PMID- 24951171 OWN - NLM STAT- MEDLINE DCOM- 20151207 LR - 20221207 IS - 1532-3102 (Electronic) IS - 0143-4004 (Linking) VI - 36 IP - 4 DP - 2015 Apr TI - Association of maternal KIR and fetal HLA-C genes with the risk of preeclampsia in the Chinese Han population. PG - 433-7 LID - S0143-4004(14)00221-5 [pii] LID - 10.1016/j.placenta.2014.05.008 [doi] AB - INTRODUCTION: This study is to investigate the distribution of inhibitory and activating killer-cell immunoglobulin-like receptors (KIRs) and the combination of KIR/human leukocyte antigen (HLA)-C in women with preeclampsia in the Chinese Han population. METHODS: A total of 271 patients and 295 controls were enrolled in our study. The inhibitory/activating KIR and HLA-C genes were detected using the PCR-SSP (polymerase chain reaction with sequence-specific primers) method. RESULTS: Our result showed that decreased numbers of individual activating KIR genes (2DS2, 2DS3, and 2DS5) were observed in women with preeclampsia. Furthermore, the gene frequency of total activating KIRs was significantly lower in patients compared with that of the controls (P = 0.03). The frequency of the KIR2DL1 gene was increased in women with preeclampsia when a homozygous HLA-C2 allele appeared in the fetus. CONCLUSION: The results suggest that a KIR genetic variation might influence the risk of preeclampsia. The lack of activating KIRs could possibly lower uterine natural killer (uNK) cell activation, thereby contributing to the pathogenesis of preeclampsia. Moreover, the imbalance of the inhibitory or activating signals at the maternal-fetal interface seems to play a regulatory role in the occurrence of preeclampsia. CI - Copyright (c) 2014 Elsevier Ltd. All rights reserved. FAU - Long, W AU - Long W AD - Department of Obstetrics, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing 210004, China. FAU - Shi, Z AU - Shi Z AD - Department of Obstetrics, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing 210004, China. FAU - Fan, S AU - Fan S AD - Department of Obstetrics, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing 210004, China. FAU - Liu, L AU - Liu L AD - Department of Obstetrics, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing 210004, China. FAU - Lu, Y AU - Lu Y AD - Department of Obstetrics, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing 210004, China. FAU - Guo, X AU - Guo X AD - Maternal and Child Health Medical Institute, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing 210004, China. FAU - Rong, C AU - Rong C AD - Maternal and Child Health Medical Institute, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing 210004, China. FAU - Cui, X AU - Cui X AD - Department of Obstetrics, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing 210004, China. Electronic address: cuixianwei198615@126.com. FAU - Ding, H AU - Ding H AD - Department of Obstetrics, Nanjing Medical University Affiliated Nanjing Maternal and Child Health Hospital, Nanjing 210004, China. Electronic address: Longw_njfy@163.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140604 PL - Netherlands TA - Placenta JT - Placenta JID - 8006349 RN - 0 (HLA-C Antigens) RN - 0 (KIR2DL1 protein, human) RN - 0 (KIR2DS2 protein, human) RN - 0 (KIR2DS3 protein, human) RN - 0 (KIR2DS5 protein, human) RN - 0 (Receptors, KIR) RN - 0 (Receptors, KIR2DL1) SB - IM CIN - Placenta. 2015 Aug;36(8):967. PMID: 26145227 MH - Adult MH - Alleles MH - Asian People MH - China MH - Cohort Studies MH - Female MH - Fetal Blood MH - Gene Frequency MH - Genetic Association Studies MH - *Genetic Predisposition to Disease MH - HLA-C Antigens/blood/*genetics/metabolism MH - *Histocompatibility, Maternal-Fetal MH - Homozygote MH - Humans MH - Pre-Eclampsia/blood/*genetics/metabolism MH - Pregnancy MH - Receptors, KIR/blood/genetics/metabolism MH - Receptors, KIR2DL1/blood/*genetics/metabolism OTO - NOTNLM OT - HLA-C OT - KIR OT - PCR-SSP OT - Preeclampsia EDAT- 2014/06/22 06:00 MHDA- 2015/12/15 06:00 CRDT- 2014/06/22 06:00 PHST- 2014/01/23 00:00 [received] PHST- 2014/05/21 00:00 [revised] PHST- 2014/05/24 00:00 [accepted] PHST- 2014/06/22 06:00 [entrez] PHST- 2014/06/22 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] AID - S0143-4004(14)00221-5 [pii] AID - 10.1016/j.placenta.2014.05.008 [doi] PST - ppublish SO - Placenta. 2015 Apr;36(4):433-7. doi: 10.1016/j.placenta.2014.05.008. Epub 2014 Jun 4.