Immunoglobulin Haplotypes: Markers of Reproductive Success? J.C. STEVENSON, 1 M.S. S C H A N F I E L D , 2 M.H. C R A W F O R D , 3 A N D P.M. E V E R S O N 4 Abstract Immunoglobulin haplotypes are highly polymorphic and are useful for analyses of both macro- and microdifferentiation of populations. The origins of this diversity are not known, but recent reports suggest strong selection at this locus. Increased rates of first-trimester spontaneous abortions have been reported when parents share GM phenotypes. Reduced fertility has been observed in mixed European descent white and Hutterite populations when both parents share immunoglobulin haplotypes. Population samples with completed family information and GM haplotype data are rare; the objective here is to provide this information on another sample. A sample of 242 Mennonite couples with mothers older than 40 years was divided into 3 groups of matings based on how many haplotypes were shared: 0, 1, or 2. The distribution of mean completed family sizes for the three groups were 3.35 ± 1.85 (n = 23), 3.47 ± 1.69 (n = 128), and 3.37 ± 1.60 (n = 91), respectively; these values were not significantly different (F = 0.145, p = 0.865). The log-rank test was used to compare the time-to-next-birth curves. The intervals between first and later births (2-4 births) were not significantly different for the three subgroups either. There is also only limited evidence for segregation distortion in another sample of 923 offspring (in which at least one parent is heterozygous). Inherited differences in human immunoglobulins known as allotypes or allotypic markers are found on IgG H chains (GM markers), IgA H chains (AM markers), and k-type L chains (KM markers, formerly called Inv) (Schanfield 1978). Each allotypic determinant is normally restricted to 1 Anthropology Department, Western Washington University, Bellingham, WA 98225. 2Analytical Genetic Testing Center, 7808 Cherry Creek Drive South, #201, Denver, CO 80231. 3 Laboratory of Biological Anthropology, University of Kansas, Lawrence, KS 66045. 4 4-Firs Research, 1305 E. Victor, Bellingham, WA 98225. Human Biology, August 1990, Vol. 62, No. 4, pp. 479-489. © Wayne State University Press, 1990 KEY WORDS: GM, MENNONITES, SEGREGATION ANALYSIS 4 8 0 / STEVENSON ET AL. one of the IgG or IgA subclasses and thus far are found on only the constant regions of the IgG and IgA H chains. Different combinations of allotypic markers are inherited as closely linked units known as haplotypes. Populations are readily distinguished by this system because there are many haplotypes that can serve as unique population markers (Johnson et al. 1977; Ropartz et al. 1963, 1964; Schanfield 1978, 1980; Steinberg 1969; Steinberg and Cook 1981). Widely separated populations are readily differentiated by this system, but one can also distinguish populations in closer proximity because of conspicuous differences in haplotype frequencies. The origins of this diversity are not yet understood, but recent re- ports suggest strong selection at the GM loci (Ober et al. 1986; Weitkamp 1986; Weitkamp et al. 1986). Reduced fertility has been reported in mixed white and Hutterite populations when both parents share immunoglobu- lin haplotypes (Ober et al. 1986; Weitkamp 1986; Weitkamp et al. 1986). There are also increased rates of first-trimester spontaneous abortions when parents share GM phenotypes (Weitkamp et al. 1986). Population samples with both completed family information and GM haplotype data are rare. The objective here is to corroborate Weitkamp and colleagues' findings with data on another