title: Maternal HLA-C2 and 14 bp insertion in HLA-G is associated with recurrent implantation failure after in vitro fertilization treatment.
abstract: 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.
authors.affiliation: Department of Gynaecology and Obstetrics, Leiden University Medical Centre, Leiden, the Netherlands.
authors.forename: L E E L O
authors.initials: LE
authors.lastname: Lashley
authors.forename: L A J
authors.initials: LA
authors.lastname: van der Westerlaken
authors.forename: G W
authors.initials: GW
authors.lastname: Haasnoot
authors.forename: J J M
authors.initials: JJ
authors.lastname: Drabbels
authors.forename: M J
authors.initials: MJ
authors.lastname: Spruyt-Gerritse
authors.forename: S A
authors.initials: SA
authors.lastname: Scherjon
authors.forename: F H J
authors.initials: FH
authors.lastname: Claas
mesh_terms: D000328:Adult; D000483:Alleles; D010064:Embryo Implantation / Q000235:genetics* / Q000276:immunology; D005260:Female; D005307:Fertilization in Vitro; D005787:Gene Frequency; D015236:HLA-C Antigens / Q000235:genetics* / Q000276:immunology; D059951:HLA-G Antigens / Q000235:genetics* / Q000276:immunology; D006239:Haplotypes; D006801:Humans; D054643:INDEL Mutation; D007247:Infertility, Female / Q000235:genetics* / Q000276:immunology; D012307:Risk Factors
chemical_list: D015236:HLA-C Antigens; D059951:HLA-G Antigens
keywords: HLA-C; HLA-G; histocompatibility; in vitro fertilization; killer-cell immunoglobulin-like receptors; recurrent implantation failure