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  1. Article: The Immunity Gap Challenge: Protection against a Recent Florida Clade 2 Equine Influenza Strain.

    Paillot, Romain / Garrett, Dion / Lopez-Alvarez, Maria R / Birand, Ihlan / Montesso, Fernando / Horspool, Linda

    Vaccines

    2018  Volume 6, Issue 3

    Abstract: Vaccination is one of the most effective tools for limiting the impact of equine influenza (EI). The humoral immunity established following a primary vaccination course can decrease significantly between the second (V2) and third immunisations (V3), ... ...

    Abstract Vaccination is one of the most effective tools for limiting the impact of equine influenza (EI). The humoral immunity established following a primary vaccination course can decrease significantly between the second (V2) and third immunisations (V3), leaving some horses insufficiently protected for several weeks. This so-called "immunity gap" poses a challenge to all EI vaccines. During this period, the EI infection of vaccinated animals may be followed by marked clinical signs and virus shedding. However, several EI vaccines have been shown to stimulate equine influenza virus (EIV)-specific cell-mediated immunity, which is likely to play a role in protection against EIV infection and/or mitigate the clinical and virological signs of EI. Reducing the interval between V2 and V3 has been shown to be counterproductive to longer-term immunity. Further research is needed to define and address the "immunity gap" in horses. This study aimed to measure the level of protection induced by a whole inactivated, ISCOMatrix adjuvanted, EI and tetanus vaccine (Equilis Prequenza-Te) when challenged during the immunity gap (i.e., immediately before the recommended boost immunisation, more than 5 months after V2) using infection with a recent heterologous Florida Clade 2 (FC2) equine influenza virus (EIV) strain. This vaccine was tested in a Welsh mountain pony model. A group of seven ponies was vaccinated twice, 4 weeks apart. The protective antibody response was measured and ponies were challenged, along with 5 unvaccinated control ponies, by experimental infection with the FC2 A/eq/Northamptonshire/1/13 EIV strain, 158 days (around 5.2 months) after V2 and their clinical signs and virus shedding were monitored. EI serology was measured by single radial haemolysis (SRH) and haemagglutination inhibition (HI). Clinical signs and virus shedding (measured by qRT-PCR and hen's egg titration) were compared with controls. All vaccinates had detectable
    Language English
    Publishing date 2018-07-02
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2703319-3
    ISSN 2076-393X
    ISSN 2076-393X
    DOI 10.3390/vaccines6030038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: SpeS: A Novel Superantigen and Its Potential as a Vaccine Adjuvant against Strangles.

    Dominguez-Medina, C Coral / Rash, Nicola L / Robillard, Sylvain / Robinson, Carl / Efstratiou, Androulla / Broughton, Karen / Parkhill, Julian / Holden, Matthew T G / Lopez-Alvarez, Maria R / Paillot, Romain / Waller, Andrew S

    International journal of molecular sciences

    2020  Volume 21, Issue 12

    Abstract: Bacterial superantigens (sAgs) are powerful activators of the immune response that trigger unspecific T cell responses accompanied by the release of proinflammatory cytokines. ...

    Abstract Bacterial superantigens (sAgs) are powerful activators of the immune response that trigger unspecific T cell responses accompanied by the release of proinflammatory cytokines.
    MeSH term(s) Adjuvants, Immunologic/chemistry ; Antigen Presentation/immunology ; Bacterial Proteins/immunology ; Exotoxins/immunology ; Histocompatibility Antigens Class II/immunology ; Humans ; Membrane Proteins/immunology ; Membrane Proteins/metabolism ; Meningitis ; Phylogeny ; Receptors, Antigen, T-Cell/metabolism ; Streptococcal Infections/immunology ; Streptococcal Infections/microbiology ; Streptococcal Infections/prevention & control ; Streptococcus equi/immunology ; Streptococcus equi/isolation & purification ; Superantigens/immunology ; Vaccines/administration & dosage ; Vaccines/immunology
    Chemical Substances Adjuvants, Immunologic ; Bacterial Proteins ; Exotoxins ; Histocompatibility Antigens Class II ; Membrane Proteins ; Receptors, Antigen, T-Cell ; SpeA protein, Streptococcus pyogenes ; Superantigens ; Vaccines
    Language English
    Publishing date 2020-06-23
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms21124467
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Copy number and nucleotide variation of the LILR family of myelomonocytic cell activating and inhibitory receptors.