population. The association of shared HLA antigens and reduced reproductive performance has already been documented in Hutterite couples (Ober et al. 1983, 1985; Ober, Elias, O'Brien et al. 1988; Ober, Elias, Hauck et al. 1988) and in couples having habitual abortions [reviewed by Gill (1983b)]. In Hutterite couples, where large families are the rule, intervals between births are larger when couples share one or more HLA antigens, and this effect is more apparent with increasing parity (Ober et al. 1983, 1985; Ober, Elias, O'Brien et al. 1988; Ober, Elias, Hauck et al. 1988). Reduced fertility resulting from shared antigens has also been re- ported for the GM system. In preliminary studies a significant reduction in family size was observed by Weitkamp et al. (1986) in a sample of 437 white couples with 2 or more children (selected originally over 15 years for family studies of various diseases and for linkage analysis) when the couples shared the same GM phenotype (3.10 ± 0.16 for like couples versus 3.55 ± 0 . 1 3 for unlike couples). The effect was also observed in the 282 couples with mothers older than 40 years (3.59 ± 0.22 for like couples versus 4.90 ± 0.17 for unlike couples). This difference was also apparent in 68 Hutterite couples (4.42 ± 0.68 versus 6.71 ± 0.57) and was even more dramatic among the 33 Hutterite couples with mothers older than 40 years (6.00 ± 1 . 2 1 versus 9.16 ± 0.17). Of the 304 mixed white couples who had been both HLA and GM typed, virtually all the differences in family size "as a function of sharing Immunoglobulin Haplotypes / 481 GM phenotypes was limited to the couples who also shared one or more HLA-A or HLA-B antigens" (Weitkamp et al. 1986, p. 33). Weitkamp et al. then compared couples who had first-trimester spontaneous abortions (and at least three pregnancies) with control couples who had three or more offspring, according to whether or not they shared HLA-A or HLA- B antigens. Spontaneous abortions increased significantly in couples who share GM haplotypes when compared to control couples ( x 2 = 7.2 with Yates correction, p < 0.01). Weitkamp et al. believe that this represents an interaction "between HLA and GM in susceptibility to spontaneous abortion and in fecundity" (1986, p. 34). Thus there is some evidence for an association between reduced completed family size and sharing of immunoglobulin markers in popu- lation samples representing larger families. In this study we present data from a Mennonite sample not chosen for family size. A segregation anal- ysis was performed to test whether a fetus identical with the mother for both GM haplotypes is at a selective disadvantage compared to a fetus that shares only one haplotype with the mother. Methods and Materials The populations studied consisted of one sample of Mennonite cou- ples with mothers older than 40 years (women born before 1941) and a sample of mixed Caucasian matings and offspring. The 242 Mennon- ite couples represent the communities of Goessel and Meridian, Kansas, and Henderson, Nebraska, and were recruited during an interdisciplinary aging study (Crawford and Rogers 1982). There are no significant differ- ences among the communities for completed family size (Stevenson et al. 1989). The second sample consisted of 923 matings (in which at least one parent is heterozygous) ascertained from 268 paternity studies and 221 family studies of various diseases (not selected for family size). The offspring of the Mennonite couples had not been allotyped and were not included in the segregation analysis. All samples were tested minimally for G1M (A, F, and