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Revista Mexicana de Medicina Transfusional

ISSN 2007-6509 (Print)
Órgano oficial de la Asociación Mexicana de Medicina Transfusional A.C.
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2010, Number S1

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Rev Mex Med Transfus 2010; 3 (S1)

Importance of KIR molecules in transplant

Pérez-Rodríguez M
Full text How to cite this article

Language: Spanish
References: 7
Page: 21-23
PDF size: 134.35 Kb.


Key words:

KIR, HLA, transplant, alloreactivity.

ABSTRACT

NK cells can differentiate self from nonself by gauging the expression of HLA class I molecules on autologous cells. Thus, the interaction of MHC class I molecules with KIR receptors, expressed on NK cell surface, prevent NK cells from killing normal cells. However, in haploidentical donor stem cell transplantation some NK cells from the donor may display the ability to kill target cell from the recipient. This alloreactivity function has shown an antileukemia effect, lower incidence of graft rejection, reduce graft versus host disease and decrease leukemia relapses. The KIR gene family contains variations in gene number and allelic polymorphism. The KIR2DL1, KIR- 2DL2, KIR2DL3 and KIR3DS1 genes had been reported to be benefic in the transplant. The KIR genotyping could be useful for selecting donor and for predicting NK activity.


REFERENCES

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  2. Uhrberg M, Valiante NM, Shum BP, Shilling HG, Lienert- Weidenbach K, Corliss B et al. Human diversity in killer cell inhibitory receptor genes. Immunity 1997; 7: 753-763.

  3. Ljunggren HG, Karre K. In search of the missing self’: MHC molecules and NK cell recognition. Immunol Today 1990; 11: 237-244.

  4. Ruggeri L, Capanni M, Urbani E, Perruccio K, Shlomchik WD, Tosti A et al. Effectiveness of donor natural killer cell alloreactivity in mismatched hematopoietic transplants. Science 2002; 295: 2097-2100.

  5. Cooley S, Trachtenberg E, Bergemann TL, Saeteurn K, Klein J, Le CT et al. Donors with group B KIR haplotypes improve relapsefree survival after unrelated hematopoietic cell transplantation for acute myelogenous leukemia. Blood 2009; 113: 726-732. Epub 2008 Oct 2022.

  6. Pende D, Marcenaro S, Falco M, Martini S, Bernardo ME, Montagna D et al. Anti-leukemia activity of alloreactive NK cells in KIR ligand-mismatched haploidentical HSCT for pediatric patients: evaluation of the functional role of activating KIR and redefinition of inhibitory KIR specificity. Blood 2009; 113: 3119-3129. Epub 2008 Oct 3122.

  7. Venstrom JM, Gooley TA, Spellman S, Pring J, Malkki M, Dupont B et al. Donor activating KIR3DS1 is associated with decreased acute GVHD in unrelated allogeneic hematopoietic stem cell transplantation. Blood 2010; 115: 3162-3165.




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Rev Mex Med Transfus. 2010;3