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Killer cell immunoglobulin-like receptor, two Ig domains and long cytoplasmic tail 5A (KIR2DL5A) is a protein expressed on the surface of natural killer (NK) cells and some T cells[1][3]. It is part of the KIR gene family, which encodes a family of broadly polymorphic receptors that regulate NK cell activity through their interaction with major histocompatibility complex (MHC) class I molecules, specifically subsets of human leukocyte antigen (HLA) class I[1][3]. KIR2DL5A belongs to the group of KIR proteins characterized by two extracellular immunoglobulin domains and a long cytoplasmic tail, which includes immune tyrosine-based inhibitory motifs (ITIMs) responsible for transmitting inhibitory signals and suppressing NK cell-mediated cytotoxicity[1][3]. The gene is located in the leukocyte receptor complex on chromosome 19q13.4 and displays significant polymorphism[1][2][3]. Variations in KIR gene content and alleles have been associated with immune-related diseases such as cancer, infectious diseases, autoimmune disorders, graft-versus-host disease, and other immune phenotypes[1][3]. Ligands for KIR2DL5A are still being clarified and not as well characterized as for other KIRs[3]. No directly approved drugs target KIR2DL5A, though modulation of KIR activity is an area of research for immunotherapy and transplant medicine.
Inhibits NK cell cytotoxicity via immune tyrosine-based inhibitory motifs (ITIMs) upon ligand engagement
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