X) and G3M (BO, Bl, B3, B5, G) using previously described methods (Schanfield et al. 1975). The nomenclature used for immunoglobulin allotypes is consistent with the recommendations of Shows e t a l . (1987). The Mennonite sample was divided into three groups of matings based on how many haplotypes were shared. There are three GM hap- lotypes common to European Caucasians: IGHGTA G3*G, IGHG1*A,X G3*G, and IGHG1*F G3*B (Steinberg and Cook 1981). Each person carries two haplotypes. Thus "zero haplotypes shared" means that the 4 8 2 / STEVENSON ET AL. parents do not share any one of the three haplotypes, and "one (two) haplotypes shared" means that they share one (two) of the three haplo- types. Weitkamp and colleagues (Ober et al. 1986; Weitkamp 1986; Weit- kamp et al. 1986) recognized two subdivisions for G M matings: "like" versus "unlike." Their category of like matings corresponds to two haplotypes shared, because all other matings are phenotypically unlike. The distinctions used here are more consistent with the recent HLA studies in which subdivisions of matings are based on 0, 1, or 2+ antigens shared (Ober et al. 1985; Ober, Elias, O'Brien et al. 1988; Ober, Elias, Hauck etal. 1988). Distributions of completed family sizes were checked for skewness and kurtosis, and an analysis of variance was performed. Life table analyses provide another means of comparing the effects of shared haplotypes on mean completed family size (Anderson et al. 1980, pp. 199-234; Cox 1972). Reproductive outcome was assessed indirectly by estimates of the length of the interval from first birth to each successive birth. Time from year of first birth was used rather than from date of marriage because there was no information on the date of marriage for the women of the Meridian and Goessel congregations. Couples were considered to be at risk from the time of the first birth through the time of menopause (or the surgically induced end of the fertility period). The log-rank test was used to compare the time-to-next- birth curves. The distribution of offspring from various kinds of matings formed the basis of a segregation analysis. Ratios based on Mendelian inheritance were used to predict expected frequencies of offspring; these ratios were then compared in a chi-square analysis to actual distributions of phenotypes in the offspring. A minor adjustment was made for phenotype GM A,X G. The phe- notype GM A,X G consists of two genotypes (IGHG1*A G3*G/G1*A,X G3*G and IGHG1*A,X G3*G/G1*A,X G3*G). Therefore the transmis- sion likelihood for the IGHG1*A,X G3*G allele will be greater than 0.5. The estimate of the transmission likelihood can be calculated using the expected values from the Hardy-Weinberg equation. The formula for the calculation of the probability of transmission for ambiguous situations is t = [(*A,XGHt/*A,XGT) x 0.5] + [(*A,XGHm/*A,XGT) x 1.0], (1) where *A,X G Ht is the Hardy-Weinberg estimate of the frequency of heterozygous *A,XG, *A, X G Hm is the Hardy-Weinberg estimate of the frequency of homozygous *A,XG, and *A,XGT is the sum of het- Immunoglobulin Haplotypes / 483 Table 1. Summary Statistics for Completed Family Size Completed Number ofHalotypes Shared Family Size 0 % 1 % 2 % Totals 0 3 0.130 9 0.070 6 0.066 18 0.074 1 0 0 5 0.039 4 0.044 9 0.037 2 4 0.174 12 0.094 11 0.121 27 0.112 3 5 0.217 38 0.297 26 0.286 69 0.285 4 4 0.174 39 0.305 30 0.330 73 0.302 5 4 0.174 16 0.125 5 0.055 25 0.103 6 3 0.130 4 0.031 6 0.066 13 0.054 7 0 0 1 0.008 2 0.022 3 0.012 8 0 0 2 0.016 1 0.011 3 0.012 9 0 0 2 0.016 0 0 2 0.008 N 23 0.999 128 1.001 31 1.001 242 0.999 Mean number of 3.348 ± 1.849 3.469 ± 1.688 3.374 ± 1.596 3.421 ± 1.664 offspring Median number of 3 3.5 3 3 offspring Modal number of 3 4 4 4 offspring Skewness - 0 . 