Scientific article
English

Telomeric rather than centromeric activating KIR genes protect from cytomegalovirus infection after kidney transplantation

Published inAmerican journal of transplantation, vol. 11, no. 6, p. 1302-1307
Publication date2011
Abstract

Cytomegalovirus (CMV) infection is a common complication after organ transplantation. Previous studies have demonstrated that activating killer-cell immunoglobulin-like receptors (KIR) may reduce the rate of CMV infection. KIR genes can be divided into haplotype A (containing a fixed set of inhibitory receptors) and haplotype B (carrying additional activating KIR genes). The KIR locus is divided into a centromeric and a telomeric portion, both of which may carry A or B haplotype motifs. We studied a cohort of 339 kidney transplant recipients to elucidate which KIR genes protect from CMV infection. CMV infection occurred in 139 patients (41%). Possession of telomeric (hazard ratio 0.64, 95% confidence interval 0.44-0.94, p = 0.02) but not centromeric (HR 0.86, 95% CI 0.60-1.23, p = 0.41) B motifs was associated with statistically significant protection from CMV infection. Due to linkage disequilibrium, we were not able to identify a single protective gene within the telomeric B complex (which may contain the KIR2DS1, KIR3DS1, KIR2DL5A and KIR2DS5 genes). The presence of known or putative ligands to activating KIR did not significantly modify the influence of telomeric B group genes. We confirm that B haplotypes protect from CMV infection after kidney transplantation and show that this arises from telomeric B haplotype genes.

Keywords
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Centromere
  • Child
  • Child, Preschool
  • Cohort Studies
  • Cytomegalovirus Infections/prevention & control
  • Female
  • Humans
  • Kidney Transplantation/adverse effects
  • Male
  • Middle Aged
  • Receptors, KIR/genetics
  • Telomere
  • Young Adult
Citation (ISO format)
STERN, M et al. Telomeric rather than centromeric activating KIR genes protect from cytomegalovirus infection after kidney transplantation. In: American journal of transplantation, 2011, vol. 11, n° 6, p. 1302–1307. doi: 10.1111/j.1600-6143.2011.03516.x
Main files (1)
Article (Published version)
accessLevelRestricted
Identifiers
Journal ISSN1600-6135
652views
0downloads

Technical informations

Creation15/10/2012 14:02:00
First validation15/10/2012 14:02:00
Update14/11/2024 14:57:10
Status update14/11/2024 14:57:10
Last indexation14/11/2024 15:00:18
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack