Methylome of Fetal and Maternal Monocytes and Macrophages at the Feto-Maternal Interface
Sun Young Kim
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Search for more papers by this authorCorresponding Author
Roberto Romero
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Correspondence
Jung-Sun Kim, Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong Gangnam-gu, Seoul 135-710, Korea. E-mail: [email protected]
Roberto Romero, Perinatology Research Branch, NICHD, NIH, DHHS, Hutzel Women's Hospital, 3990 John R St, Detroit, MI 48201, USA. E-mail: [email protected]
Search for more papers by this authorAdi L. Tarca
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Department of Computer Science, Wayne State University, Detroit, MI, USA
Search for more papers by this authorGaurav Bhatti
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Department of Computer Science, Wayne State University, Detroit, MI, USA
Search for more papers by this authorChong Jai Kim
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Department of Pathology, Wayne State University School of Medicine, Detroit, MI, USA
Search for more papers by this authorJoonHo Lee
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Search for more papers by this authorAmelia Elsey
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Search for more papers by this authorNandor Gabor Than
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, MI, USA
Search for more papers by this authorTinnakorn Chaiworapongsa
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, MI, USA
Search for more papers by this authorSonia S. Hassan
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, MI, USA
Search for more papers by this authorGyeong Hoon Kang
Department of Pathology, Seoul National University College of Medicine, Seoul, Korea
Search for more papers by this authorCorresponding Author
Jung-Sun Kim
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Correspondence
Jung-Sun Kim, Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong Gangnam-gu, Seoul 135-710, Korea. E-mail: [email protected]
Roberto Romero, Perinatology Research Branch, NICHD, NIH, DHHS, Hutzel Women's Hospital, 3990 John R St, Detroit, MI 48201, USA. E-mail: [email protected]
Search for more papers by this authorSun Young Kim
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Search for more papers by this authorCorresponding Author
Roberto Romero
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Correspondence
Jung-Sun Kim, Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong Gangnam-gu, Seoul 135-710, Korea. E-mail: [email protected]
Roberto Romero, Perinatology Research Branch, NICHD, NIH, DHHS, Hutzel Women's Hospital, 3990 John R St, Detroit, MI 48201, USA. E-mail: [email protected]
Search for more papers by this authorAdi L. Tarca
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Department of Computer Science, Wayne State University, Detroit, MI, USA
Search for more papers by this authorGaurav Bhatti
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Department of Computer Science, Wayne State University, Detroit, MI, USA
Search for more papers by this authorChong Jai Kim
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Department of Pathology, Wayne State University School of Medicine, Detroit, MI, USA
Search for more papers by this authorJoonHo Lee
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Search for more papers by this authorAmelia Elsey
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Search for more papers by this authorNandor Gabor Than
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, MI, USA
Search for more papers by this authorTinnakorn Chaiworapongsa
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, MI, USA
Search for more papers by this authorSonia S. Hassan
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, MI, USA
Search for more papers by this authorGyeong Hoon Kang
Department of Pathology, Seoul National University College of Medicine, Seoul, Korea
Search for more papers by this authorCorresponding Author
Jung-Sun Kim
Perinatology Research Branch, NICHD/NIH/DHHS, Detroit, MI, USA
Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Correspondence
Jung-Sun Kim, Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong Gangnam-gu, Seoul 135-710, Korea. E-mail: [email protected]
Roberto Romero, Perinatology Research Branch, NICHD, NIH, DHHS, Hutzel Women's Hospital, 3990 John R St, Detroit, MI 48201, USA. E-mail: [email protected]
Search for more papers by this authorAbstract
Problem
Decidual macrophages (dMφ) of the mother and placental macrophages (Hofbauer cells, HC) of the fetus are deployed at a critical location: the feto-maternal interface. This study was conducted to compare the DNA methylome of maternal and fetal monocytes, dMφ, and HC and thereby to determine the immunobiological importance of DNA methylation in pregnancy.
Method of Study
Paired samples were obtained from normal pregnant women at term not in labor and their neonates. Maternal monocytes (MMo) and fetal monocytes (FMo) were isolated from the peripheral blood of mothers and fetal cord blood, respectively. dMφ and HC were obtained from the decidua of fetal membranes and placentas, respectively. DNA methylation profiling was performed using the Illumina Infinium Human Methylation27 BeadChip. Quantitative real-time PCR and Western Blot were performed for validation experiments.