3 7 4 ± 0.481 0.339 ± 0.214 0.051 ± 0.253 0.160 ± 0.156 Kurtosis - 0 . 5 4 9 ± 0.935 1.678 ± 0.425 0.690 ± 0.500 1.057 ± 0.312 erozygous and homozygous frequencies. The probability of transmission estimated using US white frequencies (Dykes 1982) is 0.5995. Results The distribution of completed family sizes for the total Mennonite sample and for the three subgroups of the Mennonite sample are pre- sented in Table 1. Completed family sizes for the total sample range from 0 to 9 with a mean of 3.42 (±a, a = 1.66), a median of 3, and a mode of 4 children. The distribution is leptokurtic. The three subgroups consist of 23, 128, and 91 families for 0, 1, and 2 haplotypes shared, respectively, with corresponding mean completed family sizes of 3.35 ± 1.85, 3.47 ± 1.69, and 3.37 ± 1.60. The variances of the three subgroups are not significantly different (Bartlett's Box F = 0.361, p = 0.697; Cochrane's C = 0.380, p = 0.414). Analysis of variance was performed to determine the effects of shared haplotypes on completed family size, and the results are presented in Table 2. The low F value (0.145) shows that mean completed family size does not vary significantly {p = 0.865) among the subgroups. The results of the birth interval analyses are presented in Table 3. 4 8 4 / STEVENSON ET AL. Table 2. A n a l y s i s of Variance: C o m p l e t e d Family S i z e by H a p l o t y p e Subgroup Sum of Degrees Mean F F Source Squares of Freedom Squares Ratio Probability Total 664.847 241 Between groups 0.806 2 0.403 0.145 0.865 Within groups 664.041 239 2.778 Table 3. Intervals ( Y e a r s ) from First Birth to S u c c e s s i v e B i r t h s ( U p p e r Quartile)* Haplotype Subgroups Chi-Square Degrees of Parity 0 1 2 Value Freedom Probability 2 4.08 4.03 3.67 0.465 2 0. 75 < p < 0.90 3 8.25 8.05 8.50 0.929 2 0.75 < p < 0.90 4 11.75 12.20 13.25 0.093 2 0.95 < p < 0.975 a. Upper quartiles: 75% of couples completed the interval from first birth to this birth within the time period (number of years). Upper quartiles are estimated from time-to- birth curves generated from survival analysis; P values (two-tailed) are based on the log- rank test and compare the full time-to-birth curves for each parity. The length of the interval from the first to the fourth birth does increase slightly, as seen in Figure 1. However, the length of the intervals from first birth to second, first to third, and first to fourth were not significantly different for any of the three subgroups. The results of the segregation analyses are presented in Table 4. There are two statistically significant deviations from Mendelian ex- pectations. Mothers with phenotype GM F B mated to fathers with phenotype GM A,X G have a slight excess of GM A,F,X,Z B,G and slight deficiency of GM A,F B,G phenotypes in the offspring. This is most likely an artifact of the fact that the GM A,X G phenotype is a combination of two genotypes, IGHG1 *A,X G3*G/Gl *A G3*G and IGHG1*A,X G3*G/G1 *A,X G3*G; neither can be distinguished with- out further pedigree analysis. In addition, mothers with phenotype GM A G mated to fathers with GM A,F B,G produce a slight excess of GM A,F B,G phenotypes and a slight deficiency of GM A G pheno- types in the offspring. Small sample size (28) may account for this dis- crepancy. This last deviation from Mendelian expectations, if biologi- cally real, would represent low-level selection against the homozygous IGHG1 *A G3*G/G1 *A G3*G genotype. In the 64 matings of moth- ers with phenotype GM A,F,X B,G with fathers with GM A,F B,G, the results are not statistically significant given four outcomes of equal prob- ability. The chi-square value could also be calculated as a 1:3 ratio of GM Immunoglobulin Haplotypes / 485 1 .00 0 . 