A meta-analysis of the impact of human leukocyte antigen-G on the outcomes of IVF/ICSI.
This analysis was performed to determine whether the presence of soluble human leukocyte antigen-G (sHLA-G) in embryo culture medium is predictive of clinical outcomes in IVF treatment. The outcomes of implantation, clinical pregnancy, multiple pregnancy and miscarriage, between groups with and without sHLA-G in embryo culture media, were analysed. Fifteen studies with a total of 6170 cases were included. Ten of them were prospective studies while five were retrospective studies. Embryo culture media with sHLA-G were associated with significantly higher implantation rate and clinical pregnancy rate when compared with those without; the odd ratios (ORs) were 2.66 [95% confidence interval (CI): 1.75-4.06, P < 0.00001], 3.79 (95% CI: 2.69-5.33, P < 0.00001), respectively. There was no significant difference in the rate of multiple pregnancy (OR: 1.87, 95% CI: 0.55-6.31) and miscarriage (OR: 0.77, 95% CI: 0.52-1.16). The results suggested that the presence of sHLA-G in the embryo culture medium favoured higher implantation rate and pregnancy rate. However, the conclusion needs to be consolidated by further clinical studies using a more precise method of determination of sHLA-G and research on the physiological and molecular mechanisms of the beneficial effect of sHLA-G on early embryo development and implantation.
Department of Obstetrics and Gynecology, Chinese PLA General Hospital, Beijing, China; Department of Obstetrics and Gynaecology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
Ziru
Z
Niu
Department of Obstetrics and Gynecology, Chinese PLA General Hospital, Beijing, China.
Liangyi
L
Wang
Department of Obstetrics and Gynaecology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
Ronald T K
RTK
Pang
Department of Obstetrics and Gynecology, Chinese PLA General Hospital, Beijing, China.
Yifan
Y
Guo
Department of Obstetrics and Gynaecology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China. Electronic address: wsbyeung@hku.hk.
William S B
WSB
Yeung
Department of Obstetrics and Gynecology, Chinese PLA General Hospital, Beijing, China. Electronic address: yqyao@126.com.
Yuanqing
Y
Yao
D005260:Female; D059951:HLA-G Antigens; D006801:Humans; D011247:Pregnancy; D018873:Pregnancy Rate; D020554:Sperm Injections, Intracytoplasmic / Q000706:statistics & numerical data*
D059951:HLA-G Antigens
Clinical pregnancy; HLA-G; ICSI; IVF; implantation; meta-analysis