PMID- 19234348 OWN - NLM STAT- MEDLINE DCOM- 20090611 LR - 20090527 IS - 1552-5783 (Electronic) IS - 0146-0404 (Linking) VI - 50 IP - 6 DP - 2009 Jun TI - Evidence for natural killer cell-mediated protection from metastasis formation in uveal melanoma patients. PG - 2888-95 LID - 10.1167/iovs.08-2733 [doi] AB - PURPOSE: In uveal melanoma, low human leukocyte antigen (HLA) class I expression on primary tumors is associated with a decreased risk of metastasis. Consequently, it has been suggested that natural killer (NK) cells, which detect decreased expression of HLA class I, are involved in the immune control of metastases. In this study, three novel lines of evidence were identified that support a role for NK cells. METHODS: Uveal melanoma cell lines were used to determine the expression of NK cell receptor ligands (MICA, MICB, ULBP1-3, CD112, CD155, and HLA class I) and to examine sensitivity to lysis by human NK cell lines. Because interactions between polymorphic killer immunoglobulin receptors (KIRs) and HLA regulate NK cell function, KIR and HLA genotyping was performed on 154 patients with uveal melanoma and 222 healthy control subjects. RESULTS: First, all 11 uveal melanoma cell lines tested expressed ligands for activating as well as inhibitory NK cell receptors. Second, such cell lines were lysed efficiently by human NK cells in vitro. Finally, the HLA-C genotype was related to the risk of metastasis-related death in patients with uveal melanoma: The patients carrying HLA-C alleles encoding ligands for KIR2DL1 and KIR2DL2/3 (HLA-C group 1/group 2 heterozygous patients), both inhibitory NK receptors, had a longer metastasis-free survival than did those carrying HLA-C ligands for either KIR2DL1 (HLA-C group 2 homozygotes) or KIR2DL2/3 (HLA-C group 1 homozygotes). CONCLUSIONS: Together, the data support a role for NK cells in the prevention of uveal melanoma metastases. FAU - Maat, Willem AU - Maat W AD - Department of Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands. FAU - van der Slik, Arno R AU - van der Slik AR FAU - Verhoeven, Dirk H J AU - Verhoeven DH FAU - Alizadeh, Behrooz Z AU - Alizadeh BZ FAU - Ly, Long V AU - Ly LV FAU - Verduijn, Willem AU - Verduijn W FAU - Luyten, Gregorius P M AU - Luyten GP FAU - Mulder, Arend AU - Mulder A FAU - van Hall, Thorbald AU - van Hall T FAU - Koning, Frits AU - Koning F FAU - Jager, Martine J AU - Jager MJ FAU - van Bergen, Jeroen AU - van Bergen J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090221 PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (HLA-C Antigens) RN - 0 (KIR2DL1 protein, human) RN - 0 (KIR2DL2 protein, human) RN - 0 (KIR2DL3 protein, human) RN - 0 (Ligands) RN - 0 (Receptors, KIR2DL1) RN - 0 (Receptors, KIR2DL2) RN - 0 (Receptors, KIR2DL3) RN - 0 (Receptors, Natural Killer Cell) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Female MH - Flow Cytometry MH - Genotype MH - HLA-C Antigens/genetics MH - Humans MH - Killer Cells, Natural/*physiology MH - Ligands MH - Liver Neoplasms/genetics/immunology/*prevention & control/secondary MH - Lymphocyte Activation MH - Male MH - Melanoma/genetics/immunology/*prevention & control/secondary MH - Middle Aged MH - Polymerase Chain Reaction MH - Receptors, KIR2DL1/genetics MH - Receptors, KIR2DL2/genetics MH - Receptors, KIR2DL3/genetics MH - Receptors, Natural Killer Cell/metabolism MH - Tumor Cells, Cultured MH - Uveal Neoplasms/genetics/immunology/pathology/*prevention & control EDAT- 2009/02/24 09:00 MHDA- 2009/06/12 09:00 CRDT- 2009/02/24 09:00 PHST- 2009/02/24 09:00 [entrez] PHST- 2009/02/24 09:00 [pubmed] PHST- 2009/06/12 09:00 [medline] AID - iovs.08-2733 [pii] AID - 10.1167/iovs.08-2733 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2009 Jun;50(6):2888-95. doi: 10.1167/iovs.08-2733. Epub 2009 Feb 21.