Tolerance of the fetal allograft enables the human conceptus to implan
t itself into the maternal uterus and survive and grow there. This tol
erance phenomenon remains largely obscure, notably because it appears
to be controlled by multiple mechanisms. CD95 ligand (CD95-L), which c
an trigger death of CD95-positive cells by apoptosis, may participate
in inducing anti-fetus-sensitized CD95-positive T lymphocytes to enter
apoptosis. Using immunohistochemistry (first trimester and term place
ntae), FAGS assays (term placenta) and RT-PCR assays (term placenta),
the presence of CD95-L protein and mRNA has been shown in crude placen
tal tissue preparations and isolated placental cells. Among the latter
, CD95-L expression was detected in trophoblastic cells, fetal blood c
ells (mRNA only) and also the Hofbauer macrophages. No CD95-L was dete
cted in fibroblasts or fetal endothelial cells. Thus trophoblastic cel
ls, Hofbauer macrophages, and perhaps also fetal blood cells could for
m a sequential barrier blocking maternal activated defence cells beari
ng CD95 molecules. (C) 1998 W. B. Saunders Company Ltd.