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Review
. 2021 Oct 14;22(20):11094.
doi: 10.3390/ijms222011094.

Interleukin-15 in Outcomes of Pregnancy

Affiliations
Review

Interleukin-15 in Outcomes of Pregnancy

Scott M Gordon. Int J Mol Sci. .

Abstract

Interleukin-15 (IL-15) is a pleiotropic cytokine that classically acts to support the development, maintenance, and function of killer lymphocytes. IL-15 is abundant in the uterus prior to and during pregnancy, but it is subject to tight spatial and temporal regulation. Both mouse models and human studies suggest that homeostasis of IL-15 is essential for healthy pregnancy. Dysregulation of IL-15 is associated with adverse outcomes of pregnancy. Herein, we review producers of IL-15 and responders to IL-15, including non-traditional responders in the maternal uterus and fetal placenta. We also review regulation of IL-15 at the maternal-fetal interface and propose mechanisms of action of IL-15 to facilitate additional study of this critical cytokine in the context of pregnancy.

Keywords: CD122; Interleukin-15; inflammation; macrophages; natural killer cells; placenta; pregnancy; trophoblast.

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Conflict of interest statement

The author declares no conflict of interest.

Figures

Figure 1
Figure 1
Components of IL-15 receptors and signaling cascades in IL-15-responsive cell types at the maternal–fetal interface. NK cells express CD122 and the common gamma chain (γc) and activate JAK-STAT, Akt, and MAP kinases in response to IL-15 presented in the context of IL-15Rα. IL-15 drives numerous functions in killer lymphocytes, including classical and uterine NK cells. Emerging IL-15-responsive cell types, such as CD122+ macrophages (CD122+ Mac) and CD122+ extravillous trophoblasts (EVT), may express alternative forms of the IL-15 receptor and activate non-classical signaling cascades downstream of IL-15. Created with Biorender.com, accessed 3 October 2021.
Figure 2
Figure 2
Spatial and temporal regulation of IL-15 during the menstrual cycle and during gestation has multiple effects during pregnancy. IL-15 is produced and presented by decidual stromal cells (DSCs) and macrophages (Macs) in the uterus. IL15 is induced during the late secretory phase, when progesterone is dominant. Transcription of IL15 is induced by the progesterone receptor (PGR) and GATA2. HAND2 binds the IL15 promoter directly and induces IL15 in DSCs but represses it in endometrial stromal fibroblasts, precursors to DSCs. Drawing on murine data, IL-15Rα peaks post-implantation, at the time of uterine spiral artery remodeling. The presumed abundance of IL-15/IL-15Rα complexes during that time expands murine DBA+ uterine NK cells and drives differentiation of KIR+CD39+ NK cells in human decidua. In the placenta, trophoblasts can produce IL-15 early in gestation at low levels but produce IL-15 maximally late in gestation during spontaneous labor. Created with Biorender.com, accessed 3 October 2021.

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