The Many Faces of Human Leukocyte Antigen-G: Relevance to the Fate of Pregnancy

Pregnancy is an immunological paradox, where fetal antigens encoded by polymorphic genes inherited from the father do not provoke a maternal immune response. The fetus is not rejected as it would be theorized according to principles of tissue transplantation. A major contribution to fetal tolerance...

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Main Authors: Mette Dahl, Snezana Djurisic, Thomas Vauvert F. Hviid
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2014/591489
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author Mette Dahl
Snezana Djurisic
Thomas Vauvert F. Hviid
author_facet Mette Dahl
Snezana Djurisic
Thomas Vauvert F. Hviid
author_sort Mette Dahl
collection DOAJ
description Pregnancy is an immunological paradox, where fetal antigens encoded by polymorphic genes inherited from the father do not provoke a maternal immune response. The fetus is not rejected as it would be theorized according to principles of tissue transplantation. A major contribution to fetal tolerance is the human leukocyte antigen (HLA)-G, a nonclassical HLA protein displaying limited polymorphism, restricted tissue distribution, and a unique alternative splice pattern. HLA-G is primarily expressed in placenta and plays multifaceted roles during pregnancy, both as a soluble and a membrane-bound molecule. Its immunomodulatory functions involve interactions with different immune cells and possibly regulation of cell migration during placental development. Recent findings include HLA-G contributions from the father and the fetus itself. Much effort has been put into clarifying the role of HLA-G during pregnancy and pregnancy complications, such as preeclampsia, recurrent spontaneous abortions, and subfertility or infertility. This review aims to clarify the multifunctional role of HLA-G in pregnancy-related disorders by focusing on genetic variation, differences in mRNA stability between HLA-G alleles, differences in HLA-G isoform expression, and possible differences in functional activity. Furthermore, we highlight important observations regarding HLA-G genetics and expression in preeclampsia that future research should address.
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spelling doaj-art-acd01372b610408aa24626c72ebd7e4a2025-02-03T01:10:03ZengWileyJournal of Immunology Research2314-88612314-71562014-01-01201410.1155/2014/591489591489The Many Faces of Human Leukocyte Antigen-G: Relevance to the Fate of PregnancyMette Dahl0Snezana Djurisic1Thomas Vauvert F. Hviid2Department of Clinical Biochemistry, Centre for Immune Regulation and Reproductive Immunology (CIRRI), Copenhagen University Hospital (Roskilde) and Roskilde Hospital, 7-13 Køgevej, 4000 Roskilde, DenmarkDepartment of Clinical Biochemistry, Centre for Immune Regulation and Reproductive Immunology (CIRRI), Copenhagen University Hospital (Roskilde) and Roskilde Hospital, 7-13 Køgevej, 4000 Roskilde, DenmarkDepartment of Clinical Biochemistry, Centre for Immune Regulation and Reproductive Immunology (CIRRI), Copenhagen University Hospital (Roskilde) and Roskilde Hospital, 7-13 Køgevej, 4000 Roskilde, DenmarkPregnancy is an immunological paradox, where fetal antigens encoded by polymorphic genes inherited from the father do not provoke a maternal immune response. The fetus is not rejected as it would be theorized according to principles of tissue transplantation. A major contribution to fetal tolerance is the human leukocyte antigen (HLA)-G, a nonclassical HLA protein displaying limited polymorphism, restricted tissue distribution, and a unique alternative splice pattern. HLA-G is primarily expressed in placenta and plays multifaceted roles during pregnancy, both as a soluble and a membrane-bound molecule. Its immunomodulatory functions involve interactions with different immune cells and possibly regulation of cell migration during placental development. Recent findings include HLA-G contributions from the father and the fetus itself. Much effort has been put into clarifying the role of HLA-G during pregnancy and pregnancy complications, such as preeclampsia, recurrent spontaneous abortions, and subfertility or infertility. This review aims to clarify the multifunctional role of HLA-G in pregnancy-related disorders by focusing on genetic variation, differences in mRNA stability between HLA-G alleles, differences in HLA-G isoform expression, and possible differences in functional activity. Furthermore, we highlight important observations regarding HLA-G genetics and expression in preeclampsia that future research should address.http://dx.doi.org/10.1155/2014/591489
spellingShingle Mette Dahl
Snezana Djurisic
Thomas Vauvert F. Hviid
The Many Faces of Human Leukocyte Antigen-G: Relevance to the Fate of Pregnancy
Journal of Immunology Research
title The Many Faces of Human Leukocyte Antigen-G: Relevance to the Fate of Pregnancy
title_full The Many Faces of Human Leukocyte Antigen-G: Relevance to the Fate of Pregnancy
title_fullStr The Many Faces of Human Leukocyte Antigen-G: Relevance to the Fate of Pregnancy
title_full_unstemmed The Many Faces of Human Leukocyte Antigen-G: Relevance to the Fate of Pregnancy
title_short The Many Faces of Human Leukocyte Antigen-G: Relevance to the Fate of Pregnancy
title_sort many faces of human leukocyte antigen g relevance to the fate of pregnancy
url http://dx.doi.org/10.1155/2014/591489
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