Perspective Chapter: Role of Cytotrophoblast Cells and Placenta-Derived Exosomes in Regulatory B Cell Differentiation and Function during Pregnancy

Abstract

Pregnancy is a particular physiologic stage during which immune regulation is essential. A successful placentation and subsequent fetal development depend on the delicate balance between moderate pro-inflammatory response and immune tolerance. Findings have pointed out a crucial role for regulatory B cells (Bregs) in establishing an immunomodulatory (IM) environment relevant to pregnancy. In a steady state, Bregs represent 10% of B cells in peripheral blood, a proportion that increases during pregnancy, with the highest rate being observed in post-partum. In the context of pregnancy, Bregs seem to be well positioned to perform the mechanisms that accommodate the growing semi-allogenic fetus and also allow the adequate immune response to pathogen. This chapter discusses the mechanism of action of Bregs during human pregnancy. Also, we will evoke interactions between maternal immune cells and fetal annexes that result in hijacking the naïve B cells to educate and to differentiate them into Bregs.