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

P Haas, P Loiseau, R Tamouza… - Blood, The Journal …, 2011 - ashpublications.org
P Haas, P Loiseau, R Tamouza, JM Cayuela, H Moins-Teisserenc, M Busson, G Henry…
Blood, The Journal of the American Society of Hematology, 2011ashpublications.org
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 …
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.
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