Soluble HLA-G in IVF/ICSI embryo culture supernatants does not always predict implantation success: a multicentre study

Reprod Biomed Online. 2009 Mar;18(3):374-81. doi: 10.1016/s1472-6483(10)60096-x.

Abstract

Several reports have described an association between the presence of soluble human leukocyte antigen G (sHLA-G) in human embryo culture supernatants (ES) and implantation success. However, not all studies agree with these findings. To further document this debate, a multicentre blinded study was performed to investigate, on a large number of IVF ES and ICSI ES, whether sHLA-G is a useful criterion for embryo selection before transfer. A total of 1405 ES from 355 patients were collected from three assisted reproductive technique (ART) centres and evaluated for their sHLA-G content in a single laboratory, using a chemiluminescence enzyme-linked immunosorbent assay. In only one centre was a significant association between sHLA-G-positive ES and successful implantation established (P = 0.0379), whereas no such association was observed in the other centres. It was found that the percentages and concentrations of sHLA-G-positive ES varied between centres, depending on culture media and ART conditions. The percentage of sHLA-G-positive ES was significantly higher in IVF ES than ICSI ES (P < 0.001 and P < 0.01 for two centres). These data demonstrate that substantial variations of sHLA-G content in ES occur between different ART centres, highlighting the influence of several technical parameters that differ from one centre to another.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Culture Media
  • Enzyme-Linked Immunosorbent Assay
  • Fertilization in Vitro*
  • HLA Antigens / analysis*
  • HLA-G Antigens
  • Histocompatibility Antigens Class I / analysis*
  • Humans
  • Luminescence
  • Sperm Injections, Intracytoplasmic*

Substances

  • Culture Media
  • HLA Antigens
  • HLA-G Antigens
  • Histocompatibility Antigens Class I