Abstract

The understanding of the molecular and biochemical characteristics of the human leukocyte antigen-G (HLA-G) is important because of the diverse influence of this antigen’s polymorphisms on the course of a pregnancy. The aim of our study was to assess how the variation of the HLA-G allele and the HLA-G 14-bp ins/del polymorphism influence predisposition to a complicated pregnancy. The clinical material consisted of parental pairs with complicated pregnancies (210 women; 190 men). The control group included parental pairs without complications during pregnancy (89 women; 86 men). The study involved isolation of genome DNA from peripheral blood leukocytes, sequencing, and analysis of the 14-bp ins/del polymorphism in the 3′-untranslated region (3′-UTR) of the HLA-G gene based on polymerase chain reaction (PCR). The most common HLA-G allele in the group of women with complicated pregnancies was the HLA-G 10101 allele. There were no statistically significant differences in the frequencies of the 14-bp ins/del polymorphism in the 3′UTR of the HLA-G gene between the groups. Our results suggest that the risk of complications in pregnancy is influenced by the HLA-G 10101, HLA-G 10108, and HLA-G 10106 alleles and is not influenced by the 14-bp ins/del polymorphism in the 3′UTR of the HLA-G gene.

Highlights

  • During embryo implantation and pregnancy, the maternal immune system comes into close contact with fetal trophoblast cells

  • The aim of this study was to assess how the variation of the human leukocyte antigen-G (HLA-G) allele and the HLA-G 14-bp ins/del polymorphism in parental pairs influence their predisposition to pregnancy complicated by antiphospholipid syndrome (APS), preeclampsia (PE), intrauterine growth restriction (IUGR), and recurrent spontaneous abortion (RSA)

  • The most common HLA-G allele in the groups of women with antiphospholipid syndrome, preeclampsia, intrauterine growth restriction, and recurrent spontaneous abortion was the HLA-G 10101 allele found in 35.71%, 44.79%, 57.35%, and 52.59% of the women, respectively

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Summary

Introduction

During embryo implantation and pregnancy, the maternal immune system comes into close contact with fetal trophoblast cells. To avoid rejection of a semiallogeneic fetus, the mechanisms modulating the maternal immune system must be initiated [1]. The understanding of the molecular and biochemical characteristics of the human leukocyte antigen-G (HLA-G) and its products is important due to the diverse influence of this antigen’s polymorphisms on the course of the pregnancy. HLA-G was the first identified trophoblast HLA, Int. J. Res. Public Health 2019, 16, 982; doi:10.3390/ijerph16060982 www.mdpi.com/journal/ijerph

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