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异基因造血干细胞移植中同种异体NK细胞的临床应用及研究进展
引用本文:薛同圆,何颖芝,陆艺,张佳佳,张轩煜,忻勇杰.异基因造血干细胞移植中同种异体NK细胞的临床应用及研究进展[J].医学综述,2011,17(15):2244-2246.
作者姓名:薛同圆  何颖芝  陆艺  张佳佳  张轩煜  忻勇杰
作者单位:1. 南方医科大学第二临床医学院,广州,510515
2. 南方医科大学珠江医院血液科,广州,510282
3. 南方医科大学公共卫生与热带医学学院,广州,510515
基金项目:广东省"大学生创新实验项目"基金(1212110001)第十一届"挑战杯"广东大学生课外学术科技作品竞赛终审决赛银奖项目
摘    要:杀伤细胞免疫球蛋白样受体(KIR)识别并与靶细胞表面人类白细胞抗原(HLA)Ⅰ类分子结合后转导活化性或抑制性信号,从而调节自然杀伤(NK)细胞活性。在异基因造血干细胞移植(allo-HSCT)中,当KIR识别的HLA配体缺失时,NK细胞的同种异体反应性被激活,并特异性杀伤靶细胞。NK细胞KIR分子与靶细胞HLA分子特异性识别机制参与移植物抗白血病(GvL)效应和移植物抗宿主病(GvHD)。同种异体NK细胞介导的GvL效应和降低的GvHD发生率使其适合移植。现就allo-HSCT中同种异体NK细胞的临床应用及研究进展予以综述。

关 键 词:杀伤细胞免疫球蛋白样受体  自然杀伤细胞  同种异体

The Clinical Application and Research Progress of allo-Reactive NK Cell in allo-HSCT
XUE Tong-yuan,HE Ying-zhi,LU Yi,ZHANG Jia-jia,ZHANG Xuan-yu,XIN Yong-jie.The Clinical Application and Research Progress of allo-Reactive NK Cell in allo-HSCT[J].Medical Recapitulate,2011,17(15):2244-2246.
Authors:XUE Tong-yuan  HE Ying-zhi  LU Yi  ZHANG Jia-jia  ZHANG Xuan-yu  XIN Yong-jie
Institution:XUE Tong-yuan1,HE Ying-zhi2,LU Yi3,ZHANG Jia-jia1,ZHANG Xuan-yu1,XIN Yong-jie1,LI Yu-hua2.(1.Second School of Clinical Medicine of Southern Medical University,Guangzhou 510515,China,2.Department of Hematology,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,3.School of Public Health and Tropical Medicine of Southern Medical University,China)
Abstract:Killer cell immunoglobulin-like receptors(KIRs)recognize and bind with human leukocyte antigen(HLA)class Ⅰ molecules of target cell specifically,conducting activating or inhibitory signals to regulate NK cell activity.In allo-hematopoietic stem cell transplantation(allo-HSCT),KIR-HLA mismatch will stimulate alloreactivity of NK cell,which makes NK cell kill target cell specifically.The mechanism of KIR specifically recognizing HLA participates in graft-versus-leukemia(GvL)effect and graft-versus-host disease(GvHD).The GvL effect and reduction of incidence of GvHD mediated by allo-reacive NK cell make it fit for transplantation.Consequently,here is to review the clinical application and research progress of alloreactive NK cell in allo-HSCT.
Keywords:Killer cell immunoglobulin-like receptor  Natural killer cell  Allogeneic  
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