# Functional immune tolerance to non-inherited maternal antigen

> **NIH NIH R01** · CINCINNATI CHILDRENS HOSP MED CTR · 2021 · $390,000

## Abstract

Abstract The intermingling and bi-directional transfer of maternal and fetal cells during gestation creates a
fascinating and highly relevant physiological model of immunological tolerance. Although this interaction has
primarily been addressed from the perspective of maternal tolerance to foreign paternal antigens expressed by
the developing fetus, the fetus is also reciprocally exposed to an equally vast array of genetically foreign non-
inherited maternal antigens (NIMA). Thus, potent regulatory pathways are likely in place beginning at the
earliest stages of development in individuals to maintain immunological tolerance to genetically foreign NIMA.
Our analysis of T cells with specificity to model antigens transformed into surrogate NIMA show compulsory
developmental exposure to genetically foreign maternal antigen primes expanded accumulation of immune
suppressive regulatory CD4+ T cells (Tregs) with NIMA-specificity. Selectively enriched NIMA-specific Treg
accumulation in female offspring is associated with reinforced fetal tolerance during next-generation
pregnancies sired by males expressing allo-antigens with overlapping NIMA specificity. Importantly, protection
against fetal wastage and expanded NIMA-specific Treg accumulation requires persistent cognate antigen
stimulation by maternal cells that establish microchimerism in offspring. Thus, genetically foreign maternal cells
vertically transferred and retained in offspring maintain expanded peripheral tolerance to NIMA. Based on
these exciting proof-of-concept data establishing the pivotal importance of microchimeric maternal cells in
NIMA-specific tolerance and cross-generational reproductive fitness, we are exceptionally well poised to
investigate how microchimeric cells naturally transferred between mother and child confer antigen-specific
immunological tolerance. Aim 1 will use newly validated cell enrichment techniques combined with multi-
parameter flow cytometry to establish the identity and molecular properties of microchimeric maternal cells
responsible for NIMA-specific tolerance. Complementary studies will investigate the necessity for
microchimeric cell-intrinsic expression of molecules required for T cell antigen presentation and/or co-
stimulation/co-inhibition in maintaining NIMA-specific tolerance. To address the durability of NIMA-specific
tolerance and extend the relevance for these loss of function studies for microchimeric maternal cells, Aim 2
will investigate physiological contexts where functional immune tolerance to NIMA might be naturally “erased”.
In particular, we will determine how NIMA-specific tolerance can be displaced in female offspring by fetal
microchimeric cells seeded during next-generation pregnancies. Lastly, Aim 3 will evaluate whether expanded
tolerance is restricted to genetically foreign antigens expressed by microchimeric cells, or more broadly
extends to tissue restricted self-antigens responsible for causing autoimmunity by investigating shi...

## Key facts

- **NIH application ID:** 10085191
- **Project number:** 5R01AI124657-05
- **Recipient organization:** CINCINNATI CHILDRENS HOSP MED CTR
- **Principal Investigator:** Sing Sing Way
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $390,000
- **Award type:** 5
- **Project period:** 2017-02-09 → 2023-01-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10085191

## Citation

> US National Institutes of Health, RePORTER application 10085191, Functional immune tolerance to non-inherited maternal antigen (5R01AI124657-05). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10085191. Licensed CC0.

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