PMID- 24741608 OWN - NLM STAT- MEDLINE DCOM- 20150107 LR - 20211021 IS - 2314-7156 (Electronic) IS - 2314-8861 (Print) IS - 2314-7156 (Linking) VI - 2014 DP - 2014 TI - The many faces of human leukocyte antigen-G: relevance to the fate of pregnancy. PG - 591489 LID - 10.1155/2014/591489 [doi] LID - 591489 AB - 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. FAU - Dahl, Mette AU - Dahl M AUID- ORCID: 0000-0002-8036-3519 AD - Department of Clinical Biochemistry, Centre for Immune Regulation and Reproductive Immunology (CIRRI), Copenhagen University Hospital (Roskilde) and Roskilde Hospital, 7-13 Kogevej, 4000 Roskilde, Denmark. FAU - Djurisic, Snezana AU - Djurisic S AD - Department of Clinical Biochemistry, Centre for Immune Regulation and Reproductive Immunology (CIRRI), Copenhagen University Hospital (Roskilde) and Roskilde Hospital, 7-13 Kogevej, 4000 Roskilde, Denmark. FAU - Hviid, Thomas Vauvert F AU - Hviid TV AD - Department of Clinical Biochemistry, Centre for Immune Regulation and Reproductive Immunology (CIRRI), Copenhagen University Hospital (Roskilde) and Roskilde Hospital, 7-13 Kogevej, 4000 Roskilde, Denmark. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20140304 PL - Egypt TA - J Immunol Res JT - Journal of immunology research JID - 101627166 RN - 0 (HLA-G Antigens) SB - IM MH - Alleles MH - Alternative Splicing MH - Cell Membrane/metabolism MH - Female MH - Gene Expression Regulation MH - HLA-G Antigens/*physiology MH - Humans MH - Organ Specificity/genetics MH - Polymorphism, Genetic MH - Pre-Eclampsia/etiology MH - Pregnancy MH - Pregnancy Complications/etiology MH - *Pregnancy Outcome MH - Protein Transport PMC - PMC3987982 EDAT- 2014/04/18 06:00 MHDA- 2015/01/08 06:00 PMCR- 2014/03/04 CRDT- 2014/04/18 06:00 PHST- 2013/12/09 00:00 [received] PHST- 2014/01/17 00:00 [accepted] PHST- 2014/04/18 06:00 [entrez] PHST- 2014/04/18 06:00 [pubmed] PHST- 2015/01/08 06:00 [medline] PHST- 2014/03/04 00:00 [pmc-release] AID - 10.1155/2014/591489 [doi] PST - ppublish SO - J Immunol Res. 2014;2014:591489. doi: 10.1155/2014/591489. Epub 2014 Mar 4.