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Review of Treg-targeting strategies for pregnancy complications lacks reported outcomes or safety data

Review of Treg-targeting strategies for pregnancy complications lacks reported outcomes or safety da…
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Key Takeaway
Note that this review lacks reported outcomes or safety data for Treg-targeting strategies in pregnancy.

This publication is a narrative review rather than a primary trial or systematic review. Its scope encompasses the evaluation of therapeutic strategies targeting regulatory T cells (Tregs) in the context of human pregnancy. The specific conditions addressed include recurrent implantation failure, recurrent spontaneous abortion, pre-eclampsia, and preterm birth. The intervention or exposure discussed involves hormonal support, traditional intravenous immunoglobulin, immunometabolic reprogramming, and engineered cellular therapies such as chimeric antigen receptor Tregs. No comparators were explicitly detailed in the provided source material.

The review does not report specific primary or secondary outcomes, nor does it provide pooled effect sizes, sample sizes, or follow-up durations. Consequently, the authors do not present quantitative data regarding efficacy or tolerability. Safety information, including adverse events, serious adverse events, discontinuations, and overall tolerability, is not reported in the source. The setting of the review is not reported, and the sample size is explicitly stated as not reported within the input data.

Because key details such as outcomes and safety profiles are absent, the practice relevance cannot be definitively established from this text alone. The authors do not provide specific limitations beyond the lack of reported data, and no funding conflicts or causality notes are available. Clinicians should interpret these findings with caution, recognizing that the evidence presented is qualitative and lacks the quantitative rigor required for definitive clinical decision-making regarding these specific interventions.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedApr 2026
View Original Abstract ↓
Regulatory T cells (Tregs) play a central role in maintaining immune tolerance and supporting maternal-fetal homeostasis throughout human pregnancy. Clinical and experimental evidence demonstrates that dysregulation of peripheral and decidual Tregs manifested as quantitative deficits, impaired suppressive function or lineage instability increased the risk of various pathological pregnancies, such as recurrent implantation failure (RIF), recurrent spontaneous abortion (RSA), pre-eclampsia (PE) and preterm birth (PTB). Recently, novel therapeutic strategies targeting Tregs have emerged in oncology, transplantation, and autoimmune diseases. However, their application in pathological pregnancy remains in its infancy. This review outlines the spatiotemporal dynamics of peripheral and decidual Tregs throughout gestation, elucidating their roles in maintaining maternal-fetal homeostasis and their dysregulation in pathological pregnancies. We also critically evaluated the therapeutic strategies targeting Tregs and Tregs-associated signaling pathways, including hormonal support, traditional intravenous immunoglobulin, as well as emerging interventions such as immunometabolic reprogramming and engineered cellular therapies like chimeric antigen receptor Tregs. This review may provide insights for understanding the roles of Tregs in physiological and pathological pregnancy, as well as provide new idea in the immunotherapy of pathological pregnancy.
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