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

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⚙ AI-generated summary by gemini-2.5-flash-lite, 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

OBJECTIVE: The 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. DESIGN: Nested case-control study of women with and without laparoscopic evidence of endometriosis. SETTING: Reproductive 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 Amino Acid Sequence Antibodies, Monoclonal Antibodies, Monoclonal Ascitic Fluid Ascitic Fluid Ascitic Fluid Blotting, Western Blotting, Western Case-Control Studies Case-Control Studies Cells, Cultured Cells, Cultured Choriocarcinoma Choriocarcinoma Choriocarcinoma

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References (6)

Cited by (23)

Source provenance

europepmc
last seen: 2026-10-16T06:09:50.462052+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T20:59:53.382863+00:00
License: CC0 · commercial use OK