PMID- 24977435 OWN - NLM STAT- MEDLINE DCOM- 20150120 LR - 20211021 IS - 1531-7013 (Electronic) IS - 1087-2418 (Print) IS - 1087-2418 (Linking) VI - 19 IP - 4 DP - 2014 Aug TI - Human leukocyte antigen Bw4 and Bw6 epitopes recognized by antibodies and natural killer cells. PG - 436-41 LID - 10.1097/MOT.0000000000000103 [doi] AB - PURPOSE OF REVIEW: To describe the structural basis of human leukocyte antigen (HLA) Bw4 and Bw6 epitopes that are recognized by antibodies and the KIR3DL1 natural killer cell receptor. RECENT FINDINGS: Molecular modeling and X-ray crystallography have refined our understanding of Bw4 and Bw6. These epitopes had been defined by comparison of HLA allele sequences and by site-directed mutagenesis. Anti-Bw4 and anti-Bw6 antibodies and KIR3DL1 receptors recognize HLA alpha-1 alpha-helix residues 77-83 in combination with other HLA regions. The variability of HLA sequences within the 77-83 region and at other sites indicates that the Bw4 epitope is complex. Adding complexity, HLA-bound peptides influence Bw4 and Bw6 epitopes. These structures are recognized by diverse antibodies and KIR3DL1 allotypes. This diversity allowed a Bw4 patient to produce anti-Bw4 antibody without breaking self-tolerance. SUMMARY: Bw4 and Bw6 epitopes are best regarded as families of related structures that are recognized by a diverse array of antibodies and KIR3DL1 allotypes. FAU - Lutz, Charles T AU - Lutz CT AD - Department of Pathology and Laboratory Medicine and Department of Microbiology, Immunology, and Molecular Genetics, University of Kentucky, Lexington, Kentucky, USA. LA - eng GR - R01 AI050656/AI/NIAID NIH HHS/United States GR - R01 AI56506/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review PL - United States TA - Curr Opin Organ Transplant JT - Current opinion in organ transplantation JID - 9717388 RN - 0 (Antibodies) RN - 0 (Epitopes) RN - 0 (HLA-B Antigens) RN - 0 (HLA-Bw4 antigen) RN - 0 (HLA-Bw6 antigen) SB - IM MH - Antibodies/*immunology MH - Epitopes/*immunology MH - HLA-B Antigens/*immunology MH - Humans MH - Killer Cells, Natural/*immunology PMC - PMC5742561 MID - NIHMS634456 COIS- Conflict of Interest: The author declares no conflicts of interest. EDAT- 2014/07/01 06:00 MHDA- 2015/01/21 06:00 PMCR- 2017/12/25 CRDT- 2014/07/01 06:00 PHST- 2014/07/01 06:00 [entrez] PHST- 2014/07/01 06:00 [pubmed] PHST- 2015/01/21 06:00 [medline] PHST- 2017/12/25 00:00 [pmc-release] AID - 10.1097/MOT.0000000000000103 [doi] PST - ppublish SO - Curr Opin Organ Transplant. 2014 Aug;19(4):436-41. doi: 10.1097/MOT.0000000000000103.