PMID- 19562059 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20110714 LR - 20211020 IS - 0974-1208 (Print) IS - 1998-4766 (Electronic) IS - 1998-4766 (Linking) VI - 1 IP - 1 DP - 2008 Jan TI - HLA allele associations in idiopathic recurrent spontaneous abortion patients from India. PG - 19-24 AB - BACKGROUND: Rejection of semiallogenic foetus in recurrent spontaneous abortion (RSA) has been postulated to be a consequence of genetic and immunological phenomena. AIM: To evaluate the role of human leukocyte antigen (HLA) alleles in RSA in Indian couples. SETTINGS AND DESIGN: A case-control study. MATERIALS AND METHODS: Eighty-one randomly selected couples with unexplained three or more RSAs and a control group of 97 couples with live birth belonging to the same ethnic background, referred to the Gynaecology Department, KEM Hospital were included in the case-control study. Serological HLA A and B typing was done followed by molecular subtypes, defined using PCR-SSOP technique for HLA A, B, and C in 40 couples and DRB1* and DQB1* in 28 couples which were then compared with appropriate case 46 and 88 controls. RESULTS: Serologically A3 (15.43% vs. 4.43%; odds ratio (OR) = 4.34; P = 0.0002) and B17 (25.3% vs. 11.34%; OR = 3.49; P = 0.0001) were increased. Haplotype A1-B17 was significantly increased. Molecular subtyping revealed that A*030102 (11.25% vs. 4.34%; OR = 3.00; P = 0.07), B*5701 (11.25% vs. 1.08%; OR = 13.10; P = 0.003), Cw*120201 (25% vs. 4.34%; OR = 10.50; P = 2.05E-05), HLA DRB1*030101 (17.85% vs. 3.40%; OR = 7.6; P = 0.0001), DRB1*150101 (32.14% vs. 13.63%; OR = 4.8; P = 0.0003), and DQB1*060101 (35.71% vs. 29.34%; OR = 2.3; P = 0.004) were significantly increased in patients. A differential association was noticed when compared with reported world RSA patients. CONCLUSION: The HLA alleles A*030101, B*5701, Cw*120201, DRB1*030101, and DRB1*150101 as well as their associated ancestral haplotype may play a significant role in development of RSA in India. FAU - U, Shankarkumar AU - U S AD - HLA Department, Institute of Immunohaematology, 13 Floor, KEM Hospital, Parel, Mumbai - 400 012, Maharashtra, India. FAU - A, Pawar AU - A P FAU - P, Gaonkar AU - P G FAU - D, Parasannavar AU - D P FAU - V, Salvi AU - V S FAU - K, Ghosh AU - K G LA - eng PT - Journal Article PL - India TA - J Hum Reprod Sci JT - Journal of human reproductive sciences JID - 101473512 PMC - PMC2700679 OTO - NOTNLM OT - Cw*120201 OT - DQB1*050301 association OT - HLA B*5701 OT - India OT - RSA COIS- Conflict of Interest: None declared. EDAT- 2008/01/01 00:00 MHDA- 2008/01/01 00:01 PMCR- 2008/01/01 CRDT- 2009/06/30 09:00 PHST- 2007/08/09 00:00 [received] PHST- 2008/01/25 00:00 [revised] PHST- 2008/01/31 00:00 [accepted] PHST- 2009/06/30 09:00 [entrez] PHST- 2008/01/01 00:00 [pubmed] PHST- 2008/01/01 00:01 [medline] PHST- 2008/01/01 00:00 [pmc-release] AID - JHRS-01-19 [pii] AID - 10.4103/0974-1208.39592 [doi] PST - ppublish SO - J Hum Reprod Sci. 2008 Jan;1(1):19-24. doi: 10.4103/0974-1208.39592.