Results
(i) Significant differences in DNA methylation were found in each comparison (MMo versus FMo, 65 loci; dMφ versus HC, 266 loci; MMo versus dMφ, 199 loci; FMo versus HC, 1030 loci). (ii) Many of the immune response-related genes were hypermethylated in fetal cells (FMo and HC) compared to maternal cells (MMo and dMφ). (iii) Genes encoding markers of classical macrophage activation were hypermethylated, and genes encoding alternative macrophage activation were hypomethylated in dMφ and HC compared to MMo and FMo, respectively. (iv) mRNA expressions of DNMT1, DNMT3A, and DNMT3B were significantly lower in dMφ than in HC. (v) 5-azacytidine treatment increased expression of INCA1 in dMφ.
Conclusions
The findings herein indicate that DNA methylation patterns change during monocyte–macrophage differentiation at the feto-maternal interface. It is also suggested that DNA methylation is an important component of the biological machinery conferring an anti-inflammatory phenotype to macrophages at the feto-maternal interface.
References
- 1Satosar A, Ramirez NC, Bartholomew D, Davis J, Nuovo GJ: Histologic correlates of viral and bacterial infection of the placenta associated with severe morbidity and mortality in the newborn. Hum Pathol 2004; 35: 536–545.
- 2Gomez R, Romero R, Ghezzi F, Yoon BH, Mazor M, Berry SM: The fetal inflammatory response syndrome. Am J Obstet Gynecol 1998; 179: 194–202.
- 3Qiu X, Zhu L, Pollard JW: Colony-stimulating factor-1-dependent macrophage functions regulate the maternal decidua immune responses against Listeria monocytogenes infections during early gestation in mice. Infect Immun 2009; 77: 85–97.
- 4Langrehr JM, White DA, Hoffman RA, Simmons RL: Macrophages produce nitric oxide at allograft sites. Ann Surg 1993; 218: 159–166.
- 5Kitchens WH, Chase CM, Uehara S, Cornell LD, Colvin RB, Russell PS, Madsen JC: Macrophage depletion suppresses cardiac allograft vasculopathy in mice. Am J Transplant 2007; 7: 2675–2682.
- 6Medawar PB: Some immunological and endocrinological problems raised by the evolution of viviparity in vertebrates: revention of allogeneic fetal rejection by tryptophan catabolism. Symp Soc Exp Biol 1953; 7: 320–338.
- 7Blois SM, Ilarregui JM, Tometten M, Garcia M, Orsal AS, Cordo-Russo R, Toscano MA, Bianco GA, Kobelt P, Handjiski B, Tirado I, Markert UR, Klapp BF, Poirier F, Szekeres-Bartho J, Rabinovich GA, Arck PC: A pivotal role for galectin-1 in fetomaternal tolerance. Nat Med 2007; 13: 1450–1457.
- 8Guleria I, Sayegh MH: Maternal acceptance of the fetus: true human tolerance. J Immunol 2007; 178: 3345–3351.
- 9Ishitani A, Sageshima N, Lee N, Dorofeeva N, Hatake K, Marquardt H, Geraghty DE: Protein expression and peptide binding suggest unique and interacting functional roles for HLA-E, F, and G in maternal-placental immune recognition. J Immunol 2003; 171: 1376–1384.
- 10King A, Burrows TD, Hiby SE, Bowen JM, Joseph S, Verma S, Lim PB, Gardner L, Le Bouteiller P, Ziegler A, Uchanska-Ziegler B, Loke YW: Surface expression of HLA-C antigen by human extravillous trophoblast. Placenta 2000; 21: 376–387.
- 11Munn DH, Zhou M, Attwood JT, Bondarev I, Conway SJ, Marshall B, Brown C, Mellor AL: Prevention of allogeneic fetal rejection by tryptophan catabolism. Science 1998; 281: 1191–1193.
- 12Terness P, Kallikourdis M, Betz AG, Rabinovich GA, Saito S, Clark DA: Tolerance signaling molecules and pregnancy: IDO, galectins, and the renaissance of regulatory T cells. Am J Reprod Immunol 2007; 58: 238–254.
- 13Mold JE, Michaelsson J, Burt TD, Muench MO, Beckerman KP, Busch MP, Lee TH, Nixon DF, McCune JM: Maternal alloantigens promote the development of tolerogenic fetal regulatory T cells in utero. Science 2008; 322: 1562–1565.
- 14Fraccaroli L, Alfieri J, Larocca L, Calafat M, Mor G, Leiros CP, Ramhorst R: A potential tolerogenic immune mechanism in a trophoblast cell line through the activation of chemokine-induced T cell death and regulatory T cell modulation. Hum Reprod 2009; 24: 166–175.
- 15Ramhorst R, Fraccaroli L, Aldo P, Alvero AB, Cardenas I, Leiros CP, Mor G: Modulation and Recruitment of Inducible Regulatory T Cells by First Trimester Trophoblast Cells. Am J Reprod Immunol 2011; 67: 17–27.