9 0 0 . 8 0 0 . 7 0 0 . 6 0 0 . 5 0 0 . 4 0 0 . 3 0 0 . 2 0 0 . 1 0 0 . 0 0 • T ? i -I t- H 1 1 f- H H H h 0 1 2 3 4 5 6 7 8 9 1 0 1 1 1 2 1 3 1 4 1 5 1 6 1 7 1 8 Time (in Years) t o F o u r t h Birth Figure 1. Time to third child by haplotype subgroup. Filled circles, 0 shared haplotypes; open circles, 1 shared haplotype; squares, 2 shared haplotypes. F B versus the other three phenotypes. Observed (to expected values) of 24 (16):40 (48) result in a chi-square value of 5.33, which for 1 degree of freedom is now significant (0.2 < p < 0.5). Thus there is a slight excess of GM F B phenotypes, or in other words, evidence for low-level selection in favor of the IGHG1 *F G3*B/G1 *FG3*B homozygotes. Discussion and Conclusions It is HLA or GM compatibility (rather than incompatibility) that is correlated by Weitkamp and colleagues with a reduction in fertility in couples not selected for excessive abortions (Ober et al. 1983, 1986; Weitkamp 1986; Weitkamp et al. 1986) and in couples with abortions (Gill 1983b). It is likely that both immunologic and genetic mechanisms are operating (Gill 1983a; Gill and Repetti 1979; Gill, MacPherson et al. 1987; Hedrick 1988; Hedrick and Thomson 1988; Schacter et al. 1984; Weitkamp et al. 1986). There is growing evidence that histoincompati- ble fetuses elicit a maternal response to paternal antigens that increases the frequency of successful implantation and may prevent rejection of the implanted ovum (Gill, MacPherson et al. 1987). It is likely that an unidentified class 1 antigen is the primary stimulus in eliciting the im- mune response to the conceptus, and in humans the antigen is coded by 4 8 6 / STEVENSON ET AL. Table 4. Segregation Analysis GM Phenotypes of Parents (at least one parent GM Phenotypes of Offspring: heterozygous) Observed (Expected) Offspring Mother Father FB A,FB,G A,F,XB,G AG A,XG X2 28 A G A,FB,G 0 20 0 8 0 5.1429* (14) (14) 3 A G A,F,X B,G 0 1 0 0 2 ID 4 A G A , X G 0 0 0 2 2 ID 10 A,FB,G A G 0 4 0 6 0 ID 128 A,F B,G A,FB,G 33 65 0 30 0 0.1719 (32) (64) (32) 21 A,FB,G A,F,X, B,G 5 9 6 0 1 ID 22 A,F B,G A,X G 0 7 4 4 7 ID 152 A,F B,G F B 79 73 0 0 0 0.2368 (76) (76) 2 A,F,X B,G A G 0 0 0 0 2 ID 64 A,F,X B,G A,F B,G 24 14 13 0 13 5.3750 (16) (16) (16) (16) 42 A,F,X B,G A,F,X B,G 10 0 24 0 8 1.0476 (10.5) (21) (10.5) 17 A,F,X B,G A , X G 2 0 8 0 7 4.7647 (4.25) (4.25) (8.5) 102 A,F,X B,G F B 49 53 0 0 0 0.1569 (51) (51) 6 A,X G A G 0 0 0 4 2 ID 16 A,X G A,F B,G 0 5 6 2 3 ID 16 A,X G A,F,X B,G 0 4 4 0 8 ID 6 A,X G A,X G 0 0 0 3 3 ID 40 A,X G F B 0 16 24 0 0 0.0000 (16.02) (23.98) 123 F B A,F B,G 68 55 0 0 0 1.3740 (61.5) (61.5) 68 F B A,F,X B,G 30 0 38 0 0 0.9412 (34) (34) 53 F B A,X G 0 13 40 0 0 5.3182* (21.2265) (31.7735) 923 300 339 167 59 58 ID = Insufficient data. *0.02 < P< 0.05. Immunoglobulin Haplotypes / 487 gene(s) in the HLA A,B,C region of the major histocompatibility com- plex (MHC) [Gill 1983b; see also Faulk and Mclntyre (1981), Hedrick and Thomson (1988), Mclntyre and Faulk (1979, 1982), Ober et al. (1985), Ober, Elias, O'Brien et al. (1988), and Ober, Elias, Hauck et al. (1988)]. In addition, there may be lethal recessive genes (such as the t haplotypes in the mouse and the grc in the rat) epistatically linked to the HLA loci that may come together more frequently in homozygous matings, result- ing in increased frequencies