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Molecular Human Reproduction, Vol. 7, No. 12, 1167-1172, December 2001
© 2001 European Society of Human Reproduction and Embryology


Implantation and pregnancy

HLA-G genotypes and pregnancy outcome in couples with unexplained recurrent miscarriage

C.L. Aldrich1, M.D. Stephenson2, T. Karrison3, R.R. Odem4, D.W. Branch5, J.R. Scott5, J.R. Schreiber4 and C. Ober1,6

1 Departments of Human Genetics and 3 Health Studies, The University of Chicago, 2 Department of Obstetrics and Gynecology, University of British Columbia, 4 Department of Obstetrics and Gynecology, Washington University School of Medicine and 5 Department of Obstetrics and Gynecology, University of Utah School of Medicine, USA

HLA-G is a non-classical human leukocyte antigen expressed primarily in fetal tissues at the maternal–fetal interface. This expression pattern is unique among HLA genes and suggests that HLA-G may be involved in interactions that are critical in establishing and/or maintaining pregnancy. To evaluate the role of polymorphisms at this locus in maternal–fetal interactions, 113 couples with unexplained recurrent miscarriage were genotyped for seven polymorphisms that define 12 HLA-G alleles. Logistic regression analysis was used to assess whether HLA-G genotypes were associated with an increased risk for a subsequent miscarriage. The presence of an HLA-G*0104 or HLA-G*0105N allele in either partner was significantly associated with an increased risk for miscarriage, after adjustment for maternal age, number of previous miscarriages, history of a previous liveborn, and treatment with paternal mononuclear cells. The *0104 and *0105N alleles are defined by polymorphisms in the {alpha}-2 domain and encode protein variants that are present only in the full-length HLA-G1 protein. The significant genotype-specific risk in this population suggests that allelic variation in the {alpha}-2 domain of the HLA-G1 isoforms contributes to recurrent miscarriage.

human leukocyte antigen/recurrent miscarriage/HLA-G

6 To whom correspondence should be addressed at: Department of Human Genetics, The University of Chicago, 920 E. 58th Street, Rm. 507C, Chicago, IL 60637, USA. E-mail: c-ober{at}genetics.uchicago.edu


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