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KIR genes and HLA class I ligands in Gaucher disease