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Human Reproduction Update, Vol.5, No.3 pp.223-233, 1999
© European Society of Human Reproduction and Embryology 1999; all rights reserved

Mini symposium. The major histocompatibility complex in pregnancy: Part II. Placental HLA-G protein expression in vivo: where and what for?

P Le Bouteiller0, C Solier, J Pröll, M Aguerre-Girr, S Fournel and F Lenfant

INSERM U395, CHU Purpan, BP 3028, 31024 Toulouse Cedex 3, France 0 Corresponding author Tel: +33 5 62 748 374 Fax: +33 5 61 319 752 E-mail: Philippe.Le-Bouteiller@purpan.inserm.fr

Abstract

In contrast to HLA-A and -B class Ia genes that are down-regulated in human trophoblast cells, HLA-G class Ib molecules are expressed in the placenta throughout gestation. In addition to extravillous cytotrophoblast that invade the decidua basalis essentially, HLA-G was also observed in endothelial cells of fetal vessels in the chorionic villi as well as in amnion cells and amniotic fluid. Both membrane-bound and soluble HLA-G isoforms have been detected. In view of the recently published functional data showing that HLA-G: (i) has the capability to bind and present peptides; (ii) is recognized by at least three different killing inhibitory receptors; and (iii) is a regulator of HLA-E expression, we can predict that such functions are likely to be exerted by extravillous cytotrophoblast. Of particular importance will be the anti-viral function of HLA-G at this materno-fetal interface, knowing that HLA-G was shown to be expressed by thymic medullary epithelial cells. In addition to these immunological functions, due to its presence on chorionic fetal endothelial cells, we hypothesize that HLA-G could also be a regulator of chorionic villous angiogenesis. Finally, soluble HLA-G isoforms may act as specific immunosuppressors during pregnancy.

Keywords:cytotoxic T cells/endothelial cells/HLA-G/NK cell receptors/trophoblast


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