- 16Bili H, Fleva A, Pados G, Argyriou T, Tsolakidis D, Pavlitou A, Tarlatzis BC: Regulatory Tau-cell differentiation between maternal and cord blood samples in pregnancies with spontaneous vaginal delivery and with elective cesarian section. Am J Reprod Immunol 2011; 65: 173–179.
- 17Ernerudh J, Berg G, Mjosberg J: Regulatory T helper cells in pregnancy and their roles in systemic versus local immune tolerance. Am J Reprod Immunol 2011; 66(Suppl 1): 31–43.
- 18Leber A, Teles A, Zenclussen AC: Regulatory T cells and their role in pregnancy. Am J Reprod Immunol 2010; 63: 445–459.
- 19Nevers T, Kalkunte S, Sharma S: Uterine Regulatory T cells, IL-10 and hypertension. Am J Reprod Immunol 2011; 66(Suppl 1): 88–92.
- 20Saito S, Nakashima A, Shima T, Ito M: Th1/Th2/Th17 and regulatory T-cell paradigm in pregnancy. Am J Reprod Immunol 2010; 63: 601–610.
- 21Zenclussen ML, Thuere C, Ahmad N, Wafula PO, Fest S, Teles A, Leber A, Casalis PA, Bechmann I, Priller J, Volk HD, Zenclussen AC: The persistence of paternal antigens in the maternal body is involved in regulatory T-cell expansion and fetal-maternal tolerance in murine pregnancy. Am J Reprod Immunol 2010; 63: 200–208.
- 22Huppertz B: The feto-maternal interface: setting the stage for potential immune interactions. Semin Immunopathol 2007; 29: 83–94.
- 23Damsky CH, Fitzgerald ML, Fisher SJ: Distribution patterns of extracellular matrix components and adhesion receptors are intricately modulated during first trimester cytotrophoblast differentiation along the invasive pathway, in vivo. J Clin Invest 1992; 89: 210–222.
- 24Douglas GW, Thomas L, Carr M, Cullen NM, Morris R: Trophoblast in the circulating blood during pregnancy. Am J Obstet Gynecol 1959; 78: 960–973.
- 25Johansen M, Redman CW, Wilkins T, Sargent IL: Trophoblast deportation in human pregnancy–its relevance for pre-eclampsia. Placenta 1999; 20: 531–539.
- 26Sargent IL, Germain SJ, Sacks GP, Kumar S, Redman CW: Trophoblast deportation and the maternal inflammatory response in pre-eclampsia. J Reprod Immunol 2003; 59: 153–160.
- 27Mor G, Straszewski-Chavez SL, Abrahams VM: Macrophage-trophoblast interactions. Methods Mol Med 2006; 122: 149–163.
- 28Abrahams VM, Kim YM, Straszewski SL, Romero R, Mor G: Macrophages and apoptotic cell clearance during pregnancy. Am J Reprod Immunol 2004; 51: 275–282.
- 29Yelavarthi KK, Fishback JL, Hunt JS: Analysis of HLA-G mRNA in human placental and extraplacental membrane cells by in situ hybridization. J Immunol 1991; 146: 2847–2854.
- 30Fest S, Aldo PB, Abrahams VM, Visintin I, Alvero A, Chen R, Chavez SL, Romero R, Mor G: Trophoblast-macrophage interactions: a regulatory network for the protection of pregnancy. Am J Reprod Immunol 2007; 57: 55–66.
- 31Petty HR, Kindzelskii AL, Espinoza J, Romero R: Trophoblast contact deactivates human neutrophils. J Immunol 2006; 176: 3205–3214.
- 32Mor G, Koga K: Macrophages and pregnancy. Reprod Sci 2008; 15: 435–436.
- 33Nagamatsu T, Schust DJ: The immunomodulatory roles of macrophages at the maternal-fetal interface. Reprod Sci 2010; 17: 209–218.
- 34Nagamatsu T, Schust DJ: The contribution of macrophages to normal and pathological pregnancies. Am J Reprod Immunol 2010; 63: 460–471.
- 35Svensson J, Jenmalm MC, Matussek A, Geffers R, Berg G, Ernerudh J: Macrophages at the fetal-maternal interface express markers of alternative activation and are induced by M-CSF and IL-10. J Immunol 2011; 187: 3671–3682.
- 36McIntire RH, Petroff MG, Phillips TA, Hunt JS: In vitro models for studying human uterine and placental macrophages. Methods Mol Med 2006; 122: 123–148.
- 37Hamilton S, Oomomian Y, Stephen G, Shynlova O, Tower CL, Garrod A, Lye SJ, Jones RL: Macrophages infiltrate the human and rat decidua during term and preterm labor: evidence that decidual inflammation precedes labor. Biol Reprod 2012; 86: 39.
