Evidence map›Paper›PMID 32328065›Full record

ReviewFrontiers in immunology2020

Mechanisms of Fetal T Cell Tolerance and Immune Regulation.

Elze Rackaityte, Joanna Halkias

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

94 citing papers in PubMed, 1 synthesis or guideline pooled it, 168 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Oral and Craniofacial Development and Immunology.Advances in experimental medicine and biology · 2026
    Review
  14. Review
  15. Article
  16. Sex-related differences in survival based on [Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  17. Article
  18. Immune Cells in Preeclampsia.International journal of molecular sciences · 2025
    Review
  19. Article
  20. Recent advances in mucopolysaccharidosis IVA treatment.Orphanet journal of rare diseases · 2025
    Review

34 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Elze RackaityteBiomedical Sciences Graduate Program, University of California, San Francisco, San Francisco, CA, United States.
Joanna HalkiasDivision of Neonatology, Department of Pediatrics, University of California, San Francisco, San Francisco, CA, United States.
Broad Center · USUniversity of California, San Francisco · US

Funding

Intrauterine sex steroids and human fetal T cell developmentK08AI128007 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HALKIAS, JOANNA · 2017 to 2021
$1.1M
Determining the impact of in utero microbial colonization on immune tolerance developmentF31AI136336 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RACKAITYTE, ELZE · 2018 to 2020
$114k
NIAID NIH HHS F31 AI136336NIAID NIH HHS K08 AI128007
6 · The paper itself

Abstract

The developing human fetus generates both tolerogenic and protective immune responses in response to the unique requirements of gestation. Thus, a successful human pregnancy depends on a fine balance between two opposing immunological forces: the semi-allogeneic fetus learns to tolerate both self- and maternal- antigens and, in parallel, develops protective immunity in preparation for birth. This critical window of immune development bridges prenatal immune tolerance with the need for postnatal environmental protection, resulting in a vulnerable neonatal period with heightened risk of infection. The fetal immune system is highly specialized to mediate this transition and thus serves a different function from that of the adult. Adaptive immune memory is already evident in the fetal intestine. Fetal T cells with pro-inflammatory potential are born in a tolerogenic environment and are tightly controlled by both cell-intrinsic and -extrinsic mechanisms, suggesting that compartmentalization and specialization, rather than immaturity, define the fetal immune system. Dysregulation of fetal tolerance generates an inflammatory response with deleterious effects to the pregnancy. This review aims to discuss the recent advances in our understanding of the cellular and molecular composition of fetal adaptive immunity and the mechanisms that govern T cell development and function. We also discuss the tolerance promoting environment that impacts fetal immunity and the consequences of its breakdown. A greater understanding of fetal mechanisms of immune activation and regulation has the potential to uncover novel paradigms of immune balance which may be leveraged to develop therapies for transplantation, autoimmune disease, and birth-associated inflammatory pathologies.

Indexed as

Adaptive ImmunityFemaleFetusHumansImmune TolerancePregnancyT-Lymphocytesfetal immunityfetal inflammatory responseinflammationPLZFpreterm birthT cellsTreg cell

Identifiers

PMID32328065
PMCPMC7160249
OpenAlexW3015830199

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.