Cited by 108 · see citing works
Covid-19 Kills More Men Than Women: An Overview of Possible Reasons
Capuano, A., Rossi, F., & Paolisso, G. (2020) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2020.00131 · Cited by 103 · see citing works
Pregnancy, Viral Infection, and COVID-19
Alberca, R. W., Pereira, N. Z., Oliveira, L. M. D. S., Gozzi-Silva, S. C., & Sato, M. N. (2020) · Frontiers in Immunology · doi:10.3389/fimmu.2020.01672 · Cited by 98 · see citing works
Ashraf, M. A., Keshavarz, P., Hosseinpour, P., Erfani, A., Roshanshad, A., Pourdast, A., Nowrouzi‐Sohrabi, P., Chaichian, S., & Poordast, T. (2020) · PubMed Central · Cited by 99 · see citing works
- Authors
- Mor, G., & Cardenas, I.
- Affiliations
- Yale University (US)
- Corresponding author
- Mor, Gil
- Venue
- American Journal of Reproductive Immunology
- Publisher
- Wiley
- Published
- 2010-05-10
- Volume
- 63
- Issue
- 6
- Pages
- 425-433
- ISSN
- 0271-7352 (ISSN-L)
- 1046-7408
- 1600-0897
- PMC
- PMC3025805
- OpenAlex
- W49611453
- Cited by
- 1,431
- References
- 55
- Citations by year
- 2026: 143 · 2025: 94 · 2024: 133 · 2023: 123 · 2022: 136 · 2021: 140 · 2020: 154 · 2019: 79 · 2018: 87 · 2017: 71 · 2016: 61 · 2015: 55 · 2014: 54 · 2013: 43 · 2012: 30
- FWCI
- 2.47
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Reproductive Immunology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (N01 HD023342, P01HD054713)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Health Sciences › Medicine › Obstetrics and Gynecology › COVID-19 Impact on Reproduction
- Health Sciences › Medicine › Epidemiology › Preterm Birth and Chorioamnionitis
- Keywords
- pregnancy immunology, placental immunity, reproductive immunology
- MeSH terms
- Female, Humans, Immune System, Placenta, Pregnancy, Pregnancy Complications, Infectious, Virus Diseases
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review