Medawar and the immunological paradox of pregnancy: in context
- PMID: 36845570
- PMCID: PMC9914476
- DOI: 10.1093/oxfimm/iqaa006
Medawar and the immunological paradox of pregnancy: in context
Abstract
In 1953, Peter Medawar defined 'the immunological paradox of pregnancy', whereby the semi-allogeneic foetus can survive for 9 months in its mother, while a semi-allogeneic graft would be rejected. Here, I revisit the immunological paradox of pregnancy, setting it in the context of the time in which it was proposed. I go on to examine the extent to which Medawar's ideas on the subject have stood the test of time and how they have shaped reproductive immunology.
© The Author(s) 2020. Published by Oxford University Press.
Similar articles
-
Medawar's Paradox and Immune Mechanisms of Fetomaternal Tolerance.OBM Transplant. 2020;4(1):26. doi: 10.21926/obm.transplant.2001104. Epub 2020 Mar 10. OBM Transplant. 2020. PMID: 32582882 Free PMC article.
-
The immunology of successful pregnancy.Hum Reprod Update. 2003 Jul-Aug;9(4):347-57. doi: 10.1093/humupd/dmg026. Hum Reprod Update. 2003. PMID: 12926528 Review.
-
Medawar and Hamilton on the selective forces in the evolution of ageing.Hist Philos Life Sci. 2021 Nov 25;43(4):124. doi: 10.1007/s40656-021-00476-6. Hist Philos Life Sci. 2021. PMID: 34822012 Free PMC article.
-
The immunological problem of pregnancy: 50 years with the hope of progress. A tribute to Peter Medawar.J Reprod Immunol. 2003 Oct;60(1):1-11. doi: 10.1016/s0165-0378(03)00083-4. J Reprod Immunol. 2003. PMID: 14568673
-
Medawar's legacy to cellular immunology and clinical transplantation: a commentary on Billingham, Brent and Medawar (1956) 'Quantitative studies on tissue transplantation immunity. III. Actively acquired tolerance'.Philos Trans R Soc Lond B Biol Sci. 2015 Apr 19;370(1666):20140382. doi: 10.1098/rstb.2014.0382. Philos Trans R Soc Lond B Biol Sci. 2015. PMID: 25750245 Free PMC article. Review.
Cited by
-
Clinical course and management of COVID-19 in the era of widespread population immunity.Nat Rev Microbiol. 2024 Feb;22(2):75-88. doi: 10.1038/s41579-023-01001-1. Epub 2023 Dec 19. Nat Rev Microbiol. 2024. PMID: 38114838 Review.
-
Alternative pathway activation in pregnancy, a measured amount "complements" a successful pregnancy, too much results in adverse events.Immunol Rev. 2023 Jan;313(1):298-319. doi: 10.1111/imr.13169. Epub 2022 Nov 15. Immunol Rev. 2023. PMID: 36377667 Free PMC article. Review.
-
Placenta: an old organ with new functions.Front Immunol. 2024 Apr 19;15:1385762. doi: 10.3389/fimmu.2024.1385762. eCollection 2024. Front Immunol. 2024. PMID: 38707901 Free PMC article. Review.
-
Local immune recognition of trophoblast in early human pregnancy: controversies and questions.Nat Rev Immunol. 2023 Apr;23(4):222-235. doi: 10.1038/s41577-022-00777-2. Epub 2022 Oct 3. Nat Rev Immunol. 2023. PMID: 36192648 Free PMC article. Review.
-
Synergies of Extracellular Vesicles and Microchimerism in Promoting Immunotolerance During Pregnancy.Front Immunol. 2022 Jul 1;13:837281. doi: 10.3389/fimmu.2022.837281. eCollection 2022. Front Immunol. 2022. PMID: 35844513 Free PMC article. Review.
References
-
- Medawar PB. The nobel lectures in immunology. The nobel prize for physiology or medicine, 1960. Immunological tolerance. Scand J Immunol 1991;33:337–44. - PubMed
-
- Editorial. Peter Medawar (obituary). New Scientist 1987;116:16.
-
- Medawar P. Advice to a Young Scientist. New York: Harper & Row, 1979.
-
- Medawar P. Memoir of a Thinking Radish. Oxford: Oxford University Press, 1986.
LinkOut - more resources
Full Text Sources