of spontaneous abortions (Gill et al. 1983; Gill, Wegmann et al. 1987; Hedrick 1988; Schacter et al. 1984). Whatever the mechanism(s), there is little evidence here for reduced fertility in matings homozygous for GM haplotypes. Statistically signif- icant differences were not demonstrated among the three subgroups of this study for mean completed family sizes or mean times from first to second, first to third, and first to fourth births. The segregation analy- sis provided little evidence for statistically significant deviations from Mendelian expectations. Low-level selection is not ruled out. Birth histories collected from Mennonite women reveal that miscarriages and stillbirths were reported for 22.7%, 20.9%, and 25.3% of women who share 0, 1, and 2 haplo- types, respectively, with their husbands. Plus, the trend to increasing in- tervals between first and fourth births as the number of haplotypes shared increases, although not statistically significant, is suggestive. Future re- search should include more information on birth and marriage. More sensitive detection of fetal loss would also be helpful [see Ober, Elias, Hauck et al. (1988)]. Finally, detection may be possible only in large samples or samples consisting primarily of couples who are maximizing family size (e.g., Hutterites). Acknowledgments This research was supported in part by the National Institutes of Health under grant AGO 1646-03. We also wish to thank the Goessel, Meridian, and Henderson congregations and the anonymous reviewers. Received 17 January 1989; revision received 28 November 1989. Literature Cited ANDERSON, S., A . AUQUIER, W . W . HAUCK, D . OAKES, W. VANDAELE, H . I . WEISBERG, A.S. BRYK, AND J. KLEINMAN 1980 Statistical Methods for Compar- ative Studies: Techniques for Bias Reduction. New York: Wiley. COX, D.R. 1972 Regression models and life-tables. J. R. Statist. Soc., ser. B, 34:187-202. CRAWFORD, M.H., AND L. ROGERS 1982 Population genetic models in the study of aging and longevity in a Mennonite community. Soc. Sci. Med. 16:149-153. 4 8 8 / STEVENSON ET AL. DYKES, D.D. 1982 The use of frequency tables in parentage testing. In Probability of Inclusion in Paternity Testing: A Technical Workshop, H. Silver, ed. Arlington, Va.: American Association of Blood Banks, 15-44. FAULK, W.P., AND J.A. MClNTYRE 1981 Trophoblast survival. Transplantation 32:1-5. GILL, T.J., III 1983a Immunogenetic aspects of the maternal-fetal interaction. In Im- munology of Reproduction, T.G. Wegmann and T.J. Gill, III, eds. N e w York: Oxford University Press, 55-76. GILL, T.J., III 1983b Immunogenetics of spontaneous abortions in humans. Transplanta- tion 35:1-6. GILL, T.J., III, AND C.F. REPETTI 1979 Immunologic and genetic factors influencing reproduction. Am. J. Pathol 95:465-570. GILL, T.J., III, S. SLEW, AND H.W. KUNZ 1983 Major histocompatibility complex (MHC)-linked genes affecting development. J. Exp. Zool. 228:325. GILL, T.J., III, T.G. WEGMANN, AND E. NlSBET-BROWN 1987 Immunoregulation and Fetal Survival. London: Oxford University Press. GILL, T.J., III, T.A. MACPHERSON, H.N. HO, H.W. KUNZ, A.C. HASSETT, K.S. STRANICK, AND J. LOCKER 1987 Immunological and genetic factors affecting im- plantation and development in the rat and in the human. In Immunoregulation and Fetal Survival, T J . Gill, III, T.G. Wegmann, and E. Nisbet-Brown, eds. London: Oxford University Press, 137-155. HEDRICK, P.W. 1988 HLA-sharing, recurrent spontaneous abortion, and the genetic hy- pothesis. Genetics 119:199-204. HEDRICK, P.W., AND G. THOMSON 1988 Maternal-fetal interactions and the mainte- nance of HLA polymorphism. Genetics 119:205-212. JOHNSON, W.E., P.H. KOHN, AND A.G. STEINBERG 1977 Gm and Km (Inv) frequencies in two Roumanian populations. Hum. Genet. 