    López-Álvarez, María R / Jones, Des C / Jiang, Wei / Traherne, James A / Trowsdale, John

    Immunogenetics

    2013  Volume 66, Issue 2, Page(s) 73–83

    Abstract: Leukocyte immunoglobulin-like receptors (LILR) are cell surface molecules that regulate the activities of myelomonocytic cells through the balance of inhibitory and activation signals. LILR genes are located within the leukocyte receptor complex (LRC) on ...

    Abstract Leukocyte immunoglobulin-like receptors (LILR) are cell surface molecules that regulate the activities of myelomonocytic cells through the balance of inhibitory and activation signals. LILR genes are located within the leukocyte receptor complex (LRC) on chromosome 19q13.4 adjacent to KIR genes, which are subject to allelic and copy number variation (CNV). LILRB3 (ILT5) and LILRA6 (ILT8) are highly polymorphic receptors with similar extracellular domains. LILRB3 contains inhibitory ITIM motifs and LILRA6 is coupled to an adaptor with activating ITAM motifs. We analysed the sequences of the extracellular immunoglobulin domain-encoding regions of LILRB3 and LILRA6 in 20 individuals, and determined the copy number of these receptors, in addition to those of other members of the LILR family. We found 41 polymorphic sites within the extracellular domains of LILRB3 and LILRA6. Twenty-four of these sites were common to both receptors. LILRA6, but not LILRB3, exhibited CNV. In 20 out of 48 human cell lines from the International Histocompatibility Working Group, LILRA6 was deleted or duplicated. The only other LILR gene exhibiting genomic aberration was LILRA3, in this case due to a partial deletion.
    MeSH term(s) Alleles ; Amino Acid Motifs ; Antigens, CD/genetics ; Antigens, CD/immunology ; Base Sequence ; Cell Line ; Chromosomes, Human, Pair 19 ; DNA Copy Number Variations ; Gene Duplication ; Gene Expression ; Humans ; Molecular Sequence Data ; Monocytes/cytology ; Monocytes/immunology ; Monocytes/metabolism ; Polymorphism, Genetic ; Protein Structure, Tertiary ; Receptors, Immunologic/genetics ; Receptors, Immunologic/immunology ; Sequence Analysis, DNA ; Sequence Deletion ; Signal Transduction
    Chemical Substances Antigens, CD ; LILRA3 protein, human ; LILRA6 protein, human ; LILRB3 protein, human ; Receptors, Immunologic
    Language English
    Publishing date 2013-11-21
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 186560-2
    ISSN 1432-1211 ; 0093-7711
    ISSN (online) 1432-1211
    ISSN 0093-7711
    DOI 10.1007/s00251-013-0742-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Activating KIRs on Educated NK Cells Support Downregulation of CD226 and Inefficient Tumor Immunosurveillance.

    Guillamón, Concepción F / Martínez-Sánchez, María V / Gimeno, Lourdes / Campillo, José A / Server-Pastor, Gerardo / Martínez-García, Jerónimo / Martínez-Escribano, Jorge / Torroba, Amparo / Ferri, Belén / Abellán, Daniel J / Legaz, Isabel / López-Álvarez, María R / Moya-Quiles, María R / Muro, Manuel / Minguela, Alfredo

    Cancer immunology research

    2019  Volume 7, Issue 8, Page(s) 1307–1317

    Abstract: Therapies using NK cells (NKc) expanded/ ... ...

