PMID- 22185807 OWN - NLM STAT- MEDLINE DCOM- 20121112 LR - 20211021 IS - 1477-0970 (Electronic) IS - 1352-4585 (Linking) VI - 18 IP - 7 DP - 2012 Jul TI - Killer immunoglobulin-like receptor locus polymorphisms in multiple sclerosis. PG - 951-8 LID - 10.1177/1352458511431726 [doi] AB - OBJECTIVE: The objective of this study was to analyze whether inhibitory and activating killer cell immunoglobulin-like receptors (KIRs) and human leukocyte antigen (HLA) class I alleles defined by their KIR binding motifs are associated with multiple sclerosis (MS) susceptibility or severity. METHOD: We performed a population-based case-control study in 321 patients with clinically isolated syndrome (CIS) and clinically definite MS (CDMS) and 156 healthy blood donors (HD). Inhibitory and activating KIRs and HLA class I alleles were genotyped using polymerase chain reaction (PCR) sequence-specific primers. Allelic frequencies were correlated with prevalence, age of onset, disability and disease duration of CIS and CDMS. RESULTS: The frequency of the inhibitory KIR2DL3 gene was significantly reduced in patients with CIS and CDMS (p = 3.1 x 10(-5)). KIR2DL3-dependent risk reduction remained significant after elimination of patients carrying MS-associated DRB1*15, DRB1*03, DRB1*01 alleles. In addition, individuals carrying two copies for KIR2DL2/KIR2DS2 but lacking KIR2DL3 were overrepresented in the CIS/CDMS cohort. However, both genes did not affect disease risk in presence of KIR2DL3. We did not detect any association between the presence or absence of KIR genes with clinical disease parameters. CONCLUSION: Absence of the inhibitory KIR2DL3 gene is associated with the development of CIS/CDMS. These findings, if confirmed in larger cohorts, suggest that KIR-mediated recognition of HLA class I molecules should be further explored as potential disease mechanism in MS. FAU - Jelcic, Ilijas AU - Jelcic I AD - Institute for Neuroimmunology and Clinical Multiple Sclerosis Research, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany. FAU - Hsu, Katharine C AU - Hsu KC FAU - Kakalacheva, Kristina AU - Kakalacheva K FAU - Breiden, Petra AU - Breiden P FAU - Dupont, Bo AU - Dupont B FAU - Uhrberg, Markus AU - Uhrberg M FAU - Martin, Roland AU - Martin R FAU - Munz, Christian AU - Munz C FAU - Lunemann, Jan D AU - Lunemann JD LA - eng GR - R01 CA108609/CA/NCI NIH HHS/United States GR - UO1 AI 069197/AI/NIAID NIH HHS/United States GR - P30 CA008748/CA/NCI NIH HHS/United States GR - R01CA101741/CA/NCI NIH HHS/United States GR - R01CA108609/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20111220 PL - England TA - Mult Scler JT - Multiple sclerosis (Houndmills, Basingstoke, England) JID - 9509185 RN - 0 (HLA-C Antigens) RN - 0 (KIR2DL3 protein, human) RN - 0 (Receptors, KIR) RN - 0 (Receptors, KIR2DL3) SB - IM MH - Adolescent MH - Adult MH - Age of Onset MH - Aged MH - Alleles MH - Case-Control Studies MH - Child MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease/*genetics MH - HLA-C Antigens/*genetics MH - Humans MH - Killer Cells, Natural/immunology MH - Male MH - Middle Aged MH - Multiple Sclerosis/*genetics/immunology MH - *Polymorphism, Genetic MH - Receptors, KIR/genetics MH - Receptors, KIR2DL3/*genetics MH - Reverse Transcriptase Polymerase Chain Reaction MH - Young Adult EDAT- 2011/12/22 06:00 MHDA- 2012/11/13 06:00 CRDT- 2011/12/22 06:00 PHST- 2011/12/22 06:00 [entrez] PHST- 2011/12/22 06:00 [pubmed] PHST- 2012/11/13 06:00 [medline] AID - 1352458511431726 [pii] AID - 10.1177/1352458511431726 [doi] PST - ppublish SO - Mult Scler. 2012 Jul;18(7):951-8. doi: 10.1177/1352458511431726. Epub 2011 Dec 20.