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Correspondence
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Volume 341:1937 December 16, 1999 Number 25
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Transplacental Transmission of Natural-Killer-Cell Lymphoma

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To the Editor: In their report of the transfer of an aggressive natural-killer-cell lymphoma from a mother to her fetus, Catlin et al. (July 8 issue)1 suggest that the maternal lymphoma was not rejected by the infant because of the immaturity of the fetus's lymphocytes. We suggest that a fetal antigen called HLA-G is important in protecting maternal cancer cells from rejection by the fetus.

HLA-G is selectively expressed in cytotrophoblasts, chorionic villi, amnion, and monocytes activated by interleukin-10 and interferon-{gamma}.2 It is a key molecule in fetal tolerance of maternal cells.3 In fact, the expression of HLA-G during . . . [Full Text of this Article]

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