    Abstract Therapies using NK cells (NKc) expanded/activated
    MeSH term(s) Antigens, Differentiation, T-Lymphocyte/genetics ; Antigens, Differentiation, T-Lymphocyte/metabolism ; Biomarkers ; Cell Line, Tumor ; Flow Cytometry ; Gene Expression Regulation, Neoplastic ; Genotype ; HLA Antigens/genetics ; HLA Antigens/immunology ; Humans ; Immunologic Surveillance ; Killer Cells, Natural/immunology ; Killer Cells, Natural/metabolism ; Ligands ; Neoplasms/etiology ; Neoplasms/metabolism ; Neoplasms/pathology ; Prognosis ; Protein Binding ; Receptors, KIR/genetics ; Receptors, KIR/metabolism
    Chemical Substances Antigens, Differentiation, T-Lymphocyte ; Biomarkers ; CD226 antigen ; HLA Antigens ; Ligands ; Receptors, KIR
    Language English
    Publishing date 2019-06-25
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2732489-8
    ISSN 2326-6074 ; 2326-6066
    ISSN (online) 2326-6074
    ISSN 2326-6066
    DOI 10.1158/2326-6066.CIR-18-0847
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Refinement of the equine influenza model in the natural host: A meta-analysis to determine the benefits of individual nebulisation for experimental infection and vaccine evaluation in the face of decreased strain pathogenicity.

    Garrett, Dion / Montesso, Fernando / Fougerolle, Stéphanie / Lopez-Alvarez, Maria R / Birand, Ilhan / De Bock, Manuelle / Huang, Chengjin M / Legrand, Loïc / Pronost, Stéphane / Paillot, Romain

    Veterinary microbiology

    2017  Volume 211, Page(s) 150–159

    Abstract: Equine Influenza (EI) is an important respiratory disease of horses caused by H3N8 equine influenza viruses (EIV). Vaccination is a key strategy to prevent or control this disease. However, EIV undergoes continuous antigenic drift and whilst numerous EI ... ...

    Abstract Equine Influenza (EI) is an important respiratory disease of horses caused by H3N8 equine influenza viruses (EIV). Vaccination is a key strategy to prevent or control this disease. However, EIV undergoes continuous antigenic drift and whilst numerous EI vaccines are commercially available worldwide, an accurate evaluation of their efficacy is frequently required through clinical trials conducted in the natural host. Room nebulisation is one of the chosen methods to challenge horses during EI vaccine studies. A potential decreased pathogenicity observed with recent Florida Clade 2 (FC2) EIV isolates have increased the heterogeneity of the clinical response and virus shedding measured after infection by room nebulisation, which reduced the statistical power of studies. Our objectives were to compare clinical and virological parameters following experimental infection with several different EIV strains and to confirm that individual nebulisation is a model refinement that prevents an increase of the number of animals per group. This study is a retrospective comparison and meta-analysis of clinical and virological results collected from 9 independent EIV infection studies in the natural host. Naïve Welsh mountain ponies were experimentally infected by room or individual nebulisation with FC2 EIV strains, including A/equine/Richmond/1/07 (R/07), A/equine/East Renfrewshire/11 (ER/11), A/equine/Cambremer/1/2012 (C/12) and A/equine/Northamptonshire/1/13 (N/1/13). The retrospective meta-analysis confirmed a decreased pathogenicity of the EIV ER/11 and C/12 strains when compared with R/07. Experimental infection by individual nebulisation improved the clinical and virological parameters induced by recent FC2 strains, when compared with conventional room nebulisation. In conclusion, individual nebulisation offers a better control of the challenge dose administered and a greater homogeneity of the response measured in control animals. This in turn, helps maintain the number of animals per group to the minimum necessary required to obtain meaningful results in vaccine efficacy studies, which adheres to the 3Rs (Replacement, Reduction and Refinement) principles.
    MeSH term(s) Animals ; Horse Diseases/prevention & control ; Horse Diseases/virology ; Horses ; Influenza A Virus, H3N8 Subtype/immunology ; Influenza A Virus, H3N8 Subtype/pathogenicity ; Orthomyxoviridae Infections/prevention & control ; Orthomyxoviridae Infections/veterinary ; Orthomyxoviridae Infections/virology ; Vaccination/veterinary ; Virus Shedding
    Language English
    Publishing date 2017-11
    Publishing country Netherlands
    Document type Journal Article ; Meta-Analysis
    ZDB-ID 753154-0
    ISSN 1873-2542 ; 0378-1135
    ISSN (online) 1873-2542
    ISSN 0378-1135
    DOI 10.1016/j.vetmic.2017.10.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: NK Cell Education in Tumor Immune Surveillance: DNAM-1/KIR Receptor Ratios as Predictive Biomarkers for Solid Tumor Outcome.

