PMID- 24860568 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20140624 LR - 20211021 IS - 1664-3224 (Print) IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 5 DP - 2014 TI - Controlling the Immunological Crosstalk during Conception and Pregnancy: HLA-G in Reproduction. PG - 198 LID - 10.3389/fimmu.2014.00198 [doi] LID - 198 AB - In several years after its discovery in the placenta, the human leukocyte antigen (HLA) class Ib protein, HLA-G, was not given much attention, nor was it assigned great importance. As time has unraveled, HLA-G has proven to have distinctive functions and an unforeseen and possibly important role in reproduction. HLA-G is characterized mainly by its low polymorphism and restricted tissue distribution in non-pathological conditions. In fact, its expression pattern is primarily limited to extravillous cytotrophoblast cells at the maternal-fetal interface during pregnancy. Due to low polymorphism, almost the same protein is expressed by virtually all individuals. It is these unique features that make HLA-G differ from its highly polymorphic HLA class Ia counterparts, the HLA-A, -B, and -C molecules. Its function, seemingly diverse, is typically receptor-mediated, and involves interactions with a wide range of immune cells. As the expression of HLA-G primarily is limited to gestation, this has given rise to the hypothesis that HLA-G plays an important role in the immunological tolerance of the fetus by the mother. In keeping with this, it might not be surprising that polymorphisms in the HLA-G gene, and levels of HLA-G expression, have been linked to reproductive failure and pre-eclampsia. Based on recent studies, we speculate that HLA-G might be involved in mechanisms in reproductive immunology even before conception because HLA-G can be detected in the genital tract and in the blood of non-pregnant women, and is present in seminal fluid from men. In addition, HLA-G expression has been found in the pre-implanted embryo. Therefore, we propose that a combined contribution from the mother, the father, and the embryo/fetus is likely to be important. Furthermore, this review presents important aspects of HLA-G in relation to reproduction: from genetics to physiological effects, from pregnancy and pregnancy complications to a short discussion on future possible means of preventative measures and therapy. FAU - Lynge Nilsson, Line AU - Lynge Nilsson L AD - Centre for Immune Regulation and Reproductive Immunology, Department of Clinical Biochemistry, Copenhagen University Hospital , Roskilde , Denmark. FAU - Djurisic, Snezana AU - Djurisic S AD - Centre for Immune Regulation and Reproductive Immunology, Department of Clinical Biochemistry, Copenhagen University Hospital , Roskilde , Denmark. FAU - Hviid, Thomas Vauvert F AU - Hviid TV AD - Centre for Immune Regulation and Reproductive Immunology, Department of Clinical Biochemistry, Copenhagen University Hospital , Roskilde , Denmark. LA - eng PT - Journal Article PT - Review DEP - 20140513 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 PMC - PMC4026753 OTO - NOTNLM OT - HLA class Ib OT - HLA-G OT - MHC OT - human reproduction OT - pregnancy complications EDAT- 2014/05/27 06:00 MHDA- 2014/05/27 06:01 PMCR- 2014/01/01 CRDT- 2014/05/27 06:00 PHST- 2014/03/01 00:00 [received] PHST- 2014/04/22 00:00 [accepted] PHST- 2014/05/27 06:00 [entrez] PHST- 2014/05/27 06:00 [pubmed] PHST- 2014/05/27 06:01 [medline] PHST- 2014/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2014.00198 [doi] PST - epublish SO - Front Immunol. 2014 May 13;5:198. doi: 10.3389/fimmu.2014.00198. eCollection 2014.