- 38Repnik U, Tilburgs T, Roelen DL, van der Mast BJ, Kanhai HH, Scherjon S, Claas FH: Comparison of macrophage phenotype between decidua basalis and decidua parietalis by flow cytometry. Placenta 2008; 29: 405–412.
- 39McIntire RH, Hunt JS: Antigen presenting cells and HLA-G–a review. Placenta 2005; 26(Suppl A): S104–S109.
- 40Kim YM, Romero R, Oh SY, Kim CJ, Kilburn BA, Armant DR, Nien JK, Gomez R, Mazor M, Saito S, Abrahams VM, Mor G: Toll-like receptor 4: a potential link between “danger signals,” the innate immune system, and preeclampsia? Am J Obstet Gynecol 2005; 193: 921–927.
- 41Romero R, Chaiworapongsa T, Alpay Savasan Z, Xu Y, Hussein Y, Dong Z, Kusanovic JP, Kim CJ, Hassan SS: Damage-associated molecular patterns (DAMPs) in preterm labor with intact membranes and preterm PROM: a study of the alarmin HMGB1. J Matern Fetal Neonatal Med 2011; 24: 1444–1455.
- 42McIntire RH, Ganacias KG, Hunt JS: Programming of human monocytes by the uteroplacental environment. Reprod Sci 2008; 15: 437–447.
- 43Elfline M, Clark A, Petty HR, Romero R: Bi-directional calcium signaling between adjacent leukocytes and trophoblast-like cells. Am J Reprod Immunol 2010; 64: 339–346.
- 44Petroff MG, Sedlmayr P, Azzola D, Hunt JS: Decidual macrophages are potentially susceptible to inhibition by class Ia and class Ib HLA molecules. J Reprod Immunol 2002; 56: 3–17.
- 45Toti P, Arcuri F, Tang Z, Schatz F, Zambrano E, Mor G, Niven-Fairchild T, Abrahams VM, Krikun G, Lockwood CJ, Guller S: Focal increases of fetal macrophages in placentas from pregnancies with histological chorioamnionitis: potential role of fibroblast monocyte chemotactic protein-1. Am J Reprod Immunol 2011; 65: 470–479.
- 46Bulmer JN, Morrison L, Smith JC: Expression of class II MHC gene products by macrophages in human uteroplacental tissue. Immunology 1988; 63: 707–714.
- 47Lidstrom C, Matthiesen L, Berg G, Sharma S, Ernerudh J, Ekerfelt C: Cytokine secretion patterns of NK cells and macrophages in early human pregnancy decidua and blood: implications for suppressor macrophages in decidua. Am J Reprod Immunol 2003; 50: 444–452.
- 48Rozner AE, Dambaeva SV, Drenzek JG, Durning M, Golos TG: Modulation of cytokine and chemokine secretions in rhesus monkey trophoblast co-culture with decidual but not peripheral blood monocyte-derived macrophages. Am J Reprod Immunol 2011; 66: 115–127.
- 49Atay S, Gercel-Taylor C, Suttles J, Mor G, Taylor DD: Trophoblast-derived exosomes mediate monocyte recruitment and differentiation. Am J Reprod Immunol 2011; 65: 65–77.
- 50Wynn RM: Derivation and ultrastructure of the so-called Hofbauer cell. Am J Obstet Gynecol 1967; 97: 235–248.
- 51Seval Y, Korgun ET, Demir R: Hofbauer cells in early human placenta: possible implications in vasculogenesis and angiogenesis. Placenta 2007; 28: 841–845.
- 52Schonkeren D, van der Hoorn ML, Khedoe P, Swings G, van Beelen E, Claas F, van Kooten C, de Heer E, Scherjon S: Differential distribution and phenotype of decidual macrophages in preeclamptic versus control pregnancies. Am J Pathol 2011; 178: 709–717.
- 53Renaud SJ, Graham CH: The role of macrophages in utero-placental interactions during normal and pathological pregnancy. Immunol Invest 2008; 37: 535–564.
- 54Sacks GP, Studena K, Sargent K, Redman CW: Normal pregnancy and preeclampsia both produce inflammatory changes in peripheral blood leukocytes akin to those of sepsis. Am J Obstet Gynecol 1998; 179: 80–86.
- 55Kim JS, Romero R, Cushenberry E, Kim YM, Erez O, Nien JK, Yoon BH, Espinoza J, Kim CJ: Distribution of CD14+ and CD68+ macrophages in the placental bed and basal plate of women with preeclampsia and preterm labor. Placenta 2007; 28: 571–576.
