PMID- 17825623 OWN - NLM STAT- MEDLINE DCOM- 20071220 LR - 20070928 IS - 1471-4906 (Print) IS - 1471-4906 (Linking) VI - 28 IP - 10 DP - 2007 Oct TI - HLA and KIR polymorphisms affect NK-cell anti-tumor activity. PG - 437-41 AB - Killer cell immunoglobulin-like receptors (KIRs) and their cognate human leukocyte antigen (HLA) ligands are key to the maintenance of natural killer (NK) cell tolerance. The gene complexes encoding both KIRs and HLA ligands are extremely polymorphic. Because the extent of NK cell inhibition varies with the allelic forms expressed, NK cell tolerance can be broken more easily in some individuals than in others. This explains why particular combinations of KIR and HLA genes are associated with an increased risk of autoimmune diseases or with more efficient antiviral responses. Breaking of NK cell tolerance might be prerequisite to kill leukemic blasts. At present, there are ample indications that NK cells can eradicate acute myeloid leukemia blasts in patients with a favorable combination of HLA and KIR genes. Selecting these individuals for clinical trials should give insight into the feasibility of anti-tumor therapy mediated through NK cells. FAU - Passweg, Jakob R AU - Passweg JR AD - Division of Hematology, University Hospital Geneva, CH-1211 Geneva 14, Switzerland. FAU - Huard, Bertrand AU - Huard B FAU - Tiercy, Jean-Marie AU - Tiercy JM FAU - Roosnek, Eddy AU - Roosnek E LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20070907 PL - England TA - Trends Immunol JT - Trends in immunology JID - 100966032 RN - 0 (HLA Antigens) RN - 0 (Receptors, KIR) SB - IM MH - Autoimmunity MH - Cytotoxicity, Immunologic MH - HLA Antigens/*genetics/immunology/metabolism MH - Humans MH - Immune Tolerance MH - Immunotherapy MH - Killer Cells, Natural/*immunology/metabolism MH - Leukemia, Myeloid, Acute/immunology/therapy MH - Neoplasms/*immunology MH - *Polymorphism, Genetic MH - Receptors, KIR/*genetics/immunology/metabolism EDAT- 2007/09/11 09:00 MHDA- 2007/12/21 09:00 CRDT- 2007/09/11 09:00 PHST- 2007/07/20 00:00 [received] PHST- 2007/07/20 00:00 [revised] PHST- 2007/07/20 00:00 [accepted] PHST- 2007/09/11 09:00 [pubmed] PHST- 2007/12/21 09:00 [medline] PHST- 2007/09/11 09:00 [entrez] AID - S1471-4906(07)00188-3 [pii] AID - 10.1016/j.it.2007.07.008 [doi] PST - ppublish SO - Trends Immunol. 2007 Oct;28(10):437-41. doi: 10.1016/j.it.2007.07.008. Epub 2007 Sep 7.