    Guillamón, Concepción F / Martínez-Sánchez, María V / Gimeno, Lourdes / Mrowiec, Anna / Martínez-García, Jerónimo / Server-Pastor, Gerardo / Martínez-Escribano, Jorge / Torroba, Amparo / Ferri, Belén / Abellán, Daniel / Campillo, José A / Legaz, Isabel / López-Álvarez, María R / Moya-Quiles, María Rosa / Muro, Manuel / Minguela, Alfredo

    Cancer immunology research

    2018  Volume 6, Issue 12, Page(s) 1537–1547

    Abstract: Natural killer cell (NKc)-based therapies offer promising outcomes in patients with tumors, but they could improve with appropriate selection of donors and optimization of methods to expand ... ...

    Abstract Natural killer cell (NKc)-based therapies offer promising outcomes in patients with tumors, but they could improve with appropriate selection of donors and optimization of methods to expand NKcs
    MeSH term(s) Aged ; Antigens, Differentiation, T-Lymphocyte/immunology ; Antigens, Differentiation, T-Lymphocyte/metabolism ; Biomarkers, Tumor/immunology ; Case-Control Studies ; Female ; HLA-C Antigens/genetics ; Humans ; Immunologic Surveillance ; Killer Cells, Natural/immunology ; Killer Cells, Natural/metabolism ; Male ; Melanoma/genetics ; Melanoma/immunology ; Melanoma/mortality ; Middle Aged ; Ovarian Neoplasms/genetics ; Ovarian Neoplasms/immunology ; Ovarian Neoplasms/mortality ; Prospective Studies ; Receptors, KIR/genetics ; Receptors, KIR/immunology ; Receptors, KIR/metabolism ; Survival Analysis ; Urinary Bladder Neoplasms/genetics ; Urinary Bladder Neoplasms/immunology ; Urinary Bladder Neoplasms/mortality
    Chemical Substances Antigens, Differentiation, T-Lymphocyte ; Biomarkers, Tumor ; CD226 antigen ; HLA-C Antigens ; Receptors, KIR
    Language English
    Publishing date 2018-09-21
    Publishing country United States
    Document type Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 2732489-8
    ISSN 2326-6074 ; 2326-6066
    ISSN (online) 2326-6074
    ISSN 2326-6066
    DOI 10.1158/2326-6066.CIR-18-0022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Allele-specific recognition by LILRB3 and LILRA6 of a cytokeratin 8-associated ligand on necrotic glandular epithelial cells.

    Jones, Des C / Hewitt, Colin R A / López-Álvarez, María R / Jahnke, Martin / Russell, Alasdair I / Radjabova, Valeria / Trowsdale, Alice R Z / Trowsdale, John

    Oncotarget

    2016  Volume 7, Issue 13, Page(s) 15618–15631

    Abstract: The LILRs are a family of receptors that regulate the activities of myelomonocytic cells. We found that specific allelic variants of two related members of the LILR family, LILRB3 and LILRA6, interact with a ligand exposed on necrotic glandular ... ...

