Target intelligence / Profile preview

Killer cell immunoglobulin-like receptor (inhibitory subtype) (KIR (specifically, inhibitory KIR, e.g. KIR2DL, KIR3DL))

Target
KIR (specifically, inhibitory KIR, e.g. KIR2DL, KIR3DL)
Molecular classification
Receptor, Immunoglobulin-like receptor, Inhibitory checkpoint receptor, Cell surface glycoprotein
01

Overview

Killer cell immunoglobulin-like receptors (KIRs) are a highly polymorphic family of activating and inhibitory cell surface proteins expressed predominantly on natural killer (NK) cells. The inhibitory KIRs (most commonly those with long cytoplasmic tails, e.g., KIR2DL, KIR3DL) transmit inhibitory signals upon binding to specific determinants of self major histocompatibility complex (MHC) class I molecules (especially HLA-C, HLA-B, HLA-A), mediated through their immunoreceptor tyrosine-based inhibitory motifs (ITIMs). This inhibitory signaling recruits tyrosine phosphatases such as SHP-1, preventing NK cell activation and cytolysis of healthy cells, thereby maintaining self-tolerance. Loss or alteration of MHC class I molecules (as in cancer or viral infection) disrupts this inhibitory signal, permitting NK cells to eliminate diseased cells (“missing self” recognition). Inhibitory KIRs are major immune checkpoints governing NK cell function and have emerged as therapeutic targets, notably in cancer immunotherapy. The diversity of KIR genes and their HLA ligands affects disease susceptibility, transplantation outcomes, and efficacy of NK-targeted therapies[1][2][3][4][5].

Other names
Killer cell immunoglobulin-like receptorInhibitory KIRiKIRKIR2DL, KIR3DL (specific inhibitory KIRs)Immunoglobulin-like receptors (inhibitory subtype)
02

Mechanism of action

Antagonism or blockade of inhibitory signals to augment NK cell activity - Disruption of KIR/HLA class I interaction to facilitate NK cell-mediated lysis of tumor/virally infected cells - Immune checkpoint inhibition

03

Biological functions

Immune responseRegulation of NK cell cytotoxicitySelf-toleranceSignal transductionDiscrimination between healthy and diseased cells
04

Disease associations

CancerAutoimmune diseaseViral infectionTransplantation rejectionPregnancy complications
05

Safety considerations

Risk of autoimmunity or graft rejection due to loss of self-tolerancePotential for off-target cytotoxicityCytokine release syndrome (with checkpoint inhibitors)Heterogeneity in patient KIR/HLA genotype and expression[1][3][4]
06

Interacting drugs

Lirilumab (anti-KIR monoclonal antibody)

1 more in the full profile.

07

Biomarkers

KIR genotype (for patient stratification)KIR/HLA combinations (risk stratification in transplantation, cancer, infection)[1]Peripheral NK cell KIR expression (potential monitoring marker)[4][5]

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