Histocompatibility leukocyte antigen-G is not expressed by endometriosis or endometrial tissue
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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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Cited by (23)
- Natural Killer Cell Receptors and Endometriosis: A Systematic Review 2022
- Endometriosis diagnosis and medical treatment: Present and future 2021
- NK Cells as Potential Targets for Immunotherapy in Endometriosis 2019
- Altered Immunity in Endometriosis: What Came First? 2018
- 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
- Natural Killer Cells: Key Players in Endometriosis 2015
- The Endometrium in Adenomyosis 2015
- Molecular aspects of endometriosis 2015
- Immunological aspects of endometriosis: a review. 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 2013
- The Endometrium in Adenomyosis 2012
- Endometriosis and Autoimmunity 2011
- Endometriosis 2009
- Soluble HLA-G in the peritoneal fluid of women with endometriosis 2007
- The endometria of patients with endometriosis show higher expression of class I human leukocyte antigen than the endometria of healthy women 2006
- HLA-G is expressed by the glandular epithelium of peritoneal endometriosis but not in eutopic endometrium 2005
- Potential involvement of the immune system in the development of endometriosis 2003
- Increased killer inhibitory receptor KIR2DL1 expression among natural killer cells in women with pelvic endometriosis 2002
- Immunology of endometriosis 2002
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