What is the predominant antigen presenting cell found in the decidua during pregnancy?

Study for the Maternal-Fetal Medicine (MFM) Qualifying Exam. Explore comprehensive flashcards and detailed multiple-choice questions, each with hints and explanations to prepare effectively. Achieve success with confidence!

The predominant antigen presenting cell found in the decidua during pregnancy is macrophages. These cells play a crucial role in maintaining immune tolerance at the maternal-fetal interface. Their ability to phagocytize pathogens and present antigens helps to modulate the local immune response, allowing for a balanced interaction between maternal and fetal tissues.

Macrophages in the decidua are specifically adapted to recognize and respond to the unique environment of pregnancy, which includes promoting tolerance towards the fetal tissue, which may express paternal antigens. Their presence is essential for proper placentation and to facilitate a healthy pregnancy outcome, as they also secrete a variety of cytokines and growth factors that promote tissue remodeling and angiogenesis.

In contrast, while dendritic cells are also important antigen presenting cells, they are not as predominant as macrophages in the decidua during pregnancy. Treg cells, though they play a significant role in maintaining immune tolerance, are not antigen presenting cells in the same sense as macrophages or dendritic cells. Natural killer cells, while present in the decidua and involved in placental development and immune modulation, do not have the primary role of antigen presentation. Thus, macrophages are recognized as the predominant antigen presenting cell in this context.

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