HLA-G polymorphisms and soluble HLA-G protein levels in women with recurrent pregnancy loss from Basrah province in Iraq.

HLA-G polymorphisms and soluble HLA-G protein levels in women with recurrent pregnancy loss from Basrah province in Iraq.
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DOI:
10.1016/j.humimm.2012.05.009
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发表时间:
2012-08
期刊:
影响因子:
2.7
通讯作者:
Ober, Carole
Ober, Carole
中科院分区:
医学4区
文献类型:
--
作者:
Jassem, Raghed M.;Shani, Wafaa Sadoon;Loisel, Dagan A.;Sharief, Maysoon;Billstrand, Christine;Ober, Carole

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HLA-G是一种非经典的I类主要组织相容性复合体(MHC)基因,具有免疫调节特性,可能在维持成功妊娠中发挥作用。在这项研究中,我们调查了HLA-G多态性在伊拉克妇女复发性妊娠丢失(RPL)风险和循环可溶性HLA-G水平中的作用。从伊拉克巴士拉省50名RPL妇女和50名健康孕妇在妊娠9至12周收集的血液样本中获得DNA和血浆。通过ELISA检测,与健康对照组相比,RPL病例的sHLA-G水平中位数显著降低(分别为21.4对38.8 U/ml, P = 0.025),并且随着母亲年龄的增加而降低(P = 0.0051)。然而,HLA-G等位基因和单倍型频率在病例和对照组之间没有显著差异(所有测试的P值均≥0.12)。相比之下,三等位基因启动子多态性的C等位基因(CC)的纯合性(- 725C/G/T)与CG或CT基因型的sHLA- G浓度较低相关(中位水平分别为21.1、40.1和42.6 U/ml, P = 0.0089)。这些结果表明,HLA-G基因型影响妊娠期间循环sHLA-G水平,但与RPL风险无显著相关性。
HLA-G is a nonclassical, class I major histocompatibility complex (MHC) gene that exhibits immunomodulatory properties and likely plays a role in the maintenance of successful pregnancy. In this study, we investigated the role of HLA-G polymorphisms on risk for recurrent pregnancy loss (RPL) and on circulating levels of soluble (s)HLA-G in Iraqi women. DNA and plasma were obtained from blood samples collected at 9 to 12 weeks gestation from 50 women with RPL and 50 healthy pregnant women in Basrah province, Iraq. As measured by ELISA, median sHLA-G levels were significantly lower in the RPL cases compared to healthy controls (21.4 vs. 38.8 U/ml, respectively; P = 0.025), and decreased with increasing maternal age (P = 0.0051). However, HLA-G allele and haplotype frequencies did not differ significantly between cases and controls (P values ≥ 0.12 for all tests). In contrast, homozygosity for the C allele (CC) at a tri- allelic promoter polymorphism, −725C/G/T, was associated with lower concentrations of sHLA- G compared to the CG or CT genotypes (median levels 21.1 vs. 40.1 vs. 42.6 U/ml, respectively; P = 0.0089). These results demonstrate that HLA-G genotype influences circulating sHLA-G levels during pregnancy but is not significantly associated with risk of RPL.
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