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Updated: Oct 22, 2025

qKAT: Quantitative Semi-automated Typing of Killer-cell Immunoglobulin-like Receptor Genes
Published on: March 6, 2019
HLA-C and KIR permutations influence chronic obstructive pulmonary disease risk
Takudzwa Mkorombindo1, Thi K Tran-Nguyen1, Kaiyu Yuan1
1Division of Pulmonary, Allergy & Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Genetic factors, specifically human leukocyte antigen-Class I (HLA-Class I) and killer cell Ig-like receptor (KIR) variations, significantly impact chronic obstructive pulmonary disease (COPD) risk. These genetic links highlight the role of cytotoxic lymphocytes in COPD development.
Area of Science:
- Immunogenetics
- Pulmonary Medicine
- Cellular Biology
Background:
- Hereditary factors are recognized contributors to chronic obstructive pulmonary disease (COPD) susceptibility.
- Cytotoxic lymphocytes, through interactions between killer cell Ig-like receptors (KIR) and human leukocyte antigen-Class I (HLA-Class I) molecules, are involved in COPD pathogenesis.
Purpose of the Study:
- To investigate the hypothesis that human leukocyte antigen-Class I (HLA-Class I) and killer cell Ig-like receptor (KIR) inheritance influence the risk of developing chronic obstructive pulmonary disease (COPD).
Main Methods:
- Candidate gene analyses were performed on HLA-Class I alleles and KIR genotypes in multiple cohorts of COPD patients (n=392) and control smokers (n=342).
- Statistical comparisons were made between COPD patients and controls to identify significant genetic associations.
Main Results:
- Patients with COPD showed an overrepresentation of HLA-C*07 and activating KIR2DS1, and an underrepresentation of HLA-C*12 compared to controls.
- Specific HLA-KIR combinations demonstrated synergistic effects, with certain permutations significantly associated with COPD, particularly in HLA-C1 allotype homozygotes.
- Lymphocyte cytotoxicity in COPD patients was more enhanced by KIR stimulation than in controls and correlated with lung function.
Conclusions:
- Polymorphisms in HLA-C and KIR genes are strong determinants of COPD susceptibility.
- These findings underscore the critical role of lymphocyte-mediated cytotoxicity in COPD pathogenesis.
- HLA-KIR typing may aid in stratifying patients at risk for COPD and suggests potential therapeutic strategies targeting the HLA-KIR axis.
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