Evidence map›Paper›PMID 32450627›Full record

ArticleClinical and experimental reproductive medicine2020

Maternal killer-cell immunoglobulin-like receptors and paternal human leukocyte antigen ligands in recurrent pregnancy loss cases in Turkey.

Mehmet Onur Elbaşı, Aysın Tulunay, Hale Karagözoğlu, Semra Kahraman, Emel Ekşioğlu-Demiralp

Open access · diamondAbstract read
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Article in Clinical and experimental reproductive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 44% of its field
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Mehmet Onur ElbaşıTissue Typing and Immunology Laboratory, Istanbul Memorial Hospital, Istanbul, Turkey.
Aysın TulunayDepartment of Immunology, Marmara University, School of Medicine, Istanbul, Turkey.
Hale KaragözoğluKaragözoğlu Clinic for Obstetrics and Gynecology and IVF, Istanbul, Turkey.
Semra KahramanIn Vitro Fertilization Unit, Istanbul Memorial Hospital, Istanbul, Turkey.
Emel Ekşioğlu-DemiralpTissue Typing and Immunology Laboratory, Istanbul Memorial Hospital, Istanbul, Turkey.
Istanbul Memorial Hospital · TRMarmara University · TR

Funding

Marmara Üniversitesi SAG-C-YLP-060308-0035
6 · The paper itself

Abstract

objectiveThe survival of a semi-allogeneic fetus depends on several immunological mechanisms, and it has been suggested that recurrent pregnancy loss (RPL) could develop as a result of one or more immunological abnormalities.

methodsCompatibility between partners for human leukocyte antigen (HLA) genotypes and the relationships between maternal killer-cell immunoglobulin-like receptor (KIR) and paternal HLA-Bw4/Bw6 and HLA-C1/C2 supra-groups were investigated in 25 couples with RPL in comparison to healthy couples with children. HLA and KIR genotyping was performed using polymerase chain reaction with sequence-specific primers and/or sequence-specific oligonucleotides.

resultsHLA class I incompatibility between partners, especially in HLA-B alleles, was more common in the RPL group (p= 0.01). HLA-C2 homozygosity was more frequent in the male partners of RPL couples than in other groups (p= 0.03). The KIR2DL5 gene frequency was significantly higher in both the female and male partners of RPL couples, whereas the KIR2DS3 gene frequency in male partners of RPL couples was significantly reduced (p= 0.03). The presence of KIR2DL3 in women with RPL was correlated with the presence of HLA-C2 alleles in their spouses (p= 0.03).

conclusionOur data from a Turkish population suggest that male HLA-C2 homozygosity may play an important role in RPL. Additionally, an incidental match between male HLA-C2 and female HLA-C1 ligand KIR receptors might perturb the balance between activatory and inhibitory KIR-ligand interactions during pregnancy in couples affected by RPL. The roles of orphan KIR2DL5 and orphan KIR2DS3 in RPL remain obscure.

Indexed as

HLA C2Human leukocyte antigenKiller-cell immunoglobulin-like receptor genotypingKIR2DL5KIR2DS3Recurrent pregnancy loss

Identifiers

PMID32450627
PMCPMC7315865
OpenAlexW3032766479

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.