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Hum. Reprod. Advance Access published online on January 21, 2005

Human Reproduction, doi:10.1093/humrep/deh715
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Human Reproduction © European Society of Human Reproduction and Embryology 2005; all rights reserved
Received May 25, 2004
Revised November 9, 2004
Accepted December 7, 2004

Article

Susceptibility to ovarian endometriosis in Polish population is not associated with HLA-DRB1 alleles

Piotr I. Roszkowski 1, Monika Sankowska 2, Agnieszka Jalbrzykowska 2, Dariusz Radomski 3, Katarzyna Dragowska 1, Rafal Ploski 4, and Jacek Malejczyk 5*

1 2nd Department of Gynaecology and Obstetrics, Warsaw, Poland
2 Department of Clinical Immunology, Institute of Transplantology, Warsaw Medical University, PL-02004 Warsaw, Poland
3 Division of Nuclear and Medical Electronics, Warsaw University of Technology, PL-00665 Warsaw, Poland
4 Human Molecular Genetics Laboratory of Department of Forensic Medicine and Department of Childhood Diabetes and Birth Defects Warsaw, Poland
5 Laboratory for Molecular Cell Biology, Department of Histology and Embryology, Centre of Biostructure Research, Warsaw Medical University, PL-02004 Warsaw, Poland

* To whom correspondence should be addressed.
Jacek Malejczyk, E-mail: jmalej{at}ib.amwaw.edu.pl


   Abstract

BACKGROUND: Endometriosis is associated with inflammatory autoimmune reactions; however, aetiopathogenesis of the disease is still poorly understood. While autoimmune disorders are often associated with particular HLA alleles, the possible involvement of HLA in the aetiopathogenesis of endometriosis is still a subject of controversy. The aim of the study was to examine the distribution of HLA-DRB1 alleles in women with endometriosis. To ensure homogeneity of the studied group, only women with ovarian endometrial cysts were included. METHODS: The study included 65 Polish patients of Caucasian origin in whom ovarian endometriosis had been confirmed by laparoscopic and histopathological examinations. HLA-DRB1 alleles were typed using a reverse slot blot method. A frequency of particular HLA-DRB1 alleles in patients was compared with that of a control group of 700 unrelated ethnically matched individuals as well as 193 age-matched women without endometriosis. RESULTS: No statistically significant differences were found in the distribution of HLA-DRB1 alleles in patients with ovarian endometriosis as compared with control populations. CONCLUSIONS: The results of the present study show that ovarian endometriosis is not associated with particular HLA-DRB1 allele(s). This may suggest that aetiology of this form of endometriosis may be not primarily associated with class II HLA-mediated autoimmune reactions.

Keywords: autoimmunity; endometriosis; HLA-DRB1 alleles; major histocompatibility complex.
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D. H. Whang, S. H. Kim, Y. M. Choi, M. H. Park, J. H. Noh, and Y. B. Kim
No association between HLA-DRB1 alleles and susceptibility to advanced stage endometriosis in a Korean population
Hum. Reprod., January 1, 2006; 21(1): 129 - 133.
[Abstract] [Full Text] [PDF]



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