PMID- 29413815 OWN - NLM STAT- MEDLINE DCOM- 20190401 LR - 20200718 IS - 1879-0372 (Electronic) IS - 0952-7915 (Print) IS - 0952-7915 (Linking) VI - 50 DP - 2018 Feb TI - Natural killer cell education in human health and disease. PG - 102-111 LID - S0952-7915(17)30169-3 [pii] LID - 10.1016/j.coi.2017.11.003 [doi] AB - Natural killer (NK) cells maintain immune homeostasis by detecting and eliminating damaged cells. Simultaneous activating and inhibitory input are integrated by NK cells, with the net signal prompting cytotoxicity and cytokine production, or inhibition. Chief among the inhibitory ligands for NK cells are 'self' human leukocyte antigen (HLA) molecules, which are sensed by killer immunoglobulin-like receptors (KIR). Through a process called 'education', the functional capabilities of each NK cell are counterbalanced by their sensitivity for inhibition by co-inherited 'self' HLA. HLA and their ligands, the killer immunoglobulin-like receptors (KIR), are encoded by polymorphic, polygenic gene loci that segregate independently, therefore, NK education and function differ even between related individuals. In this review, we describe how variation in NK education, reactivity and sensitivity for inhibition impacts reproductive success, infection, cancer, inflammatory and autoimmune diseases. CI - Copyright (c) 2017 Elsevier Ltd. All rights reserved. FAU - Boudreau, Jeanette E AU - Boudreau JE AD - Department of Microbiology and Immunology, Dalhousie University, Halifax, Canada; Department of Pathology, Dalhousie University, Halifax, Canada. FAU - Hsu, Katharine C AU - Hsu KC AD - Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Medicine, Weill Cornell Medical College, New York, NY, USA. Electronic address: hsuk@mskcc.org. LA - eng GR - R01 AI125651/AI/NIAID NIH HHS/United States GR - P01 CA023766/CA/NCI NIH HHS/United States GR - U01 AI069197/AI/NIAID NIH HHS/United States GR - P30 CA008748/CA/NCI NIH HHS/United States GR - R56 AI123658/AI/NIAID NIH HHS/United States GR - R01 HL129472/HL/NHLBI NIH HHS/United States GR - CIHR/Canada PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20180203 PL - England TA - Curr Opin Immunol JT - Current opinion in immunology JID - 8900118 SB - IM MH - Animals MH - Autoimmune Diseases/etiology/metabolism MH - Autoimmunity MH - Communicable Diseases/etiology/metabolism MH - Disease Resistance/immunology MH - *Disease Susceptibility MH - Female MH - Humans MH - *Immunity MH - Inflammation/etiology/metabolism MH - Killer Cells, Natural/*immunology/*metabolism MH - Lymphocyte Activation/immunology MH - Neoplasms/etiology/metabolism MH - Pregnancy PMC - PMC5958620 MID - NIHMS925921 EDAT- 2018/02/08 06:00 MHDA- 2019/04/02 06:00 PMCR- 2019/02/03 CRDT- 2018/02/08 06:00 PHST- 2017/10/26 00:00 [received] PHST- 2017/11/18 00:00 [accepted] PHST- 2018/02/08 06:00 [pubmed] PHST- 2019/04/02 06:00 [medline] PHST- 2018/02/08 06:00 [entrez] PHST- 2019/02/03 00:00 [pmc-release] AID - S0952-7915(17)30169-3 [pii] AID - 10.1016/j.coi.2017.11.003 [doi] PST - ppublish SO - Curr Opin Immunol. 2018 Feb;50:102-111. doi: 10.1016/j.coi.2017.11.003. Epub 2018 Feb 3.