Target intelligence / Profile preview

Killer cell immunoglobulin-like receptor (KIR) and Major Histocompatibility Complex (MHC) class I interaction (KIR-MHC I interaction)

Target
KIR-MHC I interaction
Molecular classification
Immune checkpoint, Receptor-ligand interaction, Immunoglobulin superfamily
01

Overview

The interaction between Killer cell immunoglobulin-like receptors (KIRs) and Major Histocompatibility Complex (MHC) class I molecules (specifically HLA-A, -B, and -C) serves as a critical immune checkpoint that regulates the activity of Natural Killer (NK) cells and certain T cell subsets. Inhibitory KIRs recognize self-MHC class I molecules on healthy cells, delivering a signal that prevents NK cell activation and protects normal tissues from lysis. However, many tumors exploit this mechanism by maintaining MHC class I expression to evade immune surveillance, effectively 'turning off' NK cell responses. Therapeutic strategies targeting this interaction, such as monoclonal antibodies like lirilumab, aim to block these inhibitory signals. By preventing the binding of KIRs to their MHC ligands, these drugs lower the threshold for NK cell activation, thereby enhancing the immune system's ability to identify and destroy malignant or infected cells that would otherwise remain undetected.

Other names
KIR-HLA interactionKiller cell immunoglobulin-like receptor signalingNK cell inhibitory receptor axisMHC-I/KIR checkpoint
02

Mechanism of action

Blocking the interaction between inhibitory KIRs on NK cells and MHC class I (HLA) molecules on tumor cells to prevent inhibitory signaling and enhance NK cell-mediated anti-tumor cytotoxicity.

03

Biological functions

Immune responseNK cell regulationSelf-toleranceCytotoxicity regulationAntigen presentation
04

Disease associations

CancerInfectionAutoimmune diseaseHematologic malignancy
05

Safety considerations

AutoimmunityCytokine release syndromeOff-target immune activationGraft-versus-host disease (in transplant settings)
06

Interacting drugs

Lirilumab (IPH2101/BMS-986015)

1 more in the full profile.

07

Biomarkers

HLA-C genotypeKIR expression levelsNK cell infiltrationSoluble HLA-G

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