PMID- 26990677 OWN - NLM STAT- MEDLINE DCOM- 20170629 LR - 20181113 IS - 1521-4141 (Electronic) IS - 0014-2980 (Print) IS - 0014-2980 (Linking) VI - 46 IP - 6 DP - 2016 Jun TI - Hematopoietic stem cell transplantation: Improving alloreactive Bw4 donor selection by genotyping codon 86 of KIR3DL1/S1. PG - 1511-7 LID - 10.1002/eji.201546236 [doi] AB - KIR3DL1 is a natural killer (NK) cell receptor that recognizes the Bw4 epitope of human leukocyte antigen (HLA) class I molecules. Following hematopoietic stem cell transplantation for patients lacking Bw4, KIR3DL1-expressing NK cells from Bw4-positive donors can be alloreactive and eliminate tumor cells. However, KIR3DL1 alleles having T instead of C at nucleotide 320 (encoding leucine 86 instead of serine 86) are not expressed on the cell surface. Thus, not all individuals testing positive for KIR3DL1 are optimal donors for Bw4-negative recipients. Therefore, we developed a method for genotyping codon 86, which was validated by its perfect correlation with NK cell phenotype for 100 donors of diverse KIR3DL1/S1 genotype. We typed 600 donors and found that approximately 12.2% had the KIR3DL1 gene, but did not express cell-surface KIR3DL1. By contrast, high-expressing allotypes were identified when haplotypes from four families with duplicated KIR3DL1/S1 genes were characterized at high resolution. Identifying donors who have KIR3DL1 but lack cell-surface KIR3DL1 would refine donor selection. With this technique, the number of individuals identified who may not be optimal donors for Bw4-negative patients increases by threefold, when compared with standard methods. Taken together, we propose that allele typing of killer cell Ig-like receptor (KIR) polymorphisms should become a standard practice when selecting donors. CI - (c) 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim. FAU - Alicata, Claudia AU - Alicata C AD - Dipartimento di Medicina Sperimentale, University of Genoa, Genoa, Italy. AD - Centro di Eccellenza per la Ricerca Biomedica, University of Genoa, Genoa, Italy. FAU - Pende, Daniela AU - Pende D AD - IRCCS AOU San Martino-IST, Genoa, Italy. FAU - Meazza, Raffaella AU - Meazza R AD - IRCCS AOU San Martino-IST, Genoa, Italy. FAU - Canevali, Paolo AU - Canevali P AD - Istituto Giannina Gaslini, Genoa, Italy. FAU - Loiacono, Fabrizio AU - Loiacono F AD - Istituto Giannina Gaslini, Genoa, Italy. FAU - Bertaina, Alice AU - Bertaina A AD - Bambino Gesu Children's Hospital, Rome, Italy. FAU - Locatelli, Franco AU - Locatelli F AD - Bambino Gesu Children's Hospital, Rome, Italy. AD - Department of Pediatrics, University of Pavia, Italy. FAU - Nemat-Gorgani, Neda AU - Nemat-Gorgani N AD - Department of Structural Biology, Stanford University School of Medicine, Stanford, CA, USA. FAU - Guethlein, Lisbeth A AU - Guethlein LA AD - Department of Structural Biology, Stanford University School of Medicine, Stanford, CA, USA. FAU - Parham, Peter AU - Parham P AD - Department of Structural Biology, Stanford University School of Medicine, Stanford, CA, USA. AD - Department of Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA, USA. FAU - Moretta, Lorenzo AU - Moretta L AD - Bambino Gesu Children's Hospital, Rome, Italy. FAU - Moretta, Alessandro AU - Moretta A AD - Dipartimento di Medicina Sperimentale, University of Genoa, Genoa, Italy. AD - Centro di Eccellenza per la Ricerca Biomedica, University of Genoa, Genoa, Italy. FAU - Bottino, Cristina AU - Bottino C AD - Dipartimento di Medicina Sperimentale, University of Genoa, Genoa, Italy. AD - Istituto Giannina Gaslini, Genoa, Italy. FAU - Norman, Paul J AU - Norman PJ AD - Department of Structural Biology, Stanford University School of Medicine, Stanford, CA, USA. FAU - Falco, Michela AU - Falco M AD - Istituto Giannina Gaslini, Genoa, Italy. LA - eng GR - R01 AI017892/AI/NIAID NIH HHS/United States GR - R01 GM109030/GM/NIGMS NIH HHS/United States GR - U01 AI090905/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - Germany TA - Eur J Immunol JT - European journal of immunology JID - 1273201 RN - 0 (Codon) RN - 0 (HLA-B Antigens) RN - 0 (HLA-Bw4 antigen) RN - 0 (KIR3DL1 protein, human) RN - 0 (Receptors, KIR3DL1) RN - 0 (Receptors, KIR3DS1) SB - IM MH - Alleles MH - Cell Membrane/metabolism MH - *Codon MH - *Donor Selection MH - Gene Expression MH - Genotype MH - HLA-B Antigens/*immunology MH - Haplotypes MH - *Hematopoietic Stem Cell Transplantation MH - Hematopoietic Stem Cells/*immunology/*metabolism MH - Humans MH - Killer Cells, Natural/immunology/metabolism MH - Models, Biological MH - Polymorphism, Single Nucleotide MH - Receptors, KIR3DL1/*genetics/metabolism MH - Receptors, KIR3DS1/*genetics/metabolism MH - Transplantation, Homologous PMC - PMC5065926 MID - NIHMS821337 OTO - NOTNLM OT - Donor selection OT - HLA haploidentical hematopoietic stem cell transplantation OT - Killer cell Ig-like receptor (KIR) OT - Natural killer (NK) cell OT - Next-generation sequencing COIS- DISCLOSURE A. Moretta is founder and shareholder of Innate Pharma (Marseille, France). The remaining authors declare no financial or commercial conflict of interest. EDAT- 2016/03/19 06:00 MHDA- 2017/07/01 06:00 PMCR- 2017/06/01 CRDT- 2016/03/19 06:00 PHST- 2015/12/04 00:00 [received] PHST- 2016/02/03 00:00 [revised] PHST- 2016/03/15 00:00 [accepted] PHST- 2016/03/19 06:00 [entrez] PHST- 2016/03/19 06:00 [pubmed] PHST- 2017/07/01 06:00 [medline] PHST- 2017/06/01 00:00 [pmc-release] AID - 10.1002/eji.201546236 [doi] PST - ppublish SO - Eur J Immunol. 2016 Jun;46(6):1511-7. doi: 10.1002/eji.201546236.