PMID- 35964414 OWN - NLM STAT- MEDLINE DCOM- 20221122 LR - 20221128 IS - 1557-9816 (Electronic) IS - 0955-470X (Linking) VI - 36 IP - 4 DP - 2022 Dec TI - Natural killer cells and killer cell immunoglobulin-like receptors in solid organ transplantation: Protectors or opponents? PG - 100723 LID - S0955-470X(22)00046-5 [pii] LID - 10.1016/j.trre.2022.100723 [doi] AB - Among all the cells of innate immunity, natural killer (NK) cells are well-known for the fight against tumors and virally-infected cells. NK cells have been implicated in the pathogenesis of immune-mediated allograft damage, but mounting evidence suggests they can potentially promote allograft tolerance as well. In addition, NK cells express a wide variety of activating and inhibiting receptors, and the signals sent by these molecules, particularly killer cell immunoglobulin-like receptors (KIRs), determine their ultimate function. The role of KIRs and their human leukocyte antigen (HLA) class I ligands have been extensively investigated in hematopoietic stem cell transplantation (HSCT). Previous studies have suggested that, in the setting of solid organ transplantation, having certain KIR genes or KIR/HLA combinations probably affects allograft survival. Therefore, it may be helpful to analyze KIR/HLA combinations in donors and recipients to choose the optimal donor, anticipate harmful effects post-transplantation, and develop NK cell-based immunotherapies to enhance the success of solid organ transplantation. In this review, we will discuss the dual function of NK cells in solid organ transplantation, followed by a brief introduction to KIRs and the association of KIR and HLA genes with kidney, liver, and lung transplant outcomes. CI - Copyright (c) 2022. Published by Elsevier Inc. FAU - Zamir, Mina Roshan AU - Zamir MR AD - Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: mroshanzamir@razi.tums.ac.ir. FAU - Shahi, Abbas AU - Shahi A AD - Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran; Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran. FAU - Salehi, Saeedeh AU - Salehi S AD - Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. FAU - Amirzargar, Aliakbar AU - Amirzargar A AD - Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: minarzs95@gmail.com. LA - eng PT - Journal Article PT - Review DEP - 20220729 PL - United States TA - Transplant Rev (Orlando) JT - Transplantation reviews (Orlando, Fla.) JID - 8804364 RN - 0 (Receptors, KIR) SB - IM MH - Humans MH - *Receptors, KIR MH - *Organ Transplantation MH - Killer Cells, Natural MH - Transplantation, Homologous MH - Tissue Donors OTO - NOTNLM OT - Human leukocyte antigen (HLA) OT - Killer cell immunoglobulin-like receptor (KIR) OT - Natural killer cell (NK cell) OT - Transplantation COIS- Declaration of Competing Interest The authors declare no conflict of interest. EDAT- 2022/08/15 06:00 MHDA- 2022/11/23 06:00 CRDT- 2022/08/14 18:10 PHST- 2022/04/14 00:00 [received] PHST- 2022/07/20 00:00 [revised] PHST- 2022/07/25 00:00 [accepted] PHST- 2022/08/15 06:00 [pubmed] PHST- 2022/11/23 06:00 [medline] PHST- 2022/08/14 18:10 [entrez] AID - S0955-470X(22)00046-5 [pii] AID - 10.1016/j.trre.2022.100723 [doi] PST - ppublish SO - Transplant Rev (Orlando). 2022 Dec;36(4):100723. doi: 10.1016/j.trre.2022.100723. Epub 2022 Jul 29.