2019
DOI: 10.1038/s41598-019-45688-w
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High level of soluble human leukocyte antigen (HLA)-G at beginning of pregnancy as predictor of risk of malaria during infancy

Abstract: Placental malaria has been associated with an immune tolerance phenomenon and a higher susceptibility to malaria infection during infancy. HLA-G is involved in fetal maternal immune tolerance by inhibiting maternal immunity. During infections HLA-G can be involved in immune escape of pathogens by creating a tolerogenic environment. Recent studies have shown an association between the risk of malaria and HLA-G at both genetic and protein levels. Moreover, women with placental malaria have a higher probability o… Show more

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Cited by 10 publications
(6 citation statements)
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“…For instance, the enhanced expression level of sHLA-G was correlated with the increased predisposition to develop human African trypanosomiasis and promoted susceptibility to malaria, suggesting sHLA-G as a prognostic biomarker in such diseases [ 39 , 78 ]. The level of sHLA-G is also a crucial biomarker of the incidence of malaria during infancy and further confirm that mother sHLA-G levels could be considered a diagnostic marker of malaria susceptibility in children [ 95 ]. Moreover, sHLA-G also exerts a critical immune-modulatory function to decrease fetal loss due to toxoplasmosis infection; however, its overexpression could lead to a congenital transmission [ 91 ].…”
Section: Hla-g Expression In Parasitic Diseasesmentioning
confidence: 87%
“…For instance, the enhanced expression level of sHLA-G was correlated with the increased predisposition to develop human African trypanosomiasis and promoted susceptibility to malaria, suggesting sHLA-G as a prognostic biomarker in such diseases [ 39 , 78 ]. The level of sHLA-G is also a crucial biomarker of the incidence of malaria during infancy and further confirm that mother sHLA-G levels could be considered a diagnostic marker of malaria susceptibility in children [ 95 ]. Moreover, sHLA-G also exerts a critical immune-modulatory function to decrease fetal loss due to toxoplasmosis infection; however, its overexpression could lead to a congenital transmission [ 91 ].…”
Section: Hla-g Expression In Parasitic Diseasesmentioning
confidence: 87%
“…In agreement with this scenario, ancestral fetal HLA-G haplotypes showed associations with preeclampsia and stillbirths in our series, thereby supporting their disadvantage in modern environments. Furthermore, high HLA-G expression is associated with higher implantation rates [111] and uneventful pregnancies as presented here, but might confer an increased risk of offspring to malaria and other infections [ 112 , 113 ].…”
Section: Discussionmentioning
confidence: 97%
“…The present follow-up is part of a study concerning 1,183 pregnant women participating in Malaria in Pregnancy Preventive Alternative Drugs , a randomized trial of intermittent preventive treatment (IPTp) in Benin ( 18 ). The first 154 infants for which flow cytometry data were available were enrolled from January 2010 to June 2011 and followed throughout the first 2 years of life in the TOLIMMUNPAL project ( 19 ). At delivery, active placental malaria was determined by impression smear from the placental blood stained with Giemsa.…”
Section: Methodsmentioning
confidence: 99%