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Table 1 KIR and HLA genotypes related to HIV-1 outcome

From: The role of NK cells in HIV-1 protection: autologous, allogeneic or both?

HIV-1 outcome

Receptor/ligand

Mechanism

Ref

HIV-1 resistance

KIR3DS1/S1

HLA-Bw4

No/less inhibition and increased activation, promoting faster NK cell activation

[85, 86]

KIR3DS1/x

HLA-Bw4

No/less inhibition and increased activation, promoting faster NK cell activation

[87]

KIR3DS1/L1

 

Higher activating ratio, stronger NK cell response

[84]

KIR3DL1*h

HLA-B*57

“Amplified” education, resulting in stronger NK cell response in absence of ligand

[72]

KIR3DL1

Bw4

Educated KIR3DL1+ NK cells had increased anti-HIV-1 ADCC mediated cytotoxicity against allogeneic target cells

[76]

KIR3DL1

HLA-Bw6/Bw6

Absence/lowering of inhibitory threshold, promoting faster NK cell activation

[88]

KIR2DL2/3

HLA-C2/C2

Absence/lowering of inhibitory threshold

[88]

KIR2DS4del

 

Unknown

Unpublished

KIR2DL1

HLA-C2

Absence of HLA-C2 expression by allogeneic target cells induces cytotoxicity based on KIR/HLA mismatch

[6]

Haplotype B/x

 

Multiple aKIRs inducing stronger response

[6, 8488]

Slower disease progression

KIR3DS1

HLA-Bw4-80I

Slower disease progression; Robust expansion during early infection; Inhibition in vitro viral replication

[5961]

  

Increase of copy numbers is associated with inhibition of viral replication

[62]

  

In vitro production of viral inhibiting chemokines (CCL3-5), preventing HIV-1 entry

[123]

KIR3DS1

HLA-B*57/58

Lower CD38-expression, increased degranulation and IFN-γ production

[64]

KIR3DS1

 

Associated with higher CD4+ T-cell counts

[63]

KIR3DL1/S1

HLA-Bw4

KIR3DL1-dose dependent-licensed NK cells exert cytotoxicity via KIR3DS1-mediated activation

[66]

KIR3DL1

HLA-Bw4

Increased polyfunctionality by KIR3DL1 licensed NK cells

[65]

  

Educated KIR3DL1+ NK cells had increased anti-HIV-1 ADCC mediated activation

[75]

KIR3DL1*h

HLA-Bw4-80I

Delayed progression to AIDS, increased degranulation, TNF and IFN-γ production

[66, 67]

KIR3DL1*h

HLA-B*57

“Amplified” education, resulting in strong NK cell response, increased NK cell trifunctionality

[66, 68, 69]

  

In vitro production of viral inhibiting chemokines (CCL3-5), preventing HIV-1 entry

[123]

KIR3DL1*004

HLA-Bw4

Absence/lowering of inhibitory threshold, because of intracellular expression of KIR3DL1

[66]

KIR2DL3

HLA-C1

Lower viral load and higher CD4 count associated with HIV-1 specific NK cell responses

[73]

KIR2DL4

 

CD4+ T-cell preservation, higher copy number resulting in increased IFN-γ production in SIV-infection

[124]

Rapid disease progression

KIR3DS1

HLA-Bw4-80I

Rapid progression, no education of KIR3DS1 expressing NK cells

[80]

KIR3DS1(/S1)

 

Rapid progression, robust immune activation accelerating disease progression

[59, 80]

KIR2DS2/3

 

Rapid progression, robust immune activation accelerating disease progression

[80]

KIR2DS4*001

 

High viral load and accelerated HIV-1 transmission, immune activation accelerating disease progression

[82]

KIR2DL2/3

HLA-C1

Higher viral load and increased mortality

[83]

Haplotype B/x

 

Rapid progression, robust immune activation accelerating disease progression

[80, 81]

  1. Summarization of the KIR, HLA or KIR-HLA haplo-/genotypes associated with HIV-1 resistance and disease progression towards AIDS. HLA class I genotypes associated with altered HIV-1 outcome are not included as its function is not solely relevant for NK cell responses but also for CD8+ T cell responses. Additional data in Table 1 obtained from [123] and [124]