Table 2.
Parasite used for infection | Main findings in human placental explants | References |
---|---|---|
T. gondii | Infection induces the secretion of the macrophage migration inhibitory factor (MIF), up-regulates ICAM-1 expression, and increases monocyte adhesiveness to trophoblast | (149) |
Parasite burdens are determined by the expression of MIF receptors and its secretion, which varies with the trimester of gestation | (150) | |
The extravillous trophoblasts (fetal) are preferentially colonized over the syncytiotrophoblast (maternal), which is linked to an up-regulation of the chemoattractant CCL22 | (151, 152) | |
Parasite proliferation relies on iron acquirement from the placenta | (153) | |
Azithromycin, enrofloxacin or toltrazuril modulate MIF production by explants and reduce parasite replication | (145, 154, 155) | |
Infection inhibits the non-canonical NF-κB pathway through TLR-4 and TLR-9 related mechanisms, resulting in higher parasite burdens | (156, 157) | |
T. cruzi | The syncytiotrophoblast (maternal placenta) limits infection through the production of nitric oxide | (158–160) |
Infection induces trophoblast differentiation, tissue disorganization, destruction of chorionic villi and apoptosis | (160–164) | |
TLR-2 activation and the NF-κB pathway are key to control infection | (156, 157, 165) | |
P. falciparum | Infection alters the Th2 bias of maternal immunity and elicits a Th1 response | (166, 167) |