KIR-HLA receptor-ligand mismatch associated with a graft-versus-tumor effect in haploidentical stem cell transplantation for pediatric metastatic solid tumors

Killer immunoglobulin‐like receptors (KIRs) on natural killer cells (NKs) recognize groups of human leukocyte antigen (HLA) class I alleles. Cells without an inhibitory HLA ligand may trigger NK activation. Reduced risk of relapse has been reported in malignant hematologic diseases after haploidenti...

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Veröffentlicht in:Pediatric Blood & Cancer 2009-07, Vol.53 (1), p.120-124
Hauptverfasser: Pérez-Martínez, Antonio, Leung, Wing, Muñoz, Evangelina, Iyengar, Rekha, Ramírez, Manuel, Vicario, José Luis, Lassaletta, Álvaro, Sevilla, Julián, González-Vicent, Marta, Madero, Luis, Díaz-Pérez, Miguel Ángel
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container_end_page 124
container_issue 1
container_start_page 120
container_title Pediatric Blood & Cancer
container_volume 53
creator Pérez-Martínez, Antonio
Leung, Wing
Muñoz, Evangelina
Iyengar, Rekha
Ramírez, Manuel
Vicario, José Luis
Lassaletta, Álvaro
Sevilla, Julián
González-Vicent, Marta
Madero, Luis
Díaz-Pérez, Miguel Ángel
description Killer immunoglobulin‐like receptors (KIRs) on natural killer cells (NKs) recognize groups of human leukocyte antigen (HLA) class I alleles. Cells without an inhibitory HLA ligand may trigger NK activation. Reduced risk of relapse has been reported in malignant hematologic diseases after haploidentical transplantation when HLA ligands against the inhibitory KIRs present in the donor were absent in the recipient. We performed haploidentical transplant in three children with refractory solid tumors. Our results showed that beneficial antitumor effects could be observed in the presence of inhibitory KIR–HLA mismatch. These preliminary results suggest a possible association between disease control and NK cell alloreactivity. Pediatr Blood Cancer 2009;53:120–124. © 2009 Wiley‐Liss, Inc.
doi_str_mv 10.1002/pbc.21955
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Blood Cancer</addtitle><description>Killer immunoglobulin‐like receptors (KIRs) on natural killer cells (NKs) recognize groups of human leukocyte antigen (HLA) class I alleles. Cells without an inhibitory HLA ligand may trigger NK activation. Reduced risk of relapse has been reported in malignant hematologic diseases after haploidentical transplantation when HLA ligands against the inhibitory KIRs present in the donor were absent in the recipient. We performed haploidentical transplant in three children with refractory solid tumors. Our results showed that beneficial antitumor effects could be observed in the presence of inhibitory KIR–HLA mismatch. These preliminary results suggest a possible association between disease control and NK cell alloreactivity. 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subjects Adolescent
Bone Neoplasms - genetics
Bone Neoplasms - immunology
Bone Neoplasms - secondary
Bone Neoplasms - therapy
Child, Preschool
Combined Modality Therapy
Fatal Outcome
Female
Graft Rejection - immunology
haploidentical stem cell transplantation
Hematopoietic Stem Cell Transplantation
HLA-B Antigens - genetics
HLA-C Antigens - genetics
Humans
Killer Cells, Natural - immunology
Killer Cells, Natural - transplantation
KIR-HLA mismatch
Lung Neoplasms - immunology
Lung Neoplasms - secondary
Male
Neuroblastoma - genetics
Neuroblastoma - immunology
Neuroblastoma - secondary
Neuroblastoma - therapy
NK cells
pediatric solid tumors
Receptors, KIR - genetics
Remission Induction
Rhabdomyosarcoma - genetics
Rhabdomyosarcoma - immunology
Rhabdomyosarcoma - secondary
Rhabdomyosarcoma - therapy
Sarcoma, Ewing - genetics
Sarcoma, Ewing - immunology
Sarcoma, Ewing - therapy
Testicular Neoplasms - genetics
Testicular Neoplasms - immunology
Testicular Neoplasms - therapy
title KIR-HLA receptor-ligand mismatch associated with a graft-versus-tumor effect in haploidentical stem cell transplantation for pediatric metastatic solid tumors
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