Objectives
Human leukocyte antigen‐G (HLA‐G) is implicated in several cancers and is considered to be an immune checkpoint regulator. We determined the association between polymorphisms in the 3′ untranslated region of
HLA‐G
and soluble HLA‐G (sHLA‐G) expression with gynecological cancers (GCs).
Methods
A meta‐analysis was conducted to examine the association between
HLA‐G14‐bp insertion
(
I
)/
deletion
(
D
) and
+3142C/G
polymorphism in GC and to evaluate sHLA‐G expression
Results
We revealed a significant association between the
+3142C/G
polymorphism and invasive cervical cancer (ICC) based on the allelic model
G
versus
C
(odds ratio [OR] = 0.738, 95% confidence interval [CI] = 0.563–0.966,
p
= 0.027), dominant
GG+GC
versus
CC
(OR = 0.584, 95% CI = 0.395–0.862,
p
= 0.007), and codominant
GG
versus
CC
(OR = 0.527, 95% CI = 0.312–0.891,
p
= 0.017) models, suggesting that the
G
allele and
GG
genotype are protective against ICC. In gynecological precancerous patients with human papillomavirus (HPV) infection, we found that the
14‐bp I/D
under the codominant
DD
versus
DI
model (OR = 0.492, 95% CI = 0.241–1.004,
p
= 0.051) was of borderline significance. Soluble HLA‐G levels were significantly higher in patients compared with healthy controls (standardized mean differences [SMD] = 1.434, 95% CI = 0.442–2.526,
p
= 0.005). Stratification by cancer type revealed that the sHLA‐G levels were significantly increased in cervical cancer (SMD = 4.889, 95% CI = 0.468–9.310,
p
= 0.030) and in subjects of Asian ethnicity (SMD = 4.889, 95% CI = 0.467–9.309,
p
= 0.030).
Conclusions
HLA‐G14‐bp I/D
and
+3142 C/G
polymorphisms are associated with GC and HPV‐associated cervical cancer. In addition, we found significantly increased sHLA‐G levels in cancer patients. These results provide a basis for further studies in diagnostics and immunotherapy of GC.