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Role of the HLA-G immune checkpoint molecule in pregnancy.

Abstract
The non-classical HLA class I molecule HLA-G is expressed in trophoblasts where it contributes to maternal-fetal tolerance. HLA-G has been implicated in the control of trophoblast invasion, uterine vascular remodeling, and maintenance of a local immunosuppressive state. Understanding HLA-G biology at the maternal-fetal interface is therefore a critical issue in reproduction. In this regard, we review here: (i) the effects of HLA-G on decidual leucocytes and stromal cells, (ii) the contribution of trogocytosis in HLA-G expression on decidual cells, (iii) its interaction with the ILT2, ILT4 and KIR2DL4 receptors, (iv) the link between HLA-G polymorphism and pregnancy disorders, and (v) the expression of newly-described HLA-G isoforms at the maternal-fetal interface.
AuthorsNathalie Rouas-Freiss, Philippe Moreau, Joel LeMaoult, Bela Papp, Diana Tronik-Le Roux, Edgardo D Carosella
JournalHuman immunology (Hum Immunol) Vol. 82 Issue 5 Pg. 353-361 (May 2021) ISSN: 1879-1166 [Electronic] United States
PMID33745758 (Publication Type: Journal Article, Review)
CopyrightCopyright © 2021. Published by Elsevier Inc.
Chemical References
  • HLA-G Antigens
Topics
  • Animals
  • Decidua (immunology)
  • Female
  • Genetic Predisposition to Disease
  • HLA-G Antigens (genetics, immunology)
  • Humans
  • Polymorphism, Genetic
  • Pregnancy (immunology)
  • Pregnancy Complications (genetics, immunology)
  • Signal Transduction
  • Trogocytosis
  • Trophoblasts (immunology)

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