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Killer cell immunoglobulin-like receptor, two Ig domains and short cytoplasmic tail 3 (KIR2DS3)

Target
KIR2DS3
Molecular classification
Receptor, Immune receptor, Transmembrane glycoprotein, Member of the killer cell immunoglobulin-like receptor (KIR) family
01

Overview

KIR2DS3 is an activating glycoprotein receptor expressed on the surface of natural killer (NK) cells and a subset of T cells. It belongs to the killer cell immunoglobulin-like receptor family, characterized by two immunoglobulin-like extracellular domains and a short cytoplasmic tail that lacks the inhibitory ITIM motif. Instead, the short tail interacts with immune signaling proteins such as DAP12 to mediate activating signals. KIR2DS3 is highly polymorphic and plays a role in NK cell recognition of human leukocyte antigen (HLA) class I molecules, especially HLA-C, thereby modulating immune responses to infection, cancer, and self-tissues, with potential relevance for transplantation and pregnancy outcomes. Notably, KIR2DS3 protein is mainly retained intracellularly and shows limited surface expression, distinguishing it from other KIR receptors that are more readily detected on cell surfaces. Human variation in KIR2DS3 gene content and sequence contributes to individual differences in immune regulation and disease susceptibility.

Other names
KIR2DS3KI2S3Killer cell immunoglobulin-like receptor 2DS3
02

Mechanism of action

Drugs targeting KIR receptors generally aim to modulate NK cell activation or inhibition, either enhancing immune responses against cancer/infection or dampening autoimmunity/graft rejection. Predicted for the family, KIR2DS3 would be involved in activating signaling cascades upon ligand binding.

03

Biological functions

Regulation of immune responseActivation of NK cells (does not inhibit NK cell activity)Recognition of HLA class I molecules (including specific HLA-C alleles)
04

Disease associations

Cancer (KIRs implicated in cancer immune surveillance)Autoimmune disorders (KIR-HLA interactions linked to susceptibility)Infection (KIR function affects response to viral infections)Transplantation outcomes (certain KIR/HLA combinations influence stem cell transplantation success)Pregnancy outcomes (impacted by KIR/HLA combinatorial inheritance)
05

Safety considerations

Challenges in therapeutic targeting due to high polymorphism among KIR genesPotential for off-target immune activation, autoimmune risk, or impaired infection control if NK cell activity is modulated aberrantlyKIR2DS3 shows limited surface expression in most individuals, which may affect efficacy or safety of targeting approaches
06

Interacting drugs

No drugs are currently approved or well-documented to bind specifically to KIR2DS3; research into drugs modulating KIR family receptors is ongoing, mostly in immuno-oncology and transplantation contexts.
07

Biomarkers

Presence or genotype of KIR2DS3 and other KIRs can be used to predict risk or outcomes in cancer, transplantation, immune disorders, and some infectionsKIR2DS3 genotype may be included in panels for patient stratification but is less commonly used compared to other KIRs.

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