Analysis of killer cell immunoglobulin-like receptors and their human leukocyte antigen-ligands gene polymorphisms in Iranian patients with systemic lupus erythematosus

Objective Systemic lupus erythematosus (SLE) is an inflammatory autoimmune disease. Natural killer (NK) cells play a critical role in the pathogenesis of autoimmune disorders that mainly express killer cell immunoglobulin-like receptors (KIRs). The present study was undertaken to determine the assoc...

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Veröffentlicht in:Lupus 2016-10, Vol.25 (11), p.1244-1253
Hauptverfasser: Akhtari, M, Farazmand, A, Mahmoudi, M, Akbarian, M, Ahmadzadeh, N, Mirkazemi, Z, Mostafaei, S, Jamshidi, A R
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container_end_page 1253
container_issue 11
container_start_page 1244
container_title Lupus
container_volume 25
creator Akhtari, M
Farazmand, A
Mahmoudi, M
Akbarian, M
Ahmadzadeh, N
Mirkazemi, Z
Mostafaei, S
Jamshidi, A R
description Objective Systemic lupus erythematosus (SLE) is an inflammatory autoimmune disease. Natural killer (NK) cells play a critical role in the pathogenesis of autoimmune disorders that mainly express killer cell immunoglobulin-like receptors (KIRs). The present study was undertaken to determine the association of the KIR alleles, genotypes, and KIR–human leukocyte antigen (HLA) ligand gene combinations with the susceptibility to SLE. Methods The genotyping of 17 KIR and 5 HLA loci was performed using the polymerase chain reaction-sequence specific primer (PCR-SSP) method. The study population consisted of 230 SLE patients and 273 ethnical-, age-, and sex-matched healthy controls. The association of the polymorphisms with the prevalence of 11 clinical criteria in patients was analyzed. Results The carrier frequency of HLA-A-Bw4 was modestly decreased in the SLE patients. The prevalence of hematological and renal disorders was significantly increased in patients with combination of KIR3DL1+; HLA-B-Bw4Thr80+ and KIR2DS1+; HLA-C2+ genes, respectively. Female patients with combination of KIR2DL2+; HLA-C1− genes were more likely to develop serositis. In addition the prevalence of renal disorders, oral ulcer and serositis was significantly increased in male patients with KIR3DP1+, KIR2DS1+, and KIR2DS3+ genotypes respectively. Conclusion Our results showed that the presence of activating KIR receptors alone or in combination with their HLA ligands and the absence of inhibitory KIRs in combination with their HLA ligands may activate NK cells and are significantly correlated with the prevalence of renal disease, hematologic disorders, serositis, and oral ulcer in SLE patients.
doi_str_mv 10.1177/0961203316638931
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Natural killer (NK) cells play a critical role in the pathogenesis of autoimmune disorders that mainly express killer cell immunoglobulin-like receptors (KIRs). The present study was undertaken to determine the association of the KIR alleles, genotypes, and KIR–human leukocyte antigen (HLA) ligand gene combinations with the susceptibility to SLE. Methods The genotyping of 17 KIR and 5 HLA loci was performed using the polymerase chain reaction-sequence specific primer (PCR-SSP) method. The study population consisted of 230 SLE patients and 273 ethnical-, age-, and sex-matched healthy controls. The association of the polymorphisms with the prevalence of 11 clinical criteria in patients was analyzed. Results The carrier frequency of HLA-A-Bw4 was modestly decreased in the SLE patients. The prevalence of hematological and renal disorders was significantly increased in patients with combination of KIR3DL1+; HLA-B-Bw4Thr80+ and KIR2DS1+; HLA-C2+ genes, respectively. Female patients with combination of KIR2DL2+; HLA-C1− genes were more likely to develop serositis. In addition the prevalence of renal disorders, oral ulcer and serositis was significantly increased in male patients with KIR3DP1+, KIR2DS1+, and KIR2DS3+ genotypes respectively. Conclusion Our results showed that the presence of activating KIR receptors alone or in combination with their HLA ligands and the absence of inhibitory KIRs in combination with their HLA ligands may activate NK cells and are significantly correlated with the prevalence of renal disease, hematologic disorders, serositis, and oral ulcer in SLE patients.</description><identifier>ISSN: 0961-2033</identifier><identifier>EISSN: 1477-0962</identifier><identifier>DOI: 10.1177/0961203316638931</identifier><identifier>PMID: 26989167</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Antigens ; European Continental Ancestry Group - genetics ; Female ; HLA-A Antigens - genetics ; Humans ; Immunoglobulins ; Iran - epidemiology ; Ligands ; Lupus ; Lupus Erythematosus, Systemic - genetics ; Lupus Erythematosus, Systemic - immunology ; Male ; Middle Aged ; Polymorphism, Single Nucleotide ; Polymorphism, Single-Stranded Conformational ; Receptors, KIR - genetics ; Ulcers</subject><ispartof>Lupus, 2016-10, Vol.25 (11), p.1244-1253</ispartof><rights>The Author(s) 2016</rights><rights>The Author(s) 2016.