- 56Gervasi MT, Chaiworapongsa T, Pacora P, Naccasha N, Yoon BH, Maymon E, Romero R: Phenotypic and metabolic characteristics of monocytes and granulocytes in preeclampsia. Am J Obstet Gynecol 2001; 185: 792–797.
- 57Gervasi MT, Chaiworapongsa T, Naccasha N, Blackwell S, Yoon BH, Maymon E, Romero R: Phenotypic and metabolic characteristics of maternal monocytes and granulocytes in preterm labor with intact membranes. Am J Obstet Gynecol 2001; 185: 1124–1129.
- 58Gervasi MT, Chaiworapongsa T, Naccasha N, Pacora P, Berman S, Maymon E, Kim JC, Kim YM, Yoshimatsu J, Espinoza J, Romero R: Maternal intravascular inflammation in preterm premature rupture of membranes. J Matern Fetal Neonatal Med 2002; 11: 171–175.
- 59Kim SK, Romero R, Chaiworapongsa T, Kusanovic JP, Mazaki-Tovi S, Mittal P, Erez O, Vaisbuch E, Gotsch F, Pacora P, Yeo L, Gervasi MT, Lamont RF, Yoon BH, Hassan SS: Evidence of changes in the immunophenotype and metabolic characteristics (intracellular reactive oxygen radicals) of fetal, but not maternal, monocytes and granulocytes in the fetal inflammatory response syndrome. J Perinat Med 2009; 37: 543–552.
- 60Gotsch F, Romero R, Kusanovic JP, Mazaki-Tovi S, Pineles BL, Erez O, Espinoza J, Hassan SS: The fetal inflammatory response syndrome. Clin Obstet Gynecol 2007; 50: 652–683.
- 61Madsen-Bouterse SA, Romero R, Tarca AL, Kusanovic JP, Espinoza J, Kim CJ, Kim JS, Edwin SS, Gomez R, Draghici S: The transcriptome of the fetal inflammatory response syndrome. Am J Reprod Immunol 2010; 63: 73–92.
- 62Naccasha N, Gervasi MT, Chaiworapongsa T, Berman S, Yoon BH, Maymon E, Romero R: Phenotypic and metabolic characteristics of monocytes and granulocytes in normal pregnancy and maternal infection. Am J Obstet Gynecol 2001; 185: 1118–1123.
- 63Tang Z, Abrahams VM, Mor G, Guller S: Placental Hofbauer cells and complications of pregnancy. Ann N Y Acad Sci 2011; 1221: 103–108.
- 64Kim JS, Romero R, Kim MR, Kim YM, Friel L, Espinoza J, Kim CJ: Involvement of Hofbauer cells and maternal T cells in villitis of unknown aetiology. Histopathology 2008; 52: 457–464.
- 65Kim MJ, Romero R, Kim CJ, Tarca AL, Chhauy S, LaJeunesse C, Lee DC, Draghici S, Gotsch F, Kusanovic JP, Hassan SS, Kim JS: Villitis of unknown etiology is associated with a distinct pattern of chemokine up-regulation in the feto-maternal and placental compartments: implications for conjoint maternal allograft rejection and maternal anti-fetal graft-versus-host disease. J Immunol 2009; 182: 3919–3927.
- 66Li F, Martienssen R, Cande WZ: Coordination of DNA replication and histone modification by the Rik1-Dos2 complex. Nature 2011; 475: 244–248.
- 67Kim VN, Nam JW: Genomics of microRNA. Trends Genet 2006; 22: 165–173.
- 68Janson PC, Winqvist O: Epigenetics–the key to understand immune responses in health and disease. Am J Reprod Immunol 2011; 66(Suppl 1): 72–74.
- 69Maccani MA, Marsit CJ: Epigenetics in the placenta. Am J Reprod Immunol 2009; 62: 78–89.
- 70Hsieh CL: Dependence of transcriptional repression on CpG methylation density. Mol Cell Biol 1994; 14: 5487–5494.
- 71Herman JG, Baylin SB: Gene silencing in cancer in association with promoter hypermethylation. N Engl J Med 2003; 349: 2042–2054.
- 72Chen T, Hevi S, Gay F, Tsujimoto N, He T, Zhang B, Ueda Y, Li E: Complete inactivation of DNMT1 leads to mitotic catastrophe in human cancer cells. Nat Genet 2007; 39: 391–396.
- 73Okano M, Bell DW, Haber DA, Li E: DNA methyltransferases Dnmt3a and Dnmt3b are essential for de novo methylation and mammalian development. Cell 1999; 99: 247–257.
