Histocompatibility leukocyte antigen-G is not expressed by endometriosis or endometrial tissue

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AI-generated summary by claude@2026-06, 2026-06-08

This study investigated the expression of histocompatibility leukocyte antigen-G (HLA-G) in endometriosis and normal endometrial tissue and found no detectable expression in either.

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Abstract

ObjectiveThe immunological mechanisms that support persistence and proliferation of ectopic endometrial implants within the peritoneal cavity of women with endometriosis are unknown. Inhibition of natural killer (NK) and cytotoxic T-cell function has been proposed as a mechanism. We tested the hypothesis that expression of a nonclassical major histocompatibility antigen, HLA-G, might explain the local immunosuppression associated with ectopic endometrium.DesignNested case-control study of women with and without laparoscopic evidence of endometriosis.SettingReproductive endocrinology clinic at a university hospital.Patient(s)Peritoneal fluid specimens from 10 women with revised AFS stage I-IV endometriosis and from 10 age-matched normal controls without laparoscopic evidence of endometriosis were tested for the presence of HLA-G protein. Endometriosis and normal endometrial biopsies from four patients were used to prepare stromal cell cultures directly evaluated for HLA-G protein.Intervention(s)None.Main outcome measure(s)The expression of HLA-G in peritoneal fluid, tissue, and cell cultures was determined by immunoblotting with a specific monoclonal antibody.Result(s)HLA-G protein was not detectable in peritoneal fluid specimens of endometriosis patients or controls. Moreover, ectopic and normal endometrial tissues and stromal cells did not express HLA-G.Conclusion(s)Immune cell inhibition in endometriosis must be mediated by factors other than HLA-G.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometrium Histocompatibility Antigens Class I HLA Antigens Amino Acid Sequence Antibodies, Monoclonal Ascitic Fluid Ascitic Fluid Blotting, Western Case-Control Studies Cells, Cultured Choriocarcinoma Choriocarcinoma Endometriosis Endometriosis Endometrium Endometrium Endometrium Epitopes Epitopes

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References (6)

Cited by (24)

Source provenance

europepmc
last seen: 2026-07-30T06:25:42.655704+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:13:24.901228+00:00
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