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Juch, H; Dohr, G.
Soluble HLA-G and Assisted Reproductive Technology - An Artefact Used as Basis For a (Vitally) Important Decision?
GEBURTSH FRAUENHEILK. 2010; 70(1): 17-23.
Doi: 10.1055/s-0029-1240729
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- Leading authors Med Uni Graz
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Juch Herbert
- Co-authors Med Uni Graz
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Dohr Gottfried
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- Abstract:
- Soluble HLA-G has been proposed as a useful parameter for embryo and probably oocyte viability in ART. But while some clinicians already offer sHLA-G analysis of cultured human embryos to infertile patients using commercially available test systems, there is considerable doubt about the validity of this marker. We present a review of the available data in the literature, which reveals serious technical problems with the detection methods and a critical lack of standardisation and reproducibility. Moreover, the concept of "active secretion of HLA-G" is clearly contradictory to well established concepts of RNA decay. Considering what is known of nonsense mediated RNA decay (NMD), measurable amounts of sHLA-G should not be expected in supernatants of human oocytes and preimplantation embryos at all. To avoid creating "scientific bubbles", the scientific and technical basis needs to be critically investigated before a "newmarker" is introduced in clinics. In our opinion, the decision which oocytes to fertilise and cultivate or which embryos to transfer into the uterus are too important to be based on a probable artefact.
- Find related publications in this database (Keywords)
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soluble HLA-G
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assisted reproductive technology
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IVF
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embryo quality
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nonsense mediated RNA decay