HLA-G is expressed by the glandular epithelium of peritoneal endometriosis but not in eutopic endometrium
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HLA-G protein and gene transcript are expressed in the glandular epithelium of peritoneal endometriosis but not in eutopic endometrium.
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Abstract
BACKGROUND: HLA-G is a major histocompatability antigen with documented immune-regulatory function. Various epithelial cancers and tissue allografts have been noted to express HLA-G, which is postulated to aid in their escape from immunosurveillance. We evaluated peritoneal endometriosis and eutopic endometrium for the expression of HLA-G protein and gene transcript.
METHODS: Two experiments were performed: (i) archived tissue blocks from peritoneal endometriotic lesions (n = 15) and eutopic endometrium (n = 12) were evaluated for extent of protein immunostaining, and (ii) eutopic endometrial biopsies from women without (n = 17) and with (n = 24) endometriosis, and peritoneal endometriotic lesions (n = 14) were evaluated for presence of RNA transcript by in situ hybridization.
RESULTS: HLA-G protein localized in the glandular epithelium of 14 of 15 (93.3%) peritoneal endometriotic lesions, but not in stromal cells. HLA-G protein staining was absent in endometrial biopsies (n = 12). HLA-G gene transcript localized to the glandular epithelium in 13 of 14 (92.8%) peritoneal endometriotic lesions. HLA-G transcript was never observed in eutopic endometrium, regardless of cycle stage or whether from women with (n = 24) or without (n = 18) endometriosis.
CONCLUSIONS: HLA-G is expressed by endometriotic glandular epithelium but not by eutopic endometrium under normal conditions. Differential expression of HLA-G suggests that peritoneal inflammation or cellular stress may up-regulate mechanisms to promote ectopic endometrial survival.
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Cited by (33)
- Immunological aspects of external genital endometriosis: aseptic inflammation and innate immune responses 2026
- Determination of soluble HLA-G serum levels in patients with adenomyosis and uterine fibroids before and after surgery 2023
- Natural Killer Cell Receptors and Endometriosis: A Systematic Review 2022
- HLA-G is highly expressed in the serum of patients with adenomyosis 2022
- Factores inmunogen�ticos asociados al desarrollo de endometriosis 2021
- Endometriosis diagnosis and medical treatment: Present and future 2021
- A randomized exploratory trial to assess the effects of resveratrol on VEGF and TNF-α 2 expression in endometriosis women 2020
- Possible roles of HLA-G regulating immune cells in pregnancy and endometrial diseases via KIR2DL4 2020
- Is there an immune modulating role for follicular fluid in endometriosis? A narrative review 2019
- HLA-G is upregulated in advanced endometriosis 2019
- NK Cells as Potential Targets for Immunotherapy in Endometriosis 2019
- The impact of HLA-G, LILRB1 and LILRB2 gene polymorphisms on susceptibility to and severity of endometriosis 2017
- Serum and peritoneal fluid concentrations of soluble human leukocyte antigen, tumor necrosis factor alpha and interleukin 10 in patients with selected ovarian pathologies 2017
- Platelets impair natural killer cell reactivity and function in endometriosis through multiple mechanisms 2017
- Regulation of apoptotic pathways during endometriosis: from the molecular basis to the future perspectives 2016
- Endometrial biomarkers for the non-invasive diagnosis of endometriosis 2016
- The Endometrium in Adenomyosis 2015
- Interactions of Immunomodulatory HLA-G with Immune Cells during Pregnancy and Endometriosis 2015
- Natural Killer Cells: Key Players in Endometriosis 2015
- Molecular aspects of endometriosis 2015
- Molecular aspects of development and regulation of endometriosis 2014
- Role of NK Cells in Endometriosis 2014
- Structural and molecular features of the endomyometrium in endometriosis and adenomyosis 2013
- Endometriosis and ovarian cancer 2013
- Endometriosis 2013
- The endometrium in adenomyosis 2012
- Endometriosis and Autoimmunity 2011
- Differences in mitochondrial proteins in the eutopic endometrium of patients with adenomyosis and endometriosis identified using surface-enhanced laser desorption/ionization time-of-flight mass spectrometry 2010
- "Spot"-ting differences between the ectopic and eutopic endometrium of endometriosis patients 2010
- The expression of human leukocyte antigens class I and II in women with endometriosis or adenomyosis 2010
- Endometriosis 2009
- Microarray analysis provides insight into the early steps of pathophysiology of mouse endometriosis model induced by autotransplantation of endometrium 2009
- Soluble HLA-G in the peritoneal fluid of women with endometriosis 2007
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- europepmc
- last seen: 2026-10-15T06:08:49.021275+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-10-08T21:03:30.943773+00:00
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