PMID- 19700612 OWN - NLM STAT- MEDLINE DCOM- 20100126 LR - 20111117 IS - 1933-7205 (Electronic) IS - 1933-7191 (Linking) VI - 16 IP - 12 DP - 2009 Dec TI - Possible gene-gene interaction of KIR2DL4 with its cognate ligand HLA-G in modulating risk for preeclampsia. PG - 1135-43 LID - 10.1177/1933719109342280 [doi] AB - Preeclampsia (PE) is a leading cause of maternal and fetal mortality and morbidity that occurs only during pregnancy. Pregnancy is the only physiological situation where killer-cell immunoglobulin-like receptors (KIRs) may meet cognate nonself variants of human leukocyte antigen (HLA) allotypes. We previously reported that presence of fetal HLA-G*0106 was significantly associated with risk for PE in multigravid pregnancies. We have now tested the KIR2DL4 receptor gene for association with PE, as well as for its interaction with HLA-G in modulating disease risk, in a case-control study of 83 PE and 240 normotensive pregnancies. No significant association was observed between alleles of KIR2DL4 and PE in both maternal and fetal groups, either among primigravid or multigravid pregnancies. Alleles of KIR2DL4 and HLA-G were then analyzed together to determine whether particular variant ligand-receptor combinations were associated with an increased risk for PE. Gene-gene interaction analyses suggest that the presence of fetal HLA-G*0106 in combination with maternal KIR2DL4*006 is significantly associated with PE risk in multigravid pregnancies (P < .001). These data provide the first preliminary evidence suggesting that although KIR2DL4 itself is not associated with PE, it may modulate the effect of HLA-G*0106 on risk for PE. FAU - Tan, Chia Yee AU - Tan CY AD - Department of Pediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. FAU - Chong, Yap Seng AU - Chong YS FAU - Loganath, Annamalai AU - Loganath A FAU - Chan, Yiong Huak AU - Chan YH FAU - Ravichandran, Jeganathan AU - Ravichandran J FAU - Lee, Caroline G AU - Lee CG FAU - Chong, Samuel S AU - Chong SS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090821 PL - United States TA - Reprod Sci JT - Reproductive sciences (Thousand Oaks, Calif.) JID - 101291249 RN - 0 (HLA Antigens) RN - 0 (HLA-G Antigens) RN - 0 (HLA-G*01:06 antigen) RN - 0 (KIR2DL4 protein, human) RN - 0 (Ligands) RN - 0 (Receptors, KIR2DL4) SB - IM MH - Case-Control Studies MH - *Epistasis, Genetic MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease MH - HLA Antigens/*genetics MH - HLA-G Antigens MH - Haplotypes MH - Humans MH - Ligands MH - Logistic Models MH - *Polymorphism, Single Nucleotide MH - Pre-Eclampsia/*genetics/immunology MH - Pregnancy MH - Receptors, KIR2DL4/*genetics MH - Risk Assessment MH - Risk Factors EDAT- 2009/08/25 09:00 MHDA- 2010/01/27 06:00 CRDT- 2009/08/25 09:00 PHST- 2009/08/25 09:00 [entrez] PHST- 2009/08/25 09:00 [pubmed] PHST- 2010/01/27 06:00 [medline] AID - 1933719109342280 [pii] AID - 10.1177/1933719109342280 [doi] PST - ppublish SO - Reprod Sci. 2009 Dec;16(12):1135-43. doi: 10.1177/1933719109342280. Epub 2009 Aug 21.