PMID- 25367742 OWN - NLM STAT- MEDLINE DCOM- 20150708 LR - 20141121 IS - 1399-0039 (Electronic) IS - 0001-2815 (Linking) VI - 84 IP - 6 DP - 2014 Dec TI - Maternal HLA-C2 and 14 bp insertion in HLA-G is associated with recurrent implantation failure after in vitro fertilization treatment. PG - 536-44 LID - 10.1111/tan.12452 [doi] AB - The major rate-limiting step in in vitro fertilization (IVF) success appears to be the implantation of the semi-allogeneic embryo into the maternal endometrium. To determine possible risk factors of recurrent failure of embryos to implant, we investigated immunogenetic determinants as level of human leukocyte antigen (HLA) histocompatibility, frequency of killer-cell immunoglobulin-like receptors (KIR) and HLA-C alleles and HLA-G polymorphism. We DNA typed women with recurrent implantation failure (RIF) and their partners for classical HLA Class I, HLA Class II, HLA-G and KIR alleles and compared these results with couples with successful embryo implantation after their first IVF and normal fertile couples. No association was found between RIF and the degree of histocompatibility between partners or sharing of a specific antigen. Also, no significant difference in KIR haplotype or combination of HLA-C group and KIR was observed. We did find a higher frequency of HLA-C2 and a higher frequency of 14 base pair (bp) insertion in HLA-G in women with RIF. Therefore we conclude that the degree of histocompatibility between partners is not a determining factor for the occurrence of RIF. However, presence of the HLA-C2 allotype and the HLA-G allele with a 14 bp insertion is a significant risk factor. CI - (c) 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Lashley, L E E L O AU - Lashley LE AD - Department of Gynaecology and Obstetrics, Leiden University Medical Centre, Leiden, the Netherlands. FAU - van der Westerlaken, L A J AU - van der Westerlaken LA FAU - Haasnoot, G W AU - Haasnoot GW FAU - Drabbels, J J M AU - Drabbels JJ FAU - Spruyt-Gerritse, M J AU - Spruyt-Gerritse MJ FAU - Scherjon, S A AU - Scherjon SA FAU - Claas, F H J AU - Claas FH LA - eng PT - Clinical Trial PT - Journal Article DEP - 20141104 PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (HLA-C Antigens) RN - 0 (HLA-G Antigens) SB - IM MH - Adult MH - Alleles MH - Embryo Implantation/*genetics/immunology MH - Female MH - *Fertilization in Vitro MH - Gene Frequency MH - HLA-C Antigens/*genetics/immunology MH - HLA-G Antigens/*genetics/immunology MH - Haplotypes MH - Humans MH - *INDEL Mutation MH - Infertility, Female/*genetics/immunology MH - Risk Factors OTO - NOTNLM OT - HLA-C OT - HLA-G OT - histocompatibility OT - in vitro fertilization OT - killer-cell immunoglobulin-like receptors OT - recurrent implantation failure EDAT- 2014/11/05 06:00 MHDA- 2015/07/15 06:00 CRDT- 2014/11/05 06:00 PHST- 2014/06/17 00:00 [received] PHST- 2014/08/21 00:00 [revised] PHST- 2014/09/12 00:00 [accepted] PHST- 2014/11/05 06:00 [entrez] PHST- 2014/11/05 06:00 [pubmed] PHST- 2015/07/15 06:00 [medline] AID - 10.1111/tan.12452 [doi] PST - ppublish SO - Tissue Antigens. 2014 Dec;84(6):536-44. doi: 10.1111/tan.12452. Epub 2014 Nov 4.