- 74Laurent L, Wong E, Li G, Huynh T, Tsirigos A, Ong CT, Low HM, Kin Sung KW, Rigoutsos I, Loring J, Wei CL: Dynamic changes in the human methylome during differentiation. Genome Res 2010; 20: 320–331.
- 75Wiench M, John S, Baek S, Johnson TA, Sung MH, Escobar T, Simmons CA, Pearce KH, Biddie SC, Sabo PJ, Thurman RE, Stamatoyannopoulos JA, Hager GL: DNA methylation status predicts cell type-specific enhancer activity. EMBO J 2011; 30: 3028–3039.
- 76Choufani S, Shapiro JS, Susiarjo M, Butcher DT, Grafodatskaya D, Lou Y, Ferreira JC, Pinto D, Scherer SW, Shaffer LG, Coullin P, Caniggia I, Beyene J, Slim R, Bartolomei MS, Weksberg R: A novel approach identifies new differentially methylated regions (DMRs) associated with imprinted genes. Genome Res 2011; 21: 465–476.
- 77Yuen RK, Penaherrera MS, von Dadelszen P, McFadden DE, Robinson WP: DNA methylation profiling of human placentas reveals promoter hypomethylation of multiple genes in early-onset preeclampsia. Eur J Hum Genet 2010; 18: 1006–1012.
- 78Koukoura O, Sifakis S, Zaravinos A, Apostolidou S, Jones A, Hajiioannou J, Widschwendter M, Spandidos DA: Hypomethylation along with increased H19 expression in placentas from pregnancies complicated with fetal growth restriction. Placenta 2011; 32: 51–57.
- 79Grigoriu A, Ferreira JC, Choufani S, Baczyk D, Kingdom J, Weksberg R: Cell specific patterns of methylation in the human placenta. Epigenetics 2011; 6: 368–379.
- 80Bocker MT, Hellwig I, Breiling A, Eckstein V, Ho AD, Lyko F: Genome-wide promoter DNA methylation dynamics of human hematopoietic progenitor cells during differentiation and aging. Blood 2011; 117: e182–e189.
- 81Ji H, Ehrlich LI, Seita J, Murakami P, Doi A, Lindau P, Lee H, Aryee MJ, Irizarry RA, Kim K, Rossi DJ, Inlay MA, Serwold T, Karsunky H, Ho L, Daley GQ, Weissman IL, Feinberg AP: Comprehensive methylome map of lineage commitment from haematopoietic progenitors. Nature 2010; 467: 338–342.
- 82Stout RD, Suttles J: Functional plasticity of macrophages: reversible adaptation to changing microenvironments. J Leukoc Biol 2004; 76: 509–513.
- 83Wetzka B, Clark DE, Charnock-Jones DS, Zahradnik HP, Smith SK: Isolation of macrophages (Hofbauer cells) from human term placenta and their prostaglandin E2 and thromboxane production. Hum Reprod 1997; 12: 847–852.
- 84Bolstad BM, Irizarry RA, Astrand M, Speed TP: A comparison of normalization methods for high density oligonucleotide array data based on variance and bias. Bioinformatics 2003; 19: 185–193.
- 85Smyth GK, Yang YH, Speed T: Statistical issues in cDNA microarray data analysis. Methods Mol Biol 2003; 224: 111–136.
- 86Benjamini Y, Hochberg Y: Controlling the false discovery rate: a practical and powerful approach to multiple testing. J R Stat Soc B 1995; 57: 289–300.
- 87Draghici S, Khatri P, Martins RP, Ostermeier GC, Krawetz SA: Global functional profiling of gene expression. Genomics 2003; 81: 98–104.
- 88Falcon S, Gentleman R: Using GOstats to test gene lists for GO term association. Bioinformatics 2007; 23: 257–258.
- 89Murray AW, Solomon MJ, Kirschner MW: The role of cyclin synthesis and degradation in the control of maturation promoting factor activity. Nature 1989; 339: 280–286.
- 90Diederichs S, Baumer N, Ji P, Metzelder SK, Idos GE, Cauvet T, Wang W, Moller M, Pierschalski S, Gromoll J, Schrader MG, Koeffler HP, Berdel WE, Serve H, Muller-Tidow C: Identification of interaction partners and substrates of the cyclin A1-CDK2 complex. J Biol Chem 2004; 279: 33727–33741.
- 91Mor G, Abrahams VM: Potential role of macrophages as immunoregulators of pregnancy. Reprod Biol Endocrinol 2003; 1: 119.
- 92Southcombe J, Tannetta D, Redman C, Sargent I: The immunomodulatory role of syncytiotrophoblast microvesicles. PLoS ONE 2011; 6: e20245.
