PMID- 16514201 OWN - NLM STAT- MEDLINE DCOM- 20060919 LR - 20231213 IS - 1470-1626 (Print) IS - 1470-1626 (Linking) VI - 131 IP - 3 DP - 2006 Mar TI - Comparison of the expression of human leukocyte antigen (HLA)-G and HLA-E in women with normal pregnancy and those with recurrent miscarriage. PG - 583-9 AB - Recurrent miscarriage affects 1% of all couples attempting pregnancy. Immunological factors are postulated to play a role in the aetiology of recurrent miscarriage because the fetus and placenta are immunologically different from the mother. In particular, altered expression of the, non-classical, class I histocompatibility leukocyte antigen (HLA) molecules has been postulated to play a role in the aetiology of recurrent miscarriage as the fetus and placenta are semi-allogenic to the mother. This study was conducted to examine whether altered expression of the non-classical class I HLA molecules, HLA-G and HLA-E, by cells at the maternofetal interface could play a role in the aetiology of recurrent miscarriage. First-trimester placental and decidual biopsies were obtained from 45 women with recurrent miscarriage and 17 gestation-matched normal controls. These biopsies were screened by immunohistochemistry for HLA-G and HLA-E and isotype-matched control antibodies. Staining was analysed by light microscopy and digital image analysis. In both recurrent miscarriage and normal pregnancy, HLA-G was localised to the extravillous trophoblast. There was no difference in the pattern of HLA-G expression between women with recurrent miscarriage and those with normal pregnancies. HLA-E was localised to the syncytiotrophoblast, villous mesenchymal cells, extravillous trophoblast and several decidual cell types, but staining for HLA-E appeared to be confined primarily to the cytoplasm. There was no difference in the pattern of HLA-E expression between women with recurrent miscarriage and those with normal pregnancies. FAU - Bhalla, A AU - Bhalla A AD - Department of Obstetrics and Gynaecology, Room 3241, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland, New Zealand. FAU - Stone, P R AU - Stone PR FAU - Liddell, H S AU - Liddell HS FAU - Zanderigo, A AU - Zanderigo A FAU - Chamley, L W AU - Chamley LW LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Reproduction JT - Reproduction (Cambridge, England) JID - 100966036 RN - 0 (HLA Antigens) RN - 0 (HLA-G Antigens) RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - Abortion, Habitual/*immunology MH - Adult MH - Case-Control Studies MH - Decidua/*immunology MH - Female MH - HLA Antigens/*analysis MH - HLA-G Antigens MH - Histocompatibility Antigens Class I/*analysis MH - Humans MH - Immunohistochemistry/methods MH - Placenta/*immunology MH - Pregnancy MH - Pregnancy Trimester, First MH - HLA-E Antigens EDAT- 2006/03/04 09:00 MHDA- 2006/09/20 09:00 CRDT- 2006/03/04 09:00 PHST- 2006/03/04 09:00 [pubmed] PHST- 2006/09/20 09:00 [medline] PHST- 2006/03/04 09:00 [entrez] AID - 131/3/583 [pii] AID - 10.1530/rep.1.00892 [doi] PST - ppublish SO - Reproduction. 2006 Mar;131(3):583-9. doi: 10.1530/rep.1.00892.