PMID- 27516136 OWN - NLM STAT- MEDLINE DCOM- 20170803 LR - 20170817 IS - 1432-2277 (Electronic) IS - 0934-0874 (Linking) VI - 29 IP - 11 DP - 2016 Nov TI - The association between killer-cell immunoglobulin-like receptor (KIR) and KIR ligand genotypes and the likelihood of BK virus replication after kidney transplantation. PG - 1168-1175 LID - 10.1111/tri.12820 [doi] AB - BK virus is a common opportunistic post-transplantation viral infection. Although some risk factors have been studied in this context, the contribution of NK cells has not been assessed in detail. In a group of kidney transplant recipients, we studied the association between (i) the likelihood of BK virus replication during the two-year period after kidney transplantation and (ii) the genotypes of the killer cell immunoglobulin-like receptor (KIR) repertoire and their human leukocyte antigen (HLA) ligands. Other clinical factors (such as defective organ recovery and immunosuppressive treatment) were also assessed. BK virus replication was observed in 43 of the 103 recipients (41%). Patients with BK virus replication in the plasma were more likely to display defective organ recovery in the first seven days post-transplantation. BK virus replication was not associated with Missing KIR ligands. However, BK virus replication was more frequent in patients with responsive NK cells (i.e. when a ligand for activating KIRs was not homozygous in the recipient and present in the donor). Our results suggest that defective organ recovery and the recipient's activating KIR repertoire may be related (depending on HLA ligands present in the couple recipient / donor) to the reactivation of BK virus replication after kidney transplantation. CI - (c) 2016 Steunstichting ESOT. FAU - Brochot, Etienne AU - Brochot E AD - Virology Research Unit, EA 4294, Jules Verne University of Picardie, Amiens, France. AD - Department of Virology, Amiens University Medical Center, Amiens, France. FAU - Desoutter, Judith AU - Desoutter J AD - Department of Histocompatibility, Amiens University Medical Center, Amiens, France. AD - EA 4666, Jules Verne University of Picardie, Amiens, France. FAU - Presne, Claire AU - Presne C AD - Department of Nephrology Dialysis Transplantation, Amiens University Medical Center, Amiens, France. AD - INSERM 1088, Jules Verne University of Picardie, Amiens, France. FAU - De Araujo, Isabelle AU - De Araujo I AD - Department of Histocompatibility, Amiens University Medical Center, Amiens, France. AD - EA 4666, Jules Verne University of Picardie, Amiens, France. FAU - Flahaut, Gauthier AU - Flahaut G AD - Department of Nephrology Dialysis Transplantation, Amiens University Medical Center, Amiens, France. AD - INSERM 1088, Jules Verne University of Picardie, Amiens, France. FAU - Castelain, Sandrine AU - Castelain S AD - Virology Research Unit, EA 4294, Jules Verne University of Picardie, Amiens, France. AD - Department of Virology, Amiens University Medical Center, Amiens, France. FAU - Westeel, Pierre-Francois AU - Westeel PF AD - Department of Nephrology Dialysis Transplantation, Amiens University Medical Center, Amiens, France. AD - INSERM 1088, Jules Verne University of Picardie, Amiens, France. FAU - Choukroun, Gabriel AU - Choukroun G AD - Department of Nephrology Dialysis Transplantation, Amiens University Medical Center, Amiens, France. AD - INSERM 1088, Jules Verne University of Picardie, Amiens, France. FAU - Guillaume, Nicolas AU - Guillaume N AD - Department of Histocompatibility, Amiens University Medical Center, Amiens, France. guillaume.nicolas@chu-amiens.fr. AD - EA 4666, Jules Verne University of Picardie, Amiens, France. guillaume.nicolas@chu-amiens.fr. LA - eng PT - Journal Article DEP - 20160912 PL - Switzerland TA - Transpl Int JT - Transplant international : official journal of the European Society for Organ Transplantation JID - 8908516 RN - 0 (HLA Antigens) RN - 0 (Nucleic Acids) RN - 0 (Receptors, KIR) SB - IM MH - Adult MH - Aged MH - BK Virus/immunology/physiology MH - Biopsy MH - Female MH - Genotype MH - Graft Rejection/immunology MH - HLA Antigens/chemistry MH - Histocompatibility MH - Humans MH - *Kidney Transplantation MH - Killer Cells, Natural/immunology MH - Male MH - Middle Aged MH - Nucleic Acids/metabolism MH - Polyomavirus Infections/immunology/*virology MH - Receptors, KIR/*genetics MH - Renal Insufficiency/*immunology/surgery MH - Retrospective Studies MH - Tumor Virus Infections/immunology/*virology MH - Virus Replication MH - Young Adult OTO - NOTNLM OT - human leukocyte antigen OT - BK virus OT - kidney transplantation OT - killer-cell immunoglobulin-like receptor OT - natural killer cell EDAT- 2016/10/28 06:00 MHDA- 2017/08/05 06:00 CRDT- 2016/08/13 06:00 PHST- 2016/01/28 00:00 [received] PHST- 2016/02/25 00:00 [revised] PHST- 2016/07/27 00:00 [accepted] PHST- 2016/10/28 06:00 [pubmed] PHST- 2017/08/05 06:00 [medline] PHST- 2016/08/13 06:00 [entrez] AID - 10.1111/tri.12820 [doi] PST - ppublish SO - Transpl Int. 2016 Nov;29(11):1168-1175. doi: 10.1111/tri.12820. Epub 2016 Sep 12.