PMID- 35185887 OWN - NLM STAT- MEDLINE DCOM- 20220330 LR - 20220330 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 13 DP - 2022 TI - Roles of HLA-G/KIR2DL4 in Breast Cancer Immune Microenvironment. PG - 791975 LID - 10.3389/fimmu.2022.791975 [doi] LID - 791975 AB - Human leukocyte antigen (HLA)-G is a nonclassical MHC Class I molecule, which was initially reported as a mediator of immune tolerance when expressed in extravillous trophoblast cells at the maternal-fetal interface. HLA-G is the only known ligand of killer cell immunoglobulin-like receptor 2DL4 (KIR2DL4), an atypical family molecule that is widely expressed on the surface of NK cells. Unlike other KIR receptors, KIR2DL4 contains both an arginine-tyrosine activation motif in its transmembrane region and an immunoreceptor tyrosine-based inhibitory motif (ITIM) in its cytoplasmic tail, suggesting that KIR2DL4 may function as an activating or inhibitory receptor. The immunosuppressive microenvironment exemplified by a rewired cytokine network and upregulated immune checkpoint proteins is a hallmark of advanced and therapy-refractory tumors. Accumulating evidence has shown that HLA-G is an immune checkpoint molecule with specific relevance in cancer immune escape, although the role of HLA-G/KIR2DL4 in antitumor immunity is still uncharacterized. Our previous study had shown that HLA-G was a pivotal mediator of breast cancer resistance to trastuzumab, and blockade of the HLA-G/KIR2DL4 interaction can resensitize breast cancer to trastuzumab treatment. In this review, we aim to summarize and discuss the role of HLA-G/KIR2DL4 in the immune microenvironment of breast cancer. A better understanding of HLA-G is beneficial to identifying novel biomarker(s) for breast cancer, which is important for precision diagnosis and prognostic assessment. In addition, it is also necessary to unravel the mechanisms underlying HLA-G/KIR2DL4 regulation of the immune microenvironment in breast cancer, hopefully providing a rationale for combined HLA-G and immune checkpoints targeting for the effective treatment of breast cancer. CI - Copyright (c) 2022 Zheng, Jia and Yang. FAU - Zheng, Guoxu AU - Zheng G AD - State Key Laboratory of Cancer Biology, Department of Immunology, Fourth Military Medical University, Xi'an, China. FAU - Jia, Lintao AU - Jia L AD - State Key Laboratory of Cancer Biology, Department of Biochemistry and Molecular Biology, Fourth Military Medical University, Xi'an, China. FAU - Yang, An-Gang AU - Yang AG AD - State Key Laboratory of Cancer Biology, Department of Immunology, Fourth Military Medical University, Xi'an, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20220203 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (HLA-G Antigens) RN - 0 (KIR2DL4 protein, human) RN - 0 (Receptors, KIR2DL4) SB - IM MH - Breast Neoplasms/*genetics/immunology/pathology MH - Drug Resistance, Neoplasm/genetics/immunology MH - Female MH - HLA-G Antigens/*genetics/immunology MH - Humans MH - Killer Cells, Natural/immunology MH - Receptors, KIR2DL4/*genetics/immunology MH - Tumor Microenvironment/*genetics/immunology PMC - PMC8850630 OTO - NOTNLM OT - HLA-G OT - KIR2DL4 OT - breast cancer OT - immune microenvironment OT - immunotherapy COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/02/22 06:00 MHDA- 2022/03/31 06:00 PMCR- 2022/01/01 CRDT- 2022/02/21 06:01 PHST- 2021/10/09 00:00 [received] PHST- 2022/01/19 00:00 [accepted] PHST- 2022/02/21 06:01 [entrez] PHST- 2022/02/22 06:00 [pubmed] PHST- 2022/03/31 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2022.791975 [doi] PST - epublish SO - Front Immunol. 2022 Feb 3;13:791975. doi: 10.3389/fimmu.2022.791975. eCollection 2022.