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Science 6 August 2004:
Vol. 305. no. 5685, pp. 872 - 874
DOI: 10.1126/science.1097670

Reports

HLA and NK Cell Inhibitory Receptor Genes in Resolving Hepatitis C Virus Infection

Salim I. Khakoo,1* Chloe L. Thio,2 Maureen P. Martin,3 Collin R. Brooks,1 Xiaojiang Gao,3 Jacquie Astemborski,2 Jie Cheng,3 James J. Goedert,4 David Vlahov,5 Margaret Hilgartner,6 Steven Cox,7 Ann-Margeret Little,7 Graeme J. Alexander,8 Matthew E. Cramp,9 Stephen J. O'Brien,10 William M. C. Rosenberg,1 David L. Thomas,2 Mary Carrington3*

Natural killer (NK) cells provide a central defense against viral infection by using inhibitory and activation receptors for major histocompatibility complex class I molecules as a means of controlling their activity. We show that genes encoding the inhibitory NK cell receptor KIR2DL3 and its human leukocyte antigen C group1 (HLA-C1) ligand directly influence resolution of hepatitis C virus (HCV) infection. This effect was observed in Caucasians and African Americans with expected low infectious doses of HCV but not in those with high-dose exposure, in whom the innate immune response is likely overwhelmed. The data strongly suggest that inhibitory NK cell interactions are important in determining antiviral immunity and that diminished inhibitory responses confer protection against HCV.

1 Liver Group, Division of Infection, Inflammation, and Repair, Southampton University, Southampton 5016 6YD, UK.
2 Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, MD 21231, USA.
3 Basic Research Program, Scientific Applications International Corporation Frederick, Inc., Laboratory of Genomic Diversity, NCI Frederick, Frederick, MD 21702, USA.
4 Viral Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD 20852, USA.
5 New York Academy of Medicine, New York, NY 10029, USA.
6 Department of Pediatrics, New York Presbyterian Hospital–Cornell Medical Center, New York, NY 10021, USA.
7 Anthony Nolan Research Institute, The Royal Free Hospital, London NW3 2PF, UK.
8 Department of Medicine, University of Cambridge, Cambridge CD2 2QQ, UK.
9 Department of Gastroenterology, Derriford Hospital, Plymouth PL6 8DH, UK.
10 Laboratory of Genomic Diversity, National Cancer Institute, Frederick, MD 21702, USA.

* To whom correspondence should be addressed: E-mail: carringt{at}ncifcrf.gov (M.C.); sik{at}soton.ac.uk (S.I.K.)

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Unlocking the Determinants of HCV Immunity.
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Journal Watch Infectious Diseases 2004, 8
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