- 93Jiang H, Van De Ven C, Satwani P, Baxi LV, Cairo MS: Differential gene expression patterns by oligonucleotide microarray of basal versus lipopolysaccharide-activated monocytes from cord blood versus adult peripheral blood. J Immunol 2004; 172: 5870–5879.
- 94Levy O, Zarember KA, Roy RM, Cywes C, Godowski PJ, Wessels MR: Selective impairment of TLR-mediated innate immunity in human newborns: neonatal blood plasma reduces monocyte TNF-alpha induction by bacterial lipopeptides, lipopolysaccharide, and imiquimod, but preserves the response to R-848. J Immunol 2004; 173: 4627–4634.
- 95Maegawa S, Hinkal G, Kim HS, Shen L, Zhang L, Zhang J, Zhang N, Liang S, Donehower LA, Issa JP: Widespread and tissue specific age-related DNA methylation changes in mice. Genome Res 2010; 20: 332–340.
- 96Gustafsson C, Mjosberg J, Matussek A, Geffers R, Matthiesen L, Berg G, Sharma S, Buer J, Ernerudh J: Gene expression profiling of human decidual macrophages: evidence for immunosuppressive phenotype. PLoS One 2008; 3: e2078.
- 97Ishii M, Wen H, Corsa CA, Liu T, Coelho AL, Allen RM, Carson WF, Cavassani KA, Li X, Lukacs NW, Hogaboam CM, Dou Y, Kunkel SL: Epigenetic regulation of the alternatively activated macrophage phenotype. Blood 2009; 114: 3244–3254.
- 98Joerink M, Rindsjo E, van Riel B, Alm J, Papadogiannakis N: Placental macrophage (Hofbauer cell) polarization is independent of maternal allergen-sensitization and presence of chorioamnionitis. Placenta 2011; 32: 380–385.
- 99Bockle BC, Solder E, Kind S, Romani N, Sepp NT: DC-sign+ CD163+ macrophages expressing hyaluronan receptor LYVE-1 are located within chorion villi of the placenta. Placenta 2008; 29: 187–192.
- 100Liu H, Shi B, Huang CC, Eksarko P, Pope RM: Transcriptional diversity during monocyte to macrophage differentiation. Immunol Lett 2008; 117: 70–80.
- 101Martinez FO, Gordon S, Locati M, Mantovani A: Transcriptional profiling of the human monocyte-to-macrophage differentiation and polarization: new molecules and patterns of gene expression. J Immunol 2006; 177: 7303–7311.
- 102Takahashi K, Naito M, Katabuchi H, Higashi K: Development, differentiation, and maturation of macrophages in the chorionic villi of mouse placenta with special reference to the origin of Hofbauer cells. J Leukoc Biol 1991; 50: 57–68.
- 103Kim SS, Romero R, Kim JS, Abbas A, Espinoza J, Kusanovic JP, Hassan S, Yoon BH, Kim CJ: Coexpression of myofibroblast and macrophage markers: novel evidence for an in vivo plasticity of chorioamniotic mesodermal cells of the human placenta. Lab Invest 2008; 88: 365–374.
- 104Castellucci M, Celona A, Bartels H, Steininger B, Benedetto V, Kaufmann P: Mitosis of the Hofbauer cell: possible implications for a fetal macrophage. Placenta 1987; 8: 65–76.
- 105Hodge DR, Xiao W, Clausen PA, Heidecker G, Szyf M, Farrar WL: Interleukin-6 regulation of the human DNA methyltransferase (HDNMT) gene in human erythroleukemia cells. J Biol Chem 2001; 276: 39508–39511.
- 106Xie S, Wang Z, Okano M, Nogami M, Li Y, He WW, Okumura K, Li E: Cloning, expression and chromosome locations of the human DNMT3 gene family. Gene 1999; 236: 87–95.
- 107Rajendran G, Shanmuganandam K, Bendre A, Mujumdar D, Goel A, Shiras A: Epigenetic regulation of DNA methyltransferases: DNMT1 and DNMT3B in gliomas. J Neurooncol 2011; 104: 483–494.
- 108Romero R, Espinoza J, Chaiworapongsa T, Kalache K: Infection and prematurity and the role of preventive strategies. Semin Neonatol 2002; 7: 259–274.
- 109Romero R, Gotsch F, Pineles B, Kusanovic JP: Inflammation in pregnancy: its roles in reproductive physiology, obstetrical complications, and fetal injury. Nutr Rev 2007; 65: S194–S202.
- 110Goldenberg RL, Culhane JF, Iams JD, Romero R: Epidemiology and causes of preterm birth. Lancet 2008; 371: 75–84.
- 111McElrath TF, Hecht JL, Dammann O, Boggess K, Onderdonk A, Markenson G, Harper M, Delpapa E, Allred EN, Leviton A: Pregnancy disorders that lead to delivery before the 28th week of gestation: an epidemiologic approach to classification. Am J Epidemiol 2008; 168: 980–989.
