NK-cell education is shaped by donor HLA genotype after unrelated allogeneic hematopoietic stem cell transplantation

Blood. 2011 Jan 20;117(3):1021-9. doi: 10.1182/blood-2010-02-269381. Epub 2010 Nov 2.

Abstract

The rules governing natural killer (NK)-cell education in the allogeneic environment created by unrelated hematopoietic stem-cell transplantation (HSCT) are still largely elusive, especially in an unrelated donor setting. NK-cell inhibitory receptors for self-human leukocyte antigen (HLA) play a central role in the acquisition or maintenance of NK-cell functional competence. Therefore, the responsiveness of different NK-cell subsets was assessed as a function of their expression or absence of expression of self-HLA-specific inhibitory receptors, in a large cohort (n = 60) of unrelated HSCT recipients. A fully effective NK-cell education process was achieved within the first year after allogeneic HSCT and lasted for at least 3 years thereafter. In addition, HLA-mismatched HSCT led to a stable education pattern that was determined by the donor's HLA ligands. These data suggest that the NK cell's education partner could be of hematopoietic rather than extrahematopoietic origin. This donor-ligand-driven NK-cell education model would suggest a sustained graft-versus-leukemia effect after HLA-mismatched HSCT.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Blood Donors*
  • Child
  • Child, Preschool
  • Female
  • Genotype
  • HLA Antigens / genetics*
  • Hematopoietic Stem Cell Transplantation / methods*
  • Histocompatibility / genetics
  • Humans
  • K562 Cells
  • Killer Cells, Natural / immunology
  • Killer Cells, Natural / metabolism*
  • Kinetics
  • Ligands
  • Male
  • Middle Aged
  • NK Cell Lectin-Like Receptor Subfamily C / immunology
  • NK Cell Lectin-Like Receptor Subfamily C / metabolism
  • Receptors, KIR2DL3 / immunology
  • Receptors, KIR2DL3 / metabolism
  • Receptors, Natural Killer Cell / immunology
  • Receptors, Natural Killer Cell / metabolism
  • Transplantation, Homologous
  • Young Adult

Substances

  • HLA Antigens
  • Ligands
  • NK Cell Lectin-Like Receptor Subfamily C
  • Receptors, KIR2DL3
  • Receptors, Natural Killer Cell