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-547e3cd7578589e7ee23dfcd7ed3e38613fe4dab3b687a9c83367ec53d4570df3</citedby><cites>FETCH-LOGICAL-c398t-547e3cd7578589e7ee23dfcd7ed3e38613fe4dab3b687a9c83367ec53d4570df3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0961203316638931$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0961203316638931$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>315,781,785,21824,27929,27930,43626,43627</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26989167$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akhtari, M</creatorcontrib><creatorcontrib>Farazmand, A</creatorcontrib><creatorcontrib>Mahmoudi, M</creatorcontrib><creatorcontrib>Akbarian, M</creatorcontrib><creatorcontrib>Ahmadzadeh, N</creatorcontrib><creatorcontrib>Mirkazemi, Z</creatorcontrib><creatorcontrib>Mostafaei, S</creatorcontrib><creatorcontrib>Jamshidi, A R</creatorcontrib><title>Analysis of killer cell immunoglobulin-like receptors and their human leukocyte antigen-ligands gene polymorphisms in Iranian patients with systemic lupus erythematosus</title><title>Lupus</title><addtitle>Lupus</addtitle><description>Objective Systemic lupus erythematosus (SLE) is an inflammatory autoimmune disease. Natural killer (NK) cells play a critical role in the pathogenesis of autoimmune disorders that mainly express killer cell immunoglobulin-like receptors (KIRs). The present study was undertaken to determine the association of the KIR alleles, genotypes, and KIR–human leukocyte antigen (HLA) ligand gene combinations with the susceptibility to SLE. Methods The genotyping of 17 KIR and 5 HLA loci was performed using the polymerase chain reaction-sequence specific primer (PCR-SSP) method. The study population consisted of 230 SLE patients and 273 ethnical-, age-, and sex-matched healthy controls. The association of the polymorphisms with the prevalence of 11 clinical criteria in patients was analyzed. Results The carrier frequency of HLA-A-Bw4 was modestly decreased in the SLE patients. The prevalence of hematological and renal disorders was significantly increased in patients with combination of KIR3DL1+; HLA-B-Bw4Thr80+ and KIR2DS1+; HLA-C2+ genes, respectively. Female patients with combination of KIR2DL2+; HLA-C1− genes were more likely to develop serositis. In addition the prevalence of renal disorders, oral ulcer and serositis was significantly increased in male patients with KIR3DP1+, KIR2DS1+, and KIR2DS3+ genotypes respectively. Conclusion Our results showed that the presence of activating KIR receptors alone or in combination with their HLA ligands and the absence of inhibitory KIRs in combination with their HLA ligands may activate NK cells and are significantly correlated with the prevalence of renal disease, hematologic disorders, serositis, and oral ulcer in SLE patients.</description><subject>Adult</subject><subject>Antigens</subject><subject>European Continental Ancestry Group - genetics</subject><subject>Female</subject><subject>HLA-A Antigens - genetics</subject><subject>Humans</subject><subject>Immunoglobulins</subject><subject>Iran - epidemiology</subject><subject>Ligands</subject><subject>Lupus</subject><subject>Lupus Erythematosus, Systemic - genetics</subject><subject>Lupus Erythematosus, Systemic - immunology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Polymorphism, Single Nucleotide</subject><subject>Polymorphism, Single-Stranded Conformational</subject><subject>Receptors, KIR - genetics</subject><subject>Ulcers</subject><issn>0961-2033</issn><issn>1477-0962</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc2L1TAUxYsoznN070oCbtxUk6bNx3IY_BgYcKPrktfevpd5SVNzE6T_kX-mqW8UGRBcJdzzO-fCPVX1ktG3jEn5jmrBGso5E4IrzdmjasdaKesybx5Xu02uN_2ieoZ4RynlTIun1UUjtNJMyF3142o2bkWLJEzkZJ2DSAZwjljv8xwOLuyzs3Pt7AlIhAGWFCISM48kHcFGcszezMRBPoVhTVCUZA-wGQ4FQlL-QJbgVh_icrTokdiZ3EQz2-JbTLIwJyTfbToSXDGBtwNxeclIIK5lhzcpYMbn1ZPJOIQX9-9l9fXD-y_Xn-rbzx9vrq9u64FrlequlcCHUXZSdUqDBGj4OJUBjBy4EoxP0I5mz_dCSaMHxbmQMHR8bDtJx4lfVm_OuUsM3zJg6r3F7SJmhpCxZ6qRmtGO8_9AmW45p6op6OsH6F3IsZz-F6U6IQTVhaJnaogBMcLUL9F6E9ee0X4rvH9YeLG8ug_Oew_jH8PvhgtQnwE0B_hr678CfwJMcbcb</recordid><startdate>201610</startdate><enddate>201610</enddate><creator>Akhtari, M</creator><creator>Farazmand, A</creator><creator>Mahmoudi, M</creator><creator>Akbarian, M</creator><creator>Ahmadzadeh, N</creator><creator>Mirkazemi, Z</creator><creator>Mostafaei, S</creator><creator>Jamshidi, A