title: Breaking tolerance to self, circulating natural killer cells expressing inhibitory KIR for non-self HLA exhibit effector function after T cell-depleted allogeneic hematopoietic cell transplantation.
abstract: Alloreactive natural killer (NK) cells are an important influence on hematopoietic stem cell transplantation (HSCT) outcome. In HLA-mismatched HSCT, alloreactivity occurs when licensed donor NK cells expressing inhibitory killer Ig-like receptors (KIR) for donor MHC class I ligands recognize the lack of the class I ligands in the mismatched recipient ("missing self"). Studies in HLA-matched HSCT, however, have also demonstrated improved outcome in patients lacking class I ligands for donor inhibitory KIR ("missing ligand"), indicating that classically nonlicensed donor NK cells expressing KIR for non-self MHC class I ligands may exhibit functional competence in HSCT. We examined NK function in 16 recipients of T cell-depleted allografts from HLA-identical or KIR-ligand matched donors after myeloablative therapy. After HSCT, nonlicensed NK cells expressing inhibitory KIR for non-self class I exhibit robust intracellular IFN-gamma and cytotoxic response to target cells lacking cognate ligand, gradually becoming tolerized to self by day 100. These findings could not be correlated with cytokine environment or phenotypic markers of NK development, nor could they be attributed to non-KIR receptors such as CD94/NKG2A. These findings confirm that NK alloreactivity can occur in HLA-matched HSCT, where tolerance to self is either acquired by the stem cell-derived NK cell after exiting the bone marrow or where tolerance to self can be temporarily overcome.
authors.affiliation: Immunology Program, Sloan-Kettering Institute for Cancer Research, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
authors.forename: Junli
authors.initials: J
authors.lastname: Yu
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Venstrom
authors.forename: Xiao-Rong
authors.initials: XR
authors.lastname: Liu
authors.forename: James
authors.initials: J
authors.lastname: Pring
authors.forename: Reenat S
authors.initials: RS
authors.lastname: Hasan
authors.forename: Richard J
authors.initials: RJ
authors.lastname: O'Reilly
authors.forename: Katharine C
authors.initials: KC
authors.lastname: Hsu
mesh_terms: D000328:Adult; D005260:Female; D006680:HLA Antigens / Q000276:immunology*; D018380:Hematopoietic Stem Cell Transplantation; D006801:Humans; D007111:Immunity, Cellular; D007371:Interferon-gamma / Q000276:immunology; D007694:Killer Cells, Natural / Q000276:immunology*; D007938:Leukemia / Q000276:immunology / Q000628:therapy; D008212:Lymphocyte Depletion; D008297:Male; D008875:Middle Aged; D009190:Myelodysplastic Syndromes / Q000276:immunology / Q000628:therapy; D055654:NK Cell Lectin-Like Receptor Subfamily C / Q000276:immunology; D051920:NK Cell Lectin-Like Receptor Subfamily D / Q000276:immunology; D054340:Receptors, KIR / Q000276:immunology*; D012189:Retrospective Studies; D017634:Self Tolerance; D014184:Transplantation, Homologous
chemical_list: D006680:HLA Antigens; C527054:KLRC1 protein, human; C497869:KLRD1 protein, human; D055654:NK Cell Lectin-Like Receptor Subfamily C; D051920:NK Cell Lectin-Like Receptor Subfamily D; D054340:Receptors, KIR; D007371:Interferon-gamma