“…Multiple mechanisms have been proposed to operate in this process, including complement system, catabolism of tryptophan by indoleamine 2,3-dioxygenase, regulatory T cells, natural killer (NK) 2 cells, macrophages, and dendritic cells (1,2). Notably, a recent study implicated granulocytes in fetomaternal tolerance (3). Maternal decidual tissues play a critical role in this process, as indicated by the fact that pregnancy losses occur during the process of decidualization when endometrial stromal cells surrounding implanting blastocysts undergo dramatic transformation (4,5).…”