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Review Open access

Roles of the HLA-G gene and its polymorphisms in renal transplantation.

Sep 2026 · Human Immunology · Vol 87 11, pp. 112068 · 0 citations · 66 references
Medicine

TL;DR

The current understanding of the biological functions of HLA-G is summarized, with particular emphasis on its genetic polymorphisms, and their immunomodulatory roles in renal allograft rejection and post-transplant infections are discussed.

Abstract

Human leukocyte antigen-G (HLA-G) is a nonclassical major histocompatibility complex (MHC) class Ib molecule that plays a critical role in immune tolerance, primarily by promoting immune escape and inducing T-cell anergy. Early studies of HLA-G focused mainly on its function during pregnancy, where it is essential for maintaining maternal-fetal tolerance. In recent years, accumulating evidence has revealed the broader immunoregulatory functions and mechanisms of HLA-G in a variety of pathological conditions. As a key immunosuppressive molecule, HLA-G has been extensively investigated in the context of organ transplantation. In this review, we summarize the current understanding of the biological functions of HLA-G, with particular emphasis on its genetic polymorphisms, and discuss their immunomodulatory roles in renal allograft rejection and post-transplant infections.

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