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KIRs gene content diversity in Iranians with urothelial bladder cancer
Elham Jamali1, Shaghik Barani2, Fahimeh Yousefinejad1
1Department of Immunology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Abstract:
Natural killer cells (NK) are the first arm of the innate immune system in defense against tumor and infection. 16 distinct Killer-cell immunoglobulin-like receptors (KIRs) are involved in orchestrating NK cell function. The KIR family contains 14 genes and 2 pseudogenes. Six of these receptors are activating (aKIR) and the remaining receptors are inhibitory KIRs (iKIR), that interact with MHC-I molecules; producing signals which stop NK cell function. In the current study, we have investigated the genomic diversity of KIRs and determining the A and B haplotypes as well as Bx subsets in 119 patients with bladder cancer and 200 healthy controls to find out if there is an association between KIR system and susceptibility to bladder cancer. Polymerase chain reaction with sequence specific primers (SSP-PCR) typing system was used to determine the KIR gene profile. The results implicated decreased frequency of inhibitory KIR2DL2 and activating KIR2DS2 while increased frequency of CxT4 genotypes in patients compared with healthy controls. Among Bx subsets, the CxT4 gene cluster is more frequent in bladder cancer patients compared to controls. Our results provide a conclusion that KIR2S2 and KIR2L2 may play a protective role against bladder cancer development while the CxT4 gene cluster may underlie susceptibility to bladder cancer in Iranian population.
Insights
Killer-cell immunoglobulin-like receptors (KIRs) influence bladder cancer risk. Specific KIR genes (KIR2DL2, KIR2DS2) may offer protection, while the CxT4 gene cluster might increase susceptibility in the Iranian population.
Area of Science:
- Immunogenetics
- Oncology
- Genomic Diversity
Background:
- Natural killer (NK) cells are crucial for innate immunity against tumors and infections.
- Killer-cell immunoglobulin-like receptors (KIRs) regulate NK cell function, with activating (aKIR) and inhibitory (iKIR) types.
- KIRs interact with MHC-I molecules, modulating NK cell responses.
Purpose of the Study:
- To investigate the genomic diversity of KIRs in relation to bladder cancer.
- To determine the association between KIR haplotypes (A, B, Bx) and bladder cancer susceptibility.
- To explore the role of specific KIR genes and genotypes in bladder cancer development.
Main Methods:
- Genotyping of KIR gene profiles using polymerase chain reaction with sequence specific primers (SSP-PCR).
- Analysis of KIR A and B haplotypes and Bx subsets in bladder cancer patients and healthy controls.
- Comparative frequency analysis of KIR genotypes between patient and control groups.
Main Results:
- Decreased frequencies of inhibitory KIR2DL2 and activating KIR2DS2 were observed in bladder cancer patients.
- Increased frequency of CxT4 genotypes was found in bladder cancer patients compared to controls.
- The CxT4 gene cluster was more prevalent among Bx subsets in bladder cancer patients.
Conclusions:
- KIR2DL2 and KIR2DS2 may confer a protective effect against bladder cancer.
- The CxT4 gene cluster may be associated with increased susceptibility to bladder cancer.
- These findings highlight the potential role of KIR immunogenetics in bladder cancer etiology within the Iranian population.
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