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Updated: May 3, 2026

Comprehensive Autopsy Program for Individuals with Multiple Sclerosis
Published on: July 19, 2019
The role of KIR2DS1 in multiple sclerosis--KIR in Portuguese MS patients
Andreia Bettencourt1, Ana Martins Silva2, Cláudia Carvalho1
1UMIB - Instituto de Ciências Biomédicas Abel Salazar (ICBAS-UPorto), Porto Portugal.
Abstract:
Killer Immunoglobulin-like Receptor (KIR) genes may influence both resistance and susceptibility to different autoimmune diseases, but their role in the pathogenesis of Multiple Sclerosis (MS) is still unclear. We investigated the influence of KIR genes on MS susceptibility in 447 MS Portuguese patients, and also whether genetic interactions between specific KIR genes and their HLA class I ligands could contribute to the pathogenesis of MS. We observed a negative association between the activating KIR2DS1 gene and MS (adjusted OR=0.450, p=0.030) independently from the presence of HLA-DRB1*15 allele. The activating KIR2DS1 receptor seems to confer protection against MS most probably through modulation of autoreactive T cells by Natural Killer cells.
Insights
Killer Immunoglobulin-like Receptor (KIR) genes, specifically KIR2DS1, appear to protect against Multiple Sclerosis (MS). This activating KIR gene may influence MS susceptibility by modulating autoreactive T cells via Natural Killer cells.
Area of Science:
- Immunogenetics
- Autoimmune Diseases
- Neuroimmunology
Background:
- Killer Immunoglobulin-like Receptor (KIR) genes' role in autoimmune diseases is known, but their specific involvement in Multiple Sclerosis (MS) pathogenesis remains unclear.
- Investigating genetic factors influencing MS susceptibility is crucial for understanding disease mechanisms.
Purpose of the Study:
- To investigate the influence of KIR genes on Multiple Sclerosis (MS) susceptibility in a Portuguese cohort.
- To explore potential genetic interactions between KIR genes and their HLA class I ligands in MS pathogenesis.
Main Methods:
- Analysis of KIR gene polymorphisms in 447 Portuguese MS patients.
- Statistical analysis to determine associations between KIR genes, HLA class I ligands, and MS susceptibility.
- Assessing the independent effect of KIR2DS1 and HLA-DRB1*15 alleles.
Main Results:
- A significant negative association was observed between the activating KIR2DS1 gene and MS susceptibility (adjusted OR=0.450, p=0.030).
- This protective effect of KIR2DS1 was independent of the presence of the HLA-DRB1*15 allele.
- The findings suggest a potential role for Natural Killer (NK) cell modulation of autoreactive T cells.
Conclusions:
- The activating KIR2DS1 gene may confer protection against Multiple Sclerosis.
- KIR2DS1's influence on MS susceptibility might involve the modulation of autoreactive T cells by Natural Killer cells.
- Further research into KIR-HLA interactions is warranted for understanding MS immunopathogenesis.
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Multiple Sclerosis l: Introduction
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