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Maternal allo-recognition of the fetus

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1 Maternal allo-recognition of the fetus
Ashley Moffett, M.D., Olympe Chazara, Ph.D., Francesco Colucci, Ph.D.  Fertility and Sterility  Volume 107, Issue 6, Pages (June 2017) DOI: /j.fertnstert Copyright © Terms and Conditions

2 Figure 1 Possible interactions between maternal killer immunoglobulin-like receptors (KIR) and fetal human leukocyte antigens (HLA)-C molecules depend on KIR and HLA-C variants respectively present in the mother and fetus. Women can have inhibitory or activating KIR for which there is no HLA-C ligand in the fetus. The genetic combination of a mother with two KIR A haplotypes with a fetus carrying a group C2+HLA-C allele is associated with increased risk of pre-eclampsia. There is a very strong inhibitory signal from a fetal C2+HLA-C when maternal NK cells lack activating KIR (not present on KIR A haplotype). There is a protective effect for pre-eclampsia when a mother has an activating KIR for C2+ HLA-C that is found on KIR B haplotypes. Adapted from Chazara et al. (24). Fertility and Sterility  , DOI: ( /j.fertnstert ) Copyright © Terms and Conditions


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