PMID- 23243280 OWN - NLM STAT- MEDLINE DCOM- 20130405 LR - 20220318 IS - 1528-0020 (Electronic) IS - 0006-4971 (Linking) VI - 121 IP - 7 DP - 2013 Feb 14 TI - Inhibitory KIR/HLA incompatibility between sexual partners confers protection against HIV-1 transmission. PG - 1157-64 LID - 10.1182/blood-2012-09-455352 [doi] AB - Killer immunoglobulin-like receptors (KIRs) regulate natural killer (NK) cells in a human leukocyte antigen (HLA)-dependent manner. KIR/HLA mismatched hematopoietic stem cell transplants induce alloreactive NK cells, which prevent leukemia relapse. Certain KIR/HLA combinations protect against HIV-1 infection, but the effect of KIR/HLA mismatches between sexual partners has never been investigated. In this study, we analyzed the effect of allogeneic KIR/HLA combinations on HIV-1 transmission in a West African population of HIV-1-discordant and concordant couples. HIV-1-discordant couples were characterized by recipient partners with homozygous KIR2DL2, and by a mismatched recipient partner KIR2DL1/HLA-C2 with index partner HLA-C1/C1 combination expected to allow licensed missing self NK cell killing of index partners' cells. HIV-1-concordant couples on the other hand were characterized by KIR2DL3 homozygous recipient partners with HLA-C1/C2 bearing index partners, resulting in a matched KIR/HLA combination expected to inhibit NK cell killing. In vitro cocultures of healthy donor-derived NK cells and HIV-1 patient-derived CD4(+) T cells confirmed the involvement of these allogeneic KIR/HLA combinations in NK cell-mediated CD4(+) T-cell killing. Our data suggest that KIR/HLA incompatibility between sexual partners confers protection against HIV-1 transmission and that this may be due to alloreactive NK cell killing of the HIV-1-infected partner's cells. FAU - Jennes, Wim AU - Jennes W AD - Laboratory of Immunology, Department of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium. wjennes@itg.be FAU - Verheyden, Sonja AU - Verheyden S FAU - Mertens, Julie W AU - Mertens JW FAU - Camara, Makhtar AU - Camara M FAU - Seydi, Moussa AU - Seydi M FAU - Dieye, Tandakha N AU - Dieye TN FAU - Mboup, Souleymane AU - Mboup S FAU - Demanet, Christian AU - Demanet C FAU - Kestens, Luc AU - Kestens L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20121213 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (HLA Antigens) RN - 0 (HLA-C Antigens) RN - 0 (Isoantigens) RN - 0 (KIR2DL2 protein, human) RN - 0 (Receptors, KIR) RN - 0 (Receptors, KIR2DL2) SB - IM CIN - Blood. 2013 Sep 12;122(11):1983-4. PMID: 24030258 CIN - Blood. 2013 Sep 12;122(11):1984-5. PMID: 24030259 MH - Adult MH - Africa, Western MH - CD4-Positive T-Lymphocytes/immunology MH - Coculture Techniques MH - Cytotoxicity, Immunologic MH - Female MH - HIV Infections/genetics/*immunology/prevention & control/*transmission MH - HIV Seronegativity/genetics/immunology MH - *HIV-1 MH - HLA Antigens/genetics/*immunology MH - HLA-C Antigens/genetics/immunology MH - Humans MH - Immunity, Innate MH - Isoantigens/genetics/immunology MH - Killer Cells, Natural/immunology MH - Male MH - Middle Aged MH - Receptors, KIR/genetics/*immunology MH - Receptors, KIR2DL2/genetics/immunology MH - Sexual Partners EDAT- 2012/12/18 06:00 MHDA- 2013/04/06 06:00 CRDT- 2012/12/18 06:00 PHST- 2012/12/18 06:00 [entrez] PHST- 2012/12/18 06:00 [pubmed] PHST- 2013/04/06 06:00 [medline] AID - S0006-4971(20)42114-7 [pii] AID - 10.1182/blood-2012-09-455352 [doi] PST - ppublish SO - Blood. 2013 Feb 14;121(7):1157-64. doi: 10.1182/blood-2012-09-455352. Epub 2012 Dec 13.