    Abstract The LILRs are a family of receptors that regulate the activities of myelomonocytic cells. We found that specific allelic variants of two related members of the LILR family, LILRB3 and LILRA6, interact with a ligand exposed on necrotic glandular epithelial cells. The extracellular domains of LILRB3 and LILRA6 are very similar and their genes are highly polymorphic. A commonly occurring allele, LILRB3*12, displayed particularly strong binding of these necrotic cells and further screening of the products of LILRB3 alleles identified motifs that correlated with binding. Immunoprecipitation of the ligand from epithelial cell lysates using recombinant LILRB3*12, identified cytokeratins 8, 18 and 19. Purified proteins obtained from epithelial cell lysates, using anti-cytokeratin 8 antibodies, were able to activate LILRB3*12 reporter cells. Knock-down of cytokeratin 8 in epithelial cells abrogated expression of the LILRB3 ligand, while staining with recombinant LILRB3*12 showed co-localisation with cytokeratin 8 and 18 in permeabilised breast cancer cells. Necrosis is a common feature of tumours. The finding of a necrosis-associated ligand for these two receptors raises the possibility of a novel interaction that alters immune responses within the tumour microenvironment. Since LILRB3 and LILRA6 genes are highly polymorphic the interaction may influence an individual's immune response to tumours.
    MeSH term(s) Alleles ; Antigens, CD/genetics ; Antigens, CD/immunology ; Antigens, CD/metabolism ; Cell Line ; Epithelial Cells/metabolism ; Epithelial Cells/pathology ; Humans ; Keratin-8/metabolism ; Necrosis/immunology ; Necrosis/metabolism ; Polymorphism, Single Nucleotide ; Receptors, Immunologic/genetics ; Receptors, Immunologic/immunology ; Receptors, Immunologic/metabolism
    Chemical Substances Antigens, CD ; Keratin-8 ; LILRA6 protein, human ; LILRB3 protein, human ; Receptors, Immunologic
    Language English
    Publishing date 2016-01-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2560162-3
    ISSN 1949-2553 ; 1949-2553
    ISSN (online) 1949-2553
    ISSN 1949-2553
    DOI 10.18632/oncotarget.6905
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Immunological Risk Stratification of Bladder Cancer Based on Peripheral Blood Natural Killer Cell Biomarkers.

    Guillamón, Concepción F / Gimeno, Lourdes / Server, Gerardo / Martínez-Sánchez, María V / Escudero, José F / López-Cubillana, Pedro / Cabezas-Herrera, Juan / Campillo, José A / Abellan, Daniel J / Martínez-García, Jerónimo / Martínez-Escribano, Jorge / Ferri, Belén / López-Álvarez, María R / Moreno-Alarcón, Cristóbal / Moya-Quiles, María R / Muro, Manuel / Minguela, Alfredo

    European urology oncology

    2019  Volume 4, Issue 2, Page(s) 246–255

    Abstract: Background: Bladder cancer (BC) is highly immunogenic. Bacillus Calmette-Guérin (BCG) immunotherapy offers the best results in non-muscle-invasive BC (NMIBC). Natural killer cells (NKcs) play decisive roles in BCG-mediated immune response and in general ...

    Abstract Background: Bladder cancer (BC) is highly immunogenic. Bacillus Calmette-Guérin (BCG) immunotherapy offers the best results in non-muscle-invasive BC (NMIBC). Natural killer cells (NKcs) play decisive roles in BCG-mediated immune response and in general cancer immune-surveillance.
    Objective: To analyze killer-cell immunoglobulin-like receptors (KIRs), their human leukocyte antigen class-I (HLA-I) ligands, and the expression of DNAX Accessory Molecule-1 (DNAM-1/CD226) on peripheral blood (PB) NKcs, to identify useful predictive biomarkers in BC.
    Design, setting, and participants: KIR/HLA-ligand genotypes were compared between 132 BC, 201 other solid cancers, 164 plasma cell disorders, and 615 healthy Caucasoid controls. CD226 expression was evaluated by flow cytometry.
    Outcome measurements and statistical analysis: KIR/HLA-I interactions and CD226 expression on NKcs (CD226
    Results and limitations: Three immunological risk groups were identified: low risk (KIR2DL1
    Conclusions: Immunological risk stratification will complement BC histopathology to improve risk stratification and guide the selection of personalized treatments. Understanding of the molecular mechanisms of NKc tumor immune surveillance will enable the development of future NKc-based therapies.
    Patient summary: This work describes a peripheral blood test that aids in our understanding of the immune defense mechanisms against bladder cancer, is useful for classifying patient risk, and will guide personalized treatments.
    MeSH term(s) Biomarkers ; Humans ; Killer Cells, Natural ; Prognosis ; Risk Assessment ; Urinary Bladder Neoplasms/diagnosis ; Urinary Bladder Neoplasms/genetics ; Urinary Bladder Neoplasms/therapy
    Chemical Substances Biomarkers
    Language English
    Publishing date 2019-05-14
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2588-9311
    ISSN (online) 2588-9311
    DOI 10.1016/j.euo.2019.04.009
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  9. Article ; Online: KIR gene mismatching and KIR/C ligands in liver transplantation: consequences for short-term liver allograft injury.

