The inability to formulate a unifying hypothesis is likely owing to the fact

that the processes behind maternal acceptance of the fetus are complex, multifactorial, and often compensatory.2–10 One approach to move the field forward is GSK3235025 research buy to incorporate insights gained from comparative studies of multiple mammalian species.11–13 For centuries, scientific study of the horse (Equus caballus) has contributed to the medical community’s understanding of anatomy and physiology.14 In recent years, studies of equine pregnancy have likewise advanced the fields of reproduction and immunology. As we discuss later, the horse is a natural model for immune recognition of the fetus. The pregnant mare demonstrates a clear immune response to placental alloantigens, thus addressing the central question of whether the mother is immunologically ignorant of, or tolerant to, her gestating fetus. This review

discusses the ways in which the horse has contributed to our understanding of pregnancy immunology and how equine research can advance the field. Here, we focus on the events of early pregnancy, as that is the period when there is abundant evidence for engagement and alteration of the maternal immune response. We first discuss the pertinent anatomical and physiological aspects of early horse pregnancy. We then discuss the concept of materno–fetal tolerance as it pertains to the horse. Finally, we describe resources that make click here the horse a valuable species for the study of reproductive immunology and address pressing unanswered questions in our understanding of equine pregnancy. The equine placenta is characterized as diffuse and epitheliochorial, with six intact tissue layers between the maternal and fetal blood supplies.15 The majority of the interface between the uterus and placenta is formed by the tight apposition of the endometrial epithelium with the non-invasive trophoblasts of the allantochorion.16 This attachment occurs by the interdigitation of highly branched allantochorion villi with the Dapagliflozin facing endometrium

to form microcotyledons. The microcotyledons, located near capillaries in the maternal and placental tissues, act as the primary units for nutrient exchange between mother and fetus.17 In this regard, the horse is similar to other species with epitheliochorial placentation, such as the pig. However, the equine placenta is distinguished by the specialized, highly invasive trophoblasts of the chorionic girdle. The chorionic girdle, first described in 1897,18 is so named because it forms a circumferential band around the developing conceptus (Fig. 1a,b). It is first visible at approximately 25 days of gestation, following the fusion of the allantois and chorion, which form the allantochorion membrane.