Target intelligence / Profile preview

Inhibitory natural killer cell receptor (iNKR)

Target
iNKR
Molecular classification
Receptor, Immunoglobulin superfamily (for KIRs, LILRB1), C-type lectin-like receptor (for NKG2A/CD94), Immune checkpoint
01

Overview

Inhibitory natural killer cell receptors are a group of cell surface receptors expressed on natural killer (NK) cells that primarily recognize major histocompatibility complex class I (MHC-I, also called HLA class I in humans) molecules on healthy cells and transduce negative signals to prevent NK cell-mediated cytotoxicity against normal self-cells. The main human inhibitory NK cell receptor families are the killer cell immunoglobulin-like receptors (KIRs, specifically those with long cytoplasmic tails, e.g., KIR2DL, KIR3DL), the CD94/NKG2A heterodimer, and leukocyte immunoglobulin-like receptor subfamily B member 1 (LILRB1, also known as LIR-1, ILT2, CD85j). These receptors contain one or more immunoreceptor tyrosine-based inhibitory motifs (ITIM) in their cytoplasmic domains, which recruit protein tyrosine phosphatases (such as SHP-1 and SHP-2) to counteract activating signals, maintaining immune self-tolerance and regulating cytotoxicity. Dysfunction, altered expression, or therapeutic blockade of these receptors is associated with diseases such as cancer, infection, autoimmunity, and is being explored as a strategy in cancer immunotherapy.

Other names
Inhibitory NK cell receptoriNKRHLA-specific inhibitory NK cell receptorKiller cell immunoglobulin-like receptor (KIR, inhibitory subtypes only)CD94/NKG2A receptorLeukocyte immunoglobulin-like receptor subfamily B member 1 (LILRB1, LIR-1, ILT2, CD85j)
02

Mechanism of action

Blockade of inhibitory NK cell receptors relieves inhibition, increasing NK cell-mediated cytotoxicity against tumor or virally infected cells. Monoclonal antibodies can block ligand binding (e.g., KIR-HLA, NKG2A-HLA-E) to enhance immune activation.

03

Biological functions

Immune responseSelf-toleranceRegulation of cytotoxicityNegative regulation of NK cell activityDiscrimination of healthy vs. diseased cells
04

Disease associations

CancerInfectionInflammationAutoimmune diseaseTransplantation biology
05

Safety considerations

Risk of autoimmunity due to loss of self-tolerance when blocking inhibitory receptorsPossible cytokine release syndromeOff-target effects due to broad HLA recognition
06

Interacting drugs

Monalizumab (anti-NKG2A antibody)

2 more in the full profile.

07

Biomarkers

Expression of HLA-class I molecules (e.g., HLA-E, HLA-C, HLA-G)NK cell expression of KIR, NKG2A, LILRB1Loss or alteration of HLA class I on tumor cells

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