Copyright: © 2026 by the authors. Licensee: Pirogov University.
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ORIGINAL RESEARCH

Immunomodulatory effects of the placental conditioned medium and HLA-DR-dependent mechanisms in carriers of the HLA-DRB1*01:01 alleles with preeclampsia

Sorokina LE1,2 , Kokoeva DN2 , Kan NE2 , Fomochkina II1
About authors

1 V.I. Vernadsky Crimean Federal University, Simferopol, Russia

2 Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Moscow, Russia

Correspondence should be addressed: Leya E. Sorokina
Akademika Oparina, 4, Moscow, 117198, Russia; ur.liam@anikoros.ayel

About paper

Author contribution: Sorokina LE — data acquisition, analysis, and interpretation, manuscript writing; Krasnyi AM — data acquisition, analysis, and interpretation, statistical data processing; Fomochkina II — study concept and design, manuscript writing.

Compliance with ethical standards: the study was approved by the Ethics Committee of the Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology (protocol No. 11 dated November 11, 2021).

Received: 2026-05-10 Accepted: 2026-06-20 Published online: 2026-06-28
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Fig. 1. Research design. CD14 monocytes and CD4 Т cells were isolated from peripheral blood of pregnant women. The placental conditioned medium (PCM) was obtained by culturing placental explants for 24 h. Cells were co-cultured under various experimental conditions with subsequent assessment of the CD4CD25FoxP3 Treg cell counts by flow cytometry and the cytokine concentrations in supernatants by ELISA
Fig. 2. Percentage of CD4CD25Foxp3 Treg cells in the CD4 T cell population under various co-culture conditions in the index group and comparison group. Data are presented as Me (Q1–Q3). The nonparametric Mann–Whitney U-test was used to compare independent groups; the Wilcoxon test for related samples was used for intragroup comparisons
Fig. 3. Cytokine profile of supernatant under various co-culture conditions. IL17 (A), TNFα (B), IFN-γ (C), IL10 (D), and IL4 (E) levels in the index group and comparison group are provided. Data are presented as Me (Q1–Q3). The nonparametric Mann–Whitney U-test was used to compare independent groups; the Wilcoxon test for related samples was used for intragroup comparisons