HLA-G is a nonclassical major histocompatibility complex class I molecule t
hat is selectively expressed;on cytotrophoblasts at the feto-maternal inter
face where ii may play a major role in maternal-fetal tolerance. In this st
udy, we compared HLA-G expression in trophoblasts from normal and pathologi
c pregnancies by immunohistochemical analysis. First, we found a defective
HLA-G expression in miscarriages associated with hypotrophic but normal egg
s. Conversely, by studying molar pregnancies, we observed a high HLA-G expr
ession in-complete and partial hydatidiform moles. Finally, HLA-G expressio
n could be visualized in extravillous trophoblasts that develop outside of
their normal environment, as reported here in ectopic pregnancies. Taken to
gether, these results suggest that HLA-G expression in extravillous trophob
lasts is induced in an autonomous manner, independently of embryonic develo
pment, and may be an integral pare of placental development allowing its to
lerance from maternal immune system. (C) American Society for Histocompatib
ility and Immunogenetics, 2000. Published by Elsevier Science Inc.