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The impact of HLA-G, LILRB1 and LILRB2 gene polymorphisms on susceptibility to and severity of endometriosis
Ist Teil von
Molecular genetics and genomics : MGG, 2018-06, Vol.293 (3), p.601-613
Ort / Verlag
Berlin/Heidelberg: Springer Berlin Heidelberg
Erscheinungsjahr
2018
Quelle
Single Title from SpringerLink
Beschreibungen/Notizen
Endometriosis is a disease in which endometriotic tissue occurs outside the uterus. Its pathogenesis is still unknown. The most widespread hypothesis claims that ectopic endometrium appears as a result of retrograde menstruation and its insufficient elimination by immunocytes. Some reports have shown expression of non-classical HLA-G molecules on ectopic endometrium. HLA-G is recognized by KIR2DL4, LILRB1 and LILRB2 receptors on natural killer (NK) and other cells. These receptors are polymorphic, which may affect their activity. In this study we investigated whether
HLA-G, KIR2DL4, LILRB1
and
LILRB2
polymorphisms may influence susceptibility to endometriosis and disease progression. We used polymerase chain reaction (PCR), PCR-restriction fragment length polymorphism (PCR-RFLP) and allelic discrimination methods with TaqMan SNP Genotyping Assays for typing of 276 patients with endometriosis and 314 healthy fertile women. The
HLA-G
rs1632947:GG genotype was associated with protection against the disease and its severe stages;
HLA-G
rs1233334:CT protected against progression;
LILRB1
rs41308748:AA and
LILRB2
rs383369:AG predisposed to the disease and its progression. No effect of
KIR2DL4
polymorphism was observed. These results support the role of polymorphisms of HLA-G and its receptors LILRB1 and LILRB2 in susceptibility to endometriosis and its progression.