PMID- 3860403 OWN - NLM STAT- MEDLINE DCOM- 19850916 LR - 20170920 IS - 0015-0282 (Print) IS - 0015-0282 (Linking) VI - 44 IP - 2 DP - 1985 Aug TI - Adverse effects of human leukocyte antigen-DR sharing on fertility: a cohort study in a human isolate. PG - 227-32 AB - To elucidate further the reproductive effects of human leukocyte antigen (HLA) sharing among spouses, we have been investigating prospectively the relationship between HLA-A, -B, and -DR sharing and reproductive outcome in the Hutterites, a religious isolate that proscribes contraception. For the first time the reproductive effects of HLA-DR sharing in a fertile population is reported in this article. Median intervals from marriage to first through fifth births were longer among couples who shared more than one HLA-A, -B, or -DR antigen. Longer intervals were associated with increased spontaneous abortion rates among couples who shared HLA-DR antigens (27%), compared with couples who shared only HLA-A or -B antigens (9%) and couples who shared no antigens (12%). Median completed family sizes were 5.0, 8.5, and 8.0 among the groups, respectively. However, some couples who shared HLA-DR antigens experienced no spontaneous abortions, despite ten or more pregnancies. Therefore, although HLA-DR compatibility, per se, is not deleterious, our data suggest a potentially important role for undefined HLA-linked genes in normal pregnancy. FAU - Ober, C L AU - Ober CL FAU - Hauck, W W AU - Hauck WW FAU - Kostyu, D D AU - Kostyu DD FAU - O'Brien, E AU - O'Brien E FAU - Elias, S AU - Elias S FAU - Simpson, J L AU - Simpson JL FAU - Martin, A O AU - Martin AO LA - eng GR - GM-10356/GM/NIGMS NIH HHS/United States GR - N01-HD-02840/HD/NICHD NIH HHS/United States GR - R01-CA-19822/CA/NCI NIH HHS/United States GR - etc. PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Fertil Steril JT - Fertility and sterility JID - 0372772 RN - 0 (HLA Antigens) RN - 0 (HLA-A Antigens) RN - 0 (HLA-B Antigens) RN - 0 (HLA-DR Antigens) RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - Abortion, Spontaneous MH - Birth Intervals MH - Contraception MH - Female MH - *Fertility MH - HLA Antigens/immunology MH - HLA-A Antigens MH - HLA-B Antigens MH - HLA-DR Antigens MH - *Histocompatibility MH - Histocompatibility Antigens Class II/*immunology MH - Humans MH - Male MH - Pregnancy EDAT- 1985/08/01 00:00 MHDA- 1985/08/01 00:01 CRDT- 1985/08/01 00:00 PHST- 1985/08/01 00:00 [pubmed] PHST- 1985/08/01 00:01 [medline] PHST- 1985/08/01 00:00 [entrez] AID - S0015-0282(16)48742-X [pii] PST - ppublish SO - Fertil Steril. 1985 Aug;44(2):227-32.