    Legaz, Isabel / López-Álvarez, María R / Campillo, José A / Moya-Quiles, María R / Bolarín, José M / de la Peña, Jesus / Salgado, Gema / Gimeno, Lourdes / García-Alonso, Ana M / Muro, Manuel / Miras, Manuel / Alonso, Clara / Álvarez-López, María R / Minguela, Alfredo

    Transplantation

    2013  Volume 95, Issue 8, Page(s) 1037–1044

    Abstract: Background: Killer immunoglobulin-like receptors (KIRs) bind human leukocyte antigen (HLA) class-I (HLA-I) ligands and regulate functions of natural killer cells and subsets of T cells. KIR/HLA-I interactions allow predicting natural killer cell ... ...

    Abstract Background: Killer immunoglobulin-like receptors (KIRs) bind human leukocyte antigen (HLA) class-I (HLA-I) ligands and regulate functions of natural killer cells and subsets of T cells. KIR/HLA-I interactions allow predicting natural killer cell alloreactivity in hematopoietic stem cell transplantation and in HLA-compatible kidney transplants, but its meaning in liver transplantation remains controversial.
    Methods: KIR and HLA genotypes were studied in 402 liver transplants, using sequence-specific oligonucleotides and primer methods. Recipients and donor KIRs, HLA-C genotypes, KIR gene mismatches (MMs) between recipient-donor pairs, and KIR/HLA-ligand combinations were analyzed in overall transplantations, in the acute rejection (AR; n=110) and non-AR (n=292) groups.
    Results: KIR gene MMs between recipients and donors, mainly in activating KIRs, and KIR2DL3 and KIR2DS1 of recipients in the presence of donor C2 ligands, significantly enhanced early AR rate (P<0.05), with KIR2DL3 and KIR2DS1 exhibiting a synergic effect in dependence of the donor C2 ligand number (χ2=7.662, P=0.022). KIR2DL3, KIR2DS1, and also KIR2DS4 significantly influenced short-term graft survival, with a benefit for transplantations combining KIR2DL3 recipients and donors having C1 ligands (log rank, P<0.019 at 1 year; hazards ratio [HR], 0.321; 95% confidence interval [CI], 0.107-0.962; P=0.042), whereas KIR2DS1 and KIR2DS4 recipients combined with donors lacking C1 ligands (C2/C2) exhibited a worse graft survival (log rank, P=0.035 at 6 months; HR, 7.713; 95% CI, 2.156-27.369; P=0.002 for KIR2DS1; and log rank, P=0.006 at 1 year; HR, 3.794; 95% CI, 1.267-11.365; P=0.017 for KIR2DS4).
    Conclusions: This study shows that KIR gene-gene MMs increase AR and that KIRs/C ligands associated to AR and KIR2DS4/C ligands also influence short-term graft survival.
    MeSH term(s) Cohort Studies ; Female ; Graft Rejection/genetics ; Graft Rejection/immunology ; Graft Survival/genetics ; Graft Survival/immunology ; HLA-C Antigens/metabolism ; Hepatitis C/etiology ; Hepatitis C/immunology ; Histocompatibility Testing ; Humans ; Killer Cells, Natural/immunology ; Ligands ; Liver Transplantation/adverse effects ; Liver Transplantation/immunology ; Male ; Middle Aged ; Receptors, KIR/genetics ; Receptors, KIR2DL3/genetics ; Recurrence ; T-Lymphocyte Subsets/immunology ; Time Factors
    Chemical Substances HLA-C Antigens ; KIR2DL3 protein, human ; KIR2DS1 protein, human ; Ligands ; Receptors, KIR ; Receptors, KIR2DL3
    Language English
    Publishing date 2013-04-27
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 208424-7
    ISSN 1534-6080 ; 0041-1337
    ISSN (online) 1534-6080
    ISSN 0041-1337
    DOI 10.1097/TP.0b013e318286486c
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Associations of HLA-C alleles with multinodular goiters: study in a population from southeastern Spain.

