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Laboratory of Immunology and
Retinal Cell and Molecular Biology, National Eye Institute, National Institutes of Health, Bethesda, MD 20892
Female patients suffering from autoimmune uveitis are reported to
experience a temporary remission during pregnancy. Experimental
autoimmune uveitis (EAU) is a model for human uveitis. Here we examine
the effect of pregnancy on the development of EAU and its associated
immunological responses. Susceptible C57BL/6 mice were immunized with
interphotoreceptor retinoid-binding protein (IRBP). EAU scores and
Ag-specific responses were evaluated 21 days later. Mice immunized
during pregnancy developed significantly less EAU than nonpregnant
controls. Their lymph node cells and splenocytes produced a distinct
pattern of cytokines in response to IRBP: reduced IFN-
and IL-12
p40, but unchanged levels of TNF-
, IL-4, IL-5, and IL-10. Anti-IRBP
Ab isotypes revealed an up-regulation of IgG1, indicating a possible
Th2 bias at the humoral level. Ag-specific proliferation and delayed
hypersensitivity, as well as mitogen-induced IFN-
production,
remained undiminished, arguing against an overall immune deficit.
Interestingly, pregnant mice that received an infusion of IRBP-primed
lymphoid cells from nonpregnant donors also developed reduced EAU,
suggesting that pregnancy suppresses not only the generation, but also
the function of mature uveitogenic effector T cells. Pregnant mice at
the time of immunization exhibited elevated levels of TGF-ß, but not
of IL-10, in the serum. We suggest that protection from EAU during
pregnancy is due primarily to a selective reduction of Ag-specific Th1
responses with only marginal enhancement of Th2 function, and that
these effects may in part be secondary to elevated systemic levels of
TGF-ß.
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