The Placenta Really Does Act Like A Parasite
 Main Category: Endocrinology News
 Article Date: 13 Nov 2007 - 1:00 PST
 
 The placenta uses a cloaking device similar to that used by parasites 
 to avoid detection by the mother's immune system. MRC funded 
 scientists looking to develop a diagnostic test for pre-eclampsia, a 
 major and potentially fatal cause of fetal and maternal illness, made 
 the amazing discovery which could have far reaching implications. 
 
 The team, based at the University of Reading, believe their findings 
 will revolutionise our understanding of the placenta and research 
 into recurrent miscarriages and pre-eclampsia. It is also hoped this 
 method of avoiding immune rejection could be mimicked and used in 
 other areas such as arthritis or even stem cell therapy. 
 
 At the turn of 21st century Professor Lowry and his team discovered 
 that the small protein neurokinin B (NKB), which is secreted by the 
 placenta, is raised significantly in mothers when pre-eclampsia 
 develops. Because NKB can be detected as early as week 9 of pregnancy 
 it can be used to predict which women are more at risk of the 
 condition, which tends to occur in the second and third trimester. 
 
 Phil Lowry led the Reading team: "While looking to translate this 
 discovery into a diagnostic kit we were flummoxed. The placental form 
 of the protein did not react in the same way as the NKB we had been 
 using. It became clear that there was a modification occurring during 
 the synthesis of the protein by the placenta," says Lowry. 
 
 "What we found next was most unusual. It appeared the placental NKB 
 contained the molecule phosphocholine which is used by filarial 
 nematodes, a type of parasitic worm, to escape host immune systems! I 
 have had two or three 'Eureka!' moments in my career. This one, at 
 63, I am happy to bow out on." 
 
 The human foetus and placenta have a different genotype from the 
 mother. The foetus has been described before as acting in a parasitic 
 way: it avoids rejection by the mother and exerts considerable 
 influence over her metabolism for its own benefit, in particular 
 diverting blood and nutrients. Now it would appear the similarities 
 go much further. Although the mode of attachment of the phosphocoline 
 (PC) is different in the mammalian placenta, its presence is 
 startling. 
 
 "When we saw this, our immediate instinct was to look at other 
 proteins in the placenta. So far, from what we have seen, it appears 
 a large number of them possess this protein surface molecule which 
 cloaks them from the host immune system," Lowry continued. It is 
 hoped that this breakthrough will have many applications beyond the 
 placenta. Already work is being done to investigate how PC-containing 
 protein segments could help reverse conditions such as rheumatoid 
 arthritis and other autoimmune disorders.
 
 "Devising a mechanism by which you could make cells invisible to the 
 immune system could lead to cures for a number of diseases and 
 conditions. But as many discoveries in science, this presents us with 
 a whole new can of worms. It will provide work for scientists for 
 decades to come no doubt," concluded Lowry. 
 
 Lowry PJ et al (2007). Identification of a novel mammalian post-
 translational modification, phosphocholine, on placental secretory 
 polypeptides. Journal of Molecular Endocrinology, 39, 189-198. DOI: 
 10.1677/JME-
 
 http://www.medicaln
 
 
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StemCells subscribers may also be interested in these sites:
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http://www.CNSfoundation.org/
Cord Blood Registry
http://www.CordBlood.com/at.cgi?a=150123
The CNS Healing Group
http://groups.yahoo.com/group/CNS_Healing
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