PMID- 33846431 OWN - NLM STAT- MEDLINE DCOM- 20211104 LR - 20230130 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 11 IP - 1 DP - 2021 Apr 12 TI - Coexistence of inhibitory and activating killer-cell immunoglobulin-like receptors to the same cognate HLA-C2 and Bw4 ligands confer breast cancer risk. PG - 7932 LID - 10.1038/s41598-021-86964-y [doi] LID - 7932 AB - Human leukocyte antigen (HLA) class I-specific killer-cell immunoglobulin-like receptors (KIR) regulate natural killer (NK) cell function in eliminating malignancy. Breast cancer (BC) patients exhibit reduced NK-cytotoxicity in peripheral blood. To test the hypothesis that certain KIR-HLA combinations impairing NK-cytotoxicity predispose to BC risk, we analyzed KIR and HLA polymorphisms in 162 women with BC and 278 controls. KIR-Bx genotypes increased significantly in BC than controls (83.3% vs. 71.9%, OR 1.95), and the increase was more pronounced in advanced-cancer (OR 5.3). No difference was observed with inhibitory KIR (iKIR) and HLA-ligand combinations. The activating KIR (aKIR) and HLA-ligand combinations, 2DS1 + C2 (OR 2.98) and 3DS1 + Bw4 (OR 2.6), were significantly increased in advanced-BC. All patients with advanced-cancer carrying 2DS1 + C2 or 3DS1 + Bw4 also have their iKIR counterparts 2DL1 and 3DL1, respectively. Contrarily, the 2DL1 + C2 and 3DL1 + Bw4 pairs without their aKIR counterparts are significantly higher in controls. These data suggest that NK cells expressing iKIR to the cognate HLA-ligands in the absence of putative aKIR counterpart are instrumental in antitumor response. These data provide a new framework for improving the utility of genetic risk scores for individualized surveillance. FAU - Ashouri, Elham AU - Ashouri E AD - UCLA Immunogenetics Center, David Geffen School of Medicine at UCLA, University of California, Los Angeles, CA, 90095, USA. AD - Shiraz Institute for Cancer Research, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Rajalingam, Karan AU - Rajalingam K AD - UCLA Immunogenetics Center, David Geffen School of Medicine at UCLA, University of California, Los Angeles, CA, 90095, USA. FAU - Barani, Shaghik AU - Barani S AD - Shiraz Institute for Cancer Research, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Farjadian, Shirin AU - Farjadian S AD - Department of Immunology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Ghaderi, Abbas AU - Ghaderi A AD - Shiraz Institute for Cancer Research, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. FAU - Rajalingam, Raja AU - Rajalingam R AD - UCLA Immunogenetics Center, David Geffen School of Medicine at UCLA, University of California, Los Angeles, CA, 90095, USA. Rajalingam.Raja@ucsf.edu. AD - Immunogenetics and Transplantation Laboratory, Department of Surgery, University of California San Francisco, San Francisco, CA, USA. Rajalingam.Raja@ucsf.edu. LA - eng PT - Journal Article DEP - 20210412 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (HLA-B Antigens) RN - 0 (HLA-Bw4 antigen) RN - 0 (HLA-C Antigens) RN - 0 (Ligands) RN - 0 (Receptors, KIR) SB - IM MH - Breast Neoplasms/genetics/*immunology/pathology MH - Case-Control Studies MH - Female MH - HLA-B Antigens/*metabolism MH - HLA-C Antigens/*metabolism MH - Haplotypes/genetics MH - Heterozygote MH - Humans MH - Ligands MH - Neoplasm Staging MH - Receptors, KIR/*metabolism MH - Risk Factors PMC - PMC8041876 COIS- The authors declare no competing interests. EDAT- 2021/04/14 06:00 MHDA- 2021/11/05 06:00 PMCR- 2021/04/12 CRDT- 2021/04/13 06:08 PHST- 2021/01/05 00:00 [received] PHST- 2021/03/17 00:00 [accepted] PHST- 2021/04/13 06:08 [entrez] PHST- 2021/04/14 06:00 [pubmed] PHST- 2021/11/05 06:00 [medline] PHST- 2021/04/12 00:00 [pmc-release] AID - 10.1038/s41598-021-86964-y [pii] AID - 86964 [pii] AID - 10.1038/s41598-021-86964-y [doi] PST - epublish SO - Sci Rep. 2021 Apr 12;11(1):7932. doi: 10.1038/s41598-021-86964-y.