The investigation of killer-cell immunoglobulin-like receptors (KIRs) and their HLA ligands in Iranian patients with myasthenia gravis

Copyright © 2024. Published by Elsevier B.V..

BACKGROUND: Myasthenia gravis (MG) is a disabling disease with the underlying pathophysiology of auto-antibodies attacking the postsynaptic acetylcholine receptors of neuromuscular junctions causing muscle weakness. Natural killer (NK) cells are innate immune cells that play an important regulative role in immune responses. The human killer-cell immunoglobulin-like receptors (KIRs) family is one of the receptors on NK cells that can either activate or inhibit NK cells. This study aimed to assess the possible role of KIR and their human leukocyte antigen (HLA) ligand genes susceptibility to MG in Iranian patients.

METHOD: One hundred and sixty-three patients with MG diagnosis based on the presence of clinical symptoms and laboratory tests and 400 healthy volunteers were studied. We used the polymerase chain reaction (PCR) technique for genotyping 15 KIRs and 5 HLA genes.

RESULTS: The results demonstrated that there was no significant difference in the frequency of KIR genes and inhibitory KIR genotypes between controls and patients. In MG patients, HLA-C1Asn80 was significantly less frequent than in matched controls. The frequency of HLA genotype number 7 was significantly lower in MG cases, compared to the controls. Analysis of activating KIR genotypes showed that genotype number 10 was significantly less frequent in MG cases than in matched controls.

CONCLUSION: Our results suggest that the presence HLA-C1Asn80 might play a protective role against the pathogenesis of MG. The significantly decreased prevalence of one activating KIR genotype and one of the HLA genotypes in MG cases suggest that these genotypes can reduce the risk of MG development. To specifically reveal the impact of KIR and HLA in MG, more studies are required.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:238

Enthalten in:

Clinical neurology and neurosurgery - 238(2024) vom: 26. März, Seite 108171

Sprache:

Englisch

Beteiligte Personen:

Jalalvand, Mobina [VerfasserIn]
Beigmohammadi, Fereshteh [VerfasserIn]
Soltani, Samaneh [VerfasserIn]
Ehsan, Soroush [VerfasserIn]
Rajabkhah, Sahebeh [VerfasserIn]
Madreseh, Elham [VerfasserIn]
Akhtari, Maryam [VerfasserIn]
Jamshidi, Ahmadreza [VerfasserIn]
Farhadi, Elham [VerfasserIn]
Mahmoudi, Mahdi [VerfasserIn]
Nafissi, Shahriar [VerfasserIn]

Links:

Volltext

Themen:

Genetic association
HLA Antigens
Immunoglobulins
Journal Article
Killer cell immunoglobulin-like receptor
Ligands
Myasthenia gravis
Natural killer cell
Receptors, KIR

Anmerkungen:

Date Completed 13.03.2024

Date Revised 29.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.clineuro.2024.108171

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36912636X