    Ríos, Antonio / Rodríguez, Jose M / Moya, María R / Galindo, Pedro J / Canteras, Manuel / Alvarez, María R / Parrilla, Pascual

    Archives of surgery (Chicago, Ill. : 1960)

    2006  Volume 141, Issue 2, Page(s) 123–128

    Abstract: Hypothesis: Several immunological alterations have been found in patients with multinodular goiter (MG). These alterations, together with the association described between certain autoimmune thyroid diseases and alleles of the major histocompatibility ... ...

    Abstract Hypothesis: Several immunological alterations have been found in patients with multinodular goiter (MG). These alterations, together with the association described between certain autoimmune thyroid diseases and alleles of the major histocompatibility complex (HLA alleles), justify the need for studies of the HLA alleles and MG in an attempt to identify associations.
    Design: Case-control study.
    Setting: Tertiary referral center.
    Patients: Ninety consecutive patients underwent surgical procedures for MG. The control group comprised 100 unrelated, healthy, white subjects.
    Intervention: Genotyping for HLA-C alleles was done using the molecular biological technique of polymerase chain reaction using sequence-specific primers and was carried out for all of the patients.
    Main outcome measures: The analyzed variables included age, sex, family history of thyroid pathological abnormalities, clinical features of the patient, clinical grading of the goiter, intrathoracic thyroid component, goiter weight, associated carcinoma, and the HLA-C gene.
    Results: A significant association was observed between the lower incidence of the HLA-Cw4 allele and the appearance of MG (15.5% vs 8.3%, respectively; P = .001; relative risk [RR] = 0.49). These results suggest that the HLA-Cw4 allele can exert a protective effect against MG. Analysis of the different clinical variables shows the most significant association to be the absence of the HLA-Cw4 allele in patients with goiters with an intrathoracic component (P = .001; RR = 0.19) and in patients with goiters weighing more than 200 g (P = .02; RR = 0.17). Associations between the HLA-C alleles and MG were also observed, such as the presence of the HLA-Cw7 allele and a family history of thyroid pathological abnormalities (P = .03; RR = 3.91) as well as the HLA-Cw1 allele and the presence of goiter-associated thyroid carcinoma (P = .02; RR = 8.60).
    Conclusions: The HLA-Cw4 allele can act as a protector against the development of MG, as it occurs less frequently in the population with MG, and those with this allele develop smaller goiters with no intrathoracic component.
    MeSH term(s) Alleles ; DNA/genetics ; Female ; Gene Frequency ; Genotype ; Goiter, Nodular/epidemiology ; Goiter, Nodular/genetics ; HLA-C Antigens/genetics ; Humans ; Incidence ; Male ; Middle Aged ; Polymerase Chain Reaction ; Retrospective Studies ; Risk Factors ; Spain/epidemiology
    Chemical Substances HLA-C Antigens ; DNA (9007-49-2)
    Language English
    Publishing date 2006-02
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 80055-7
    ISSN 1538-3644 ; 0004-0010 ; 0096-6908 ; 0272-5533
    ISSN (online) 1538-3644
    ISSN 0004-0010 ; 0096-6908 ; 0272-5533
    DOI 10.1001/archsurg.141.2.123
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