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Natural killer cell group 2 member A receptor (NKG2A (CD159a))

Target
NKG2A (CD159a)
Molecular classification
Receptor, Immune receptor, C-type lectin-like receptor, NK cell surface receptor
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Overview

Natural killer cell group 2 member A receptor (NKG2A, CD159a) is a type II transmembrane protein and member of the C-type lectin-like receptor family, expressed primarily as a heterodimer with CD94 on human NK cells and some T cell subsets[1][2][5][6]. It functions as an **inhibitory immune checkpoint** receptor by recognizing the non-classical MHC I molecule HLA-E presenting peptides from other MHC I molecules, thus preventing NK cell attack on normal, healthy cells[2][5][6]. Its blockade (e.g. by monoclonal antibodies) is under investigation as a cancer immunotherapy approach, aiming to enhance innate and adaptive immune responses against tumors[5]. The receptor does not directly trigger cytotoxicity, but rather signals through ITIMs (immunoreceptor tyrosine-based inhibitory motifs) in its cytoplasmic domain, mediating a negative regulatory signal to its host cell[1][2][5].

Other names
NKG2ACD94/NKG2ACD159a
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Mechanism of action

Immune checkpoint blockade (monoclonal antibodies block NKG2A to enhance NK and T cell cytotoxicity against tumors)

03

Biological functions

Immune responseInhibition of natural killer cell cytotoxicityRegulation of NK cell toleranceMaintenance of self-toleranceCheckpoint inhibition
04

Disease associations

CancerInfectionInflammationAutoimmune disease
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Safety considerations

Risk of autoimmune or inflammatory reactions due to unleashed NK/T cell activityPotential off-target immune activation
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Interacting drugs

Monalizumab (monoclonal antibody targeting NKG2A)
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Biomarkers

HLA-E expression (ligand for NKG2A/CD94; may predict benefit from NKG2A-targeted immunotherapy)

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