PMID- 22803950 OWN - NLM STAT- MEDLINE DCOM- 20130131 LR - 20120921 IS - 1399-0039 (Electronic) IS - 0001-2815 (Linking) VI - 80 IP - 4 DP - 2012 Oct TI - Killer immunoglobulin-like receptors (KIR) and their HLA-ligands in Italian paroxysmal nocturnal haemoglobinuria (PNH) patients. PG - 322-7 LID - 10.1111/j.1399-0039.2012.01932.x [doi] AB - Paroxysmal nocturnal haemoglobinuria (PNH) is a haematopoietic disorder characterized by expansion of phosphatidylinositol glycan-A-defective progenitor(s). Immune-dependent mechanisms, likely involving a deranged T cell-dependent autoimmune response, have been consistently associated with the selection/dominance of PNH precursors. Natural killer (NK) lymphocytes might participate in PNH pathogenesis, but their role is still controversial. NK activity is dependent on the balance between activating and inhibiting signals. Key component in such regulatory network is represented by killer immunoglobulin-like receptors (KIR). KIR are also involved in the regulation of adaptive cytotoxic T cell response and associated with autoimmunity. This study investigated on the frequency of KIR genes and their known human leukocyte antigen (HLA) ligands in 53 PNH Italian patients. We observed increased frequency of genotypes characterized by /=3.5. In addition, an increased matching between KIR-3DL1 and its ligand HLA-Bw4 was found. These genotypes might be associated with lower NK-dependent recognition of stress-related self molecules; this is conceivable with the hypothesis that an increased availability of specific T cell targets, not cleared by NK cells, could be involved in PNH pathogenesis. These data may provide new insights into autoimmune PNH pathogenesis. CI - (c) 2012 John Wiley & Sons A/S. FAU - Cosentini, E AU - Cosentini E AD - Dipartimento di Biologia e Patologia Cellulare e Molecolare, Universita di Napoli Federico II, Napoli, Italy. FAU - Gargiulo, L AU - Gargiulo L FAU - Bruno, P AU - Bruno P FAU - Lastraioli, S AU - Lastraioli S FAU - Risitano, A AU - Risitano A FAU - Camerlingo, R AU - Camerlingo R FAU - Luongo, V AU - Luongo V FAU - Serra, M AU - Serra M FAU - Sica, M AU - Sica M FAU - Garzillo, C AU - Garzillo C FAU - Giani, U AU - Giani U FAU - Notaro, R AU - Notaro R FAU - Alfinito, F AU - Alfinito F FAU - Ruggiero, G AU - Ruggiero G FAU - Terrazzano, G AU - Terrazzano G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120717 PL - England TA - Tissue Antigens JT - Tissue antigens JID - 0331072 RN - 0 (HLA-B Antigens) RN - 0 (HLA-Bw4 antigen) RN - 0 (Ligands) RN - 0 (Receptors, KIR3DL1) SB - IM MH - Adult MH - Alleles MH - Case-Control Studies MH - Female MH - Gene Expression MH - Gene Frequency MH - HLA-B Antigens/*genetics/immunology MH - Haplotypes MH - Hemoglobinuria, Paroxysmal/*genetics/immunology/pathology MH - Humans MH - Italy MH - Killer Cells, Natural/*immunology/metabolism/pathology MH - Ligands MH - Male MH - Middle Aged MH - Molecular Typing MH - Receptors, KIR3DL1/*genetics/immunology MH - Signal Transduction MH - T-Lymphocytes/*immunology/metabolism/pathology EDAT- 2012/07/19 06:00 MHDA- 2013/02/01 06:00 CRDT- 2012/07/19 06:00 PHST- 2012/04/27 00:00 [received] PHST- 2012/06/19 00:00 [revised] PHST- 2012/06/27 00:00 [accepted] PHST- 2012/07/19 06:00 [entrez] PHST- 2012/07/19 06:00 [pubmed] PHST- 2013/02/01 06:00 [medline] AID - 10.1111/j.1399-0039.2012.01932.x [doi] PST - ppublish SO - Tissue Antigens. 2012 Oct;80(4):322-7. doi: 10.1111/j.1399-0039.2012.01932.x. Epub 2012 Jul 17.