PMID- 23398855 OWN - NLM STAT- MEDLINE DCOM- 20131209 LR - 20230124 IS - 1600-6143 (Electronic) IS - 1600-6135 (Linking) VI - 13 IP - 4 DP - 2013 Apr TI - No impact of KIR-ligand mismatch on allograft outcome in HLA-compatible kidney transplantation. PG - 1063-1068 LID - 10.1111/ajt.12134 [doi] AB - Natural killer (NK) cell function can be modulated by the killer cell immunoglobulin-like receptors (KIR) which interact with human leukocyte antigen (HLA) class I molecules on target cells. KIR-ligand mismatching has recently been shown by van Bergen et al. (American Journal of Transplantation 2011; 11(9): 1959-1964) to be a significant risk factor for long-term graft loss in HLA-A, -B and -DR compatible kidney transplants. To verify this potentially important finding, we performed genotyping of 608 deceased-donor kidney graft recipients and their HLA-A, -B and -DR compatible donors for KIR and HLA, using samples and clinical data provided by the Collaborative Transplant Study. Graft survival of KIR-ligand-matched and -mismatched transplants was compared. We found no impact of KIR-ligand mismatching on 10-year graft survival in HLA-A, -B, -DR compatible kidney transplants. Further analysis did not reveal a significant effect of recipient activating/inhibitory KIR or KIR genotypes on graft survival. Our data do not support the concept that KIR-HLA matching might serve as a tool to improve long-term renal allograft survival. CI - (c) Copyright 2013 The American Society of Transplantation and the American Society of Transplant Surgeons. FAU - Tran, T H AU - Tran TH AD - Department of Transplantation Immunology, Institute of Immunology, University of Heidelberg, Heidelberg, Germany. FAU - Unterrainer, C AU - Unterrainer C AD - Department of Transplantation Immunology, Institute of Immunology, University of Heidelberg, Heidelberg, Germany. FAU - Fiedler, G AU - Fiedler G AD - Department of Transplantation Immunology, Institute of Immunology, University of Heidelberg, Heidelberg, Germany. FAU - Dohler, B AU - Dohler B AD - Department of Transplantation Immunology, Institute of Immunology, University of Heidelberg, Heidelberg, Germany. FAU - Scherer, S AU - Scherer S AD - Department of Transplantation Immunology, Institute of Immunology, University of Heidelberg, Heidelberg, Germany. FAU - Ruhenstroth, A AU - Ruhenstroth A AD - Department of Transplantation Immunology, Institute of Immunology, University of Heidelberg, Heidelberg, Germany. FAU - Adamek, M AU - Adamek M AD - Department of Transplantation Immunology, Institute of Immunology, University of Heidelberg, Heidelberg, Germany. FAU - Middleton, D AU - Middleton D AD - Transplant Immunology, Royal Liverpool University Hospital, Liverpool, UK. FAU - Opelz, G AU - Opelz G AD - Department of Transplantation Immunology, Institute of Immunology, University of Heidelberg, Heidelberg, Germany. LA - eng PT - Journal Article DEP - 20130207 PL - United States TA - Am J Transplant JT - American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons JID - 100968638 RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Ligands) RN - 0 (Receptors, KIR) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Cohort Studies MH - Female MH - Genotype MH - Graft Survival MH - Histocompatibility Antigens Class I/*genetics MH - Histocompatibility Testing MH - Humans MH - Kidney Transplantation/*methods MH - Ligands MH - Male MH - Middle Aged MH - Proportional Hazards Models MH - Receptors, KIR/*metabolism MH - Renal Insufficiency/*immunology/surgery MH - Risk Factors MH - Time Factors MH - Young Adult EDAT- 2013/02/13 06:00 MHDA- 2013/12/16 06:00 CRDT- 2013/02/13 06:00 PHST- 2012/10/10 00:00 [received] PHST- 2012/11/15 00:00 [revised] PHST- 2012/12/04 00:00 [accepted] PHST- 2013/02/13 06:00 [entrez] PHST- 2013/02/13 06:00 [pubmed] PHST- 2013/12/16 06:00 [medline] AID - S1600-6135(22)25912-7 [pii] AID - 10.1111/ajt.12134 [doi] PST - ppublish SO - Am J Transplant. 2013 Apr;13(4):1063-1068. doi: 10.1111/ajt.12134. Epub 2013 Feb 7.