Activating Killer-Cell Immunoglobulin-Like Receptors Are Associated With the Severity of Coronavirus Disease 2019

Autor: Ahmed A. Quadeer, José A. Campillo, Marta Cerezo Moreno, Enrique Bernal, Angeles de la Concha Muñoz, Elisa Martínez-alfaro, María V. Martínez-Sánchez, Alfredo Minguela, Antonia Alcaraz, Matthew R. McKay, María J Alcaraz, Ana Pelaez, Lourdes Gimeno, Marta Hernández-olivo, José Miguel Sáez Gómez, Manuel Muro, Maite Herranz, Elisa García, Alfredo Cano
Rok vydání: 2021
Předmět:
Zdroj: The Journal of Infectious Diseases
ISSN: 1537-6613
Popis: Background Etiopathogenesis of the clinical variability of the coronavirus disease 2019 (COVID-19) remains mostly unknown. In this study, we investigate the role of killer cell immunoglobulin-like receptor (KIR)/human leukocyte antigen class-I (HLA-I) interactions in the susceptibility and severity of COVID-19. Methods We performed KIR and HLA-I genotyping and natural killer cell (NKc) receptors immunophenotyping in 201 symptomatic patients and 210 noninfected controls. Results The NKcs with a distinctive immunophenotype, suggestive of recent activation (KIR2DS4low CD16low CD226low CD56high TIGIThigh NKG2Ahigh), expanded in patients with severe COVID-19. This was associated with a higher frequency of the functional A-telomeric activating KIR2DS4 in severe versus mild and/or moderate patients and controls (83.7%, 55.7% and 36.2%, P Conclusions Our results support a crucial role of NKcs in the clinical variability of COVID-19 with specific KIR/ligand interactions associated with disease severity.
Databáze: OpenAIRE