R</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201610</creationdate><title>Analysis of killer cell immunoglobulin-like receptors and their human leukocyte antigen-ligands gene polymorphisms in Iranian patients with systemic lupus erythematosus</title><author>Akhtari, M ; Farazmand, A ; Mahmoudi, M ; Akbarian, M ; Ahmadzadeh, N ; Mirkazemi, Z ; Mostafaei, S ; Jamshidi, A R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-547e3cd7578589e7ee23dfcd7ed3e38613fe4dab3b687a9c83367ec53d4570df3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Antigens</topic><topic>European Continental Ancestry Group - genetics</topic><topic>Female</topic><topic>HLA-A Antigens - genetics</topic><topic>Humans</topic><topic>Immunoglobulins</topic><topic>Iran - epidemiology</topic><topic>Ligands</topic><topic>Lupus</topic><topic>Lupus Erythematosus, Systemic - genetics</topic><topic>Lupus Erythematosus, Systemic - immunology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Polymorphism, Single Nucleotide</topic><topic>Polymorphism, Single-Stranded Conformational</topic><topic>Receptors, KIR - genetics</topic><topic>Ulcers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akhtari, M</creatorcontrib><creatorcontrib>Farazmand, A</creatorcontrib><creatorcontrib>Mahmoudi, M</creatorcontrib><creatorcontrib>Akbarian, M</creatorcontrib><creatorcontrib>Ahmadzadeh, N</creatorcontrib><creatorcontrib>Mirkazemi, Z</creatorcontrib><creatorcontrib>Mostafaei, S</creatorcontrib><creatorcontrib>Jamshidi, A R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Lupus</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akhtari, M</au><au>Farazmand, A</au><au>Mahmoudi, M</au><au>Akbarian, M</au><au>Ahmadzadeh, N</au><au>Mirkazemi, Z</au><au>Mostafaei, S</au><au>Jamshidi, A R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analysis of killer cell immunoglobulin-like receptors and their human leukocyte antigen-ligands gene polymorphisms in Iranian patients with systemic lupus erythematosus</atitle><jtitle>Lupus</jtitle><addtitle>Lupus</addtitle><date>2016-10</date><risdate>2016</risdate><volume>25</volume><issue>11</issue><spage>1244</spage><epage>1253</epage><pages>1244-1253</pages><issn>0961-2033</issn><eissn>1477-0962</eissn><abstract>Objective Systemic lupus erythematosus (SLE) is an inflammatory autoimmune disease. Natural killer (NK) cells play a critical role in the pathogenesis of autoimmune disorders that mainly express killer cell immunoglobulin-like receptors (KIRs). The present study was undertaken to determine the association of the KIR alleles, genotypes, and KIR–human leukocyte antigen (HLA) ligand gene combinations with the susceptibility to SLE. Methods The genotyping of 17 KIR and 5 HLA loci was performed using the polymerase chain reaction-sequence specific primer (PCR-SSP) method. The study population consisted of 230 SLE patients and 273 ethnical-, age-, and sex-matched healthy controls. The association of the polymorphisms with the prevalence of 11 clinical criteria in patients was analyzed. Results The carrier frequency of HLA-A-Bw4 was modestly decreased in the SLE patients. The prevalence of hematological and renal disorders was significantly increased in patients with combination of KIR3DL1+; HLA-B-Bw4Thr80+ and KIR2DS1+; HLA-C2+ genes, respectively. Female patients with combination of KIR2DL2+; HLA-C1− genes were more likely to develop serositis. In addition the prevalence of renal disorders, oral ulcer and serositis was significantly increased in male patients with KIR3DP1+, KIR2DS1+, and KIR2DS3+ genotypes respectively. Conclusion Our results showed that the presence of activating KIR receptors alone or in combination with their HLA ligands and the absence of inhibitory KIRs in combination with their HLA ligands may activate NK cells and are significantly correlated with the prevalence of renal disease, hematologic disorders, serositis, and oral ulcer in SLE patients.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>26989167</pmid><doi>10.1177/0961203316638931</doi><tpages>10</tpages></addata></record>
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subjects Adult
Antigens
European Continental Ancestry Group - genetics
Female
HLA-A Antigens - genetics
Humans
Immunoglobulins
Iran - epidemiology
Ligands
Lupus
Lupus Erythematosus, Systemic - genetics
Lupus Erythematosus, Systemic - immunology
Male
Middle Aged
Polymorphism, Single Nucleotide
Polymorphism, Single-Stranded Conformational
Receptors, KIR - genetics
Ulcers
title Analysis of killer cell immunoglobulin-like receptors and their human leukocyte antigen-ligands gene polymorphisms in Iranian patients with systemic lupus erythematosus
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