- 112Berry SM, Romero R, Gomez R, Puder KS, Ghezzi F, Cotton DB, Bianchi DW: Premature parturition is characterized by in utero activation of the fetal immune system. Am J Obstet Gynecol 1995; 173: 1315–1320.
- 113Chaiworapongsa T, Romero R, Berry SM, Hassan SS, Yoon BH, Edwin S, Mazor M: The role of granulocyte colony-stimulating factor in the neutrophilia observed in the fetal inflammatory response syndrome. J Perinat Med 2011; 39: 653–666.
- 114Jarvis JN, Deng L, Berry SM, Romero R, Moore H: Fetal cytokine expression in utero detected by reverse transcriptase polymerase chain reaction. Pediatr Res 1995; 37: 450–454.
- 115Pacora P, Chaiworapongsa T, Maymon E, Kim YM, Gomez R, Yoon BH, Ghezzi F, Berry SM, Qureshi F, Jacques SM, Kim JC, Kadar N, Romero R: Funisitis and chorionic vasculitis: the histological counterpart of the fetal inflammatory response syndrome. J Matern Fetal Neonatal Med 2002; 11: 18–25.
- 116Romero R, Espinoza J, Goncalves LF, Gomez R, Medina L, Silva M, Chaiworapongsa T, Yoon BH, Ghezzi F, Lee W, Treadwell M, Berry SM, Maymon E, Mazor M, DeVore G: Fetal cardiac dysfunction in preterm premature rupture of membranes. J Matern Fetal Neonatal Med 2004; 16: 146–157.
- 117Romero R, Gomez R, Ghezzi F, Yoon BH, Mazor M, Edwin SS, Berry SM: A fetal systemic inflammatory response is followed by the spontaneous onset of preterm parturition. Am J Obstet Gynecol 1998; 179: 186–193.
- 118Romero R, Maymon E, Pacora P, Gomez R, Mazor M, Yoon BH, Berry SM: Further observations on the fetal inflammatory response syndrome: a potential homeostatic role for the soluble receptors of tumor necrosis factor alpha. Am J Obstet Gynecol 2000; 183: 1070–1077.
- 119Romero R, Savasan ZA, Chaiworapongsa T, Berry SM, Kusanovic JP, Hassan SS, Yoon BH, Edwin S, Mazor M: Hematologic profile of the fetus with systemic inflammatory response syndrome. J Perinat Med 2011; doi: 10.1515/JPM.2011.100 [Epub ahead of print].
10.1515/JPM.2011.100 Google Scholar
- 120Romero R, Soto E, Berry SM, Hassan SS, Kusanovic JP, Yoon BH, Edwin S, Mazor M, Chaiworapongsa T: Blood pH and gases in fetuses in preterm labor with and without systemic inflammatory response syndrome. J Matern Fetal Neonatal Med 2011; doi: 10.3109/14767058.2011.629247 [Epub ahead of print].
- 121Esplin MS, Romero R, Chaiworapongsa T, Kim YM, Edwin S, Gomez R, Mazor M, Adashi EY: Monocyte chemotactic protein-1 is increased in the amniotic fluid of women who deliver preterm in the presence or absence of intra-amniotic infection. J Matern Fetal Neonatal Med 2005; 17: 365–373.
- 122Chaiworapongsa T, Romero R, Espinoza J, Kim YM, Edwin S, Bujold E, Gomez R, Kuivaniemi H: Macrophage migration inhibitory factor in patients with preterm parturition and microbial invasion of the amniotic cavity. J Matern Fetal Neonatal Med 2005; 18: 405–416.
- 123Romero R, Chaiworapongsa T, Espinoza J, Gomez R, Yoon BH, Edwin S, Mazor M, Maymon E, Berry S: Fetal plasma MMP-9 concentrations are elevated in preterm premature rupture of the membranes. Am J Obstet Gynecol 2002; 187: 1125–1130.
- 124Vinnars MT, Rindsjo E, Ghazi S, Sundberg A, Papadogiannakis N: The number of CD68(+) (Hofbauer) cells is decreased in placentas with chorioamnionitis and with advancing gestational age. Pediatr Dev Pathol 2010; 13: 300–304.
- 125Houser BL, Tilburgs T, Hill J, Nicotra ML, Strominger JL: Two unique human decidual macrophage populations. J Immunol 2011; 186: 2633–2642.
- 126Tarca AL, Carey VJ, Chen XW, Romero R, Draghici S: Machine learning and its applications to biology. PLoS Comput Biol 2007; 3: e116.