39:199-211. MClNTYRE, J.A., AND W.P. FAULK 1979 Antigens of human trophoblast: Effects of heterologous anti-trophoblast sera on lymphocyte responses in vitro. J. Exp. Med. 149:824. MClNTYRE, J.A., AND W.P. FAULK 1982 Allotypic trophoblast-lymphocyte crossreactive (TLX) cell surface antigens. Hum. Immunol. 4:27-35. OBER, C.L., L. WEITKAMP, AND S. ELIAS 1986 Gm mating types and family size differ- ences among Hutterite couples. Abstr. Am. J. Hum. Genet. 39:A242. OBER, C.L., S. ELIAS, W.W. HAUCK, AND D. KOSTYU 1988 Evidence for genes in more than one MHC region influencing fertility in Hutterite couples. Abstr. Am. J. Hum. Genet. 43:A219. OBER, C.L., S. ELIAS, E. O'BRIEN, D.D.' KOSTYU, W.W. HAUCK, AND A. BOMBARD 1988 HLA sharing and fertility in Hutterite couples: Evidence for prenatal selection against compatible fetuses. Am. J. Reprod. Immunol. Microbiol. 18:111-115. OBER, C.L., W . W . HAUCK, D . D . KOSTYU, E. O'BRIEN, S. ELIAS, J.L. SIMPSON, A N D A.O. MARTIN 1985 Adverse effects of human leukocyte antigen-DR sharing on fertility: A cohort study in a human isolate. Fertil. Steril. 44:227-232. OBER, C.L., A.O. MARTIN, J.L. SIMPSON, W.W. HAUCK, D.B. AMOS, D.D. KOSTYU, M. FOTINO, AND F.H. ALLEN, JR. 1983 Shared HLA antigens and reproductive performance among Hutterites. Am. J. Hum. Genet. 35:994-1004. ROPARTZ, C., L. RIVAT, AND P.-Y. ROUSSEAU 1964 Les a n t i g l o b u l i n s humaines: Leur specificite, leur frequence et les mecanismes probables de leur apparition. Nouv. Rev. Fr. Hematol. 4:803-824. ROPARTZ, C., L. RIVAT, P.-Y. ROUSSEAU, H . BAITSCH, AND J. VAN LOGHEM 1963 Les systemes Gm et Inv en Europe. Acta Genet. (Basel) 13:109-123. Immunoglobulin Haplotypes / 489 SCHACTER, B., L.R. WEITKAMP, A N D W.E. JOHNSON 1984 Parental H L A compatibility, fetal wastage and neural tube defects: Evidence for a T/t-like locus in humans. Am. J. Hum. Genet. 36:1082-1091. SCHANFIELD, M.S. 1978 Genetic markers on human immunoglobulins. In Review of Basic and Clinical Immunology, 2d ed., J.L. Caldwell, H.H. Fudenberg, J.V. Wells, and D.P. Stites, eds. Los Altos, Cal.: Lange Medical Publications, 59-65. SCHANFIELD, M.S. 1980 The anthropological usefulness of highly polymorphic systems: HLA and immunoglobulin allotypes. In Current Developments in Anthropological Genetics. M.H. Crawford and J.H. Mielke, eds. New York: Plenum Press, 65-85. SCHANFIELD, M.S., H.F. POLESKY, AND E.B. SEBRING 1975 G m a n d Inv testing. In Paternity Testing, H.F. Polesky, ed. Chicago, 111.: American Society of Clinical Pathologists, Division of Educational Media Services, 45-54. SHOWS, T.B., P.J. MCALPINE, C. BOUCHEIX, ET AL. 1987 Guidelines for human gene nomenclature: An international system for human gene nomenclature (ISGN, 1987). Cytogenet. Cell Genet. 46:11-28. STEINBERG, A.G. 1969 Globulin polymorphisms in man. Annu. Rev. Genet. 3:25-52. STEINBERG, A.G., AND C.E. COOK 1981 The Distribution of the Immunoglobulin Allo- types. London: Oxford University Press. STEVENSON, J.C., P.M. EVERSON, AND M.H. CRAWFORD 1989 Changes in completed family size and reproductive span in Anabaptist populations. Hum. Biol. 61:99-115. WEITKAMP, L.R. 1986 G m a n d H L A m a t i n g types in relation to reproductive success. Abstr. Am. J. Hum. Genet. 39:A248. WEITKAMP, L.R., C. OBER, AND B. SCHACTER 1986 G e n e t i c a n d i m m u n o g e n e t i c mark- ers of reproductive success. In Reproductive Immunology, D.A. Clark and B.A. Croy, eds. New York: Elsevier, 27-35.