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Abstract Interest in the fete-maternal immunological axis has always interested immunologists as it defied all rules of transplantation; the fetus being considered a semiallogeneic graft. Thus, understanding the phenomenon of pregnancy immune silence will help the clinicians to improve morbidity and mortality rates of immune-mediated fetal and maternal disease of gestation (Feinberg and Goink, 1991). The observation that T cell mediated many of their effects via secretion of cytokines had led to the hypothesis that a proper maternal immune response can influence growth and survival of the fete-placental unit by local cytokine production. Thus, the concept has emerged that there are beneficial cytokines which can enhance fetal growth and survival and deleterious cytokines which can compromise pregnancy causing the death of the fete-placental unit (Chaouet et al., 1990). Since THl cytokines [ interleukin-2 ( IL-2) , interferon-gamma (IFN-gamma) and tumor necrosis factor (TNF)] are generally harmful to the maintenance of pregnancy, a hypothesis was put that the conceptus protects itself by secreting TI!2 cytokincs (IL-4, IL-5, IL-6 and IL-10) which downregulate the harmful cytokines. As a consequence, the maternal immune system during pregnancy preferentially mounts TH2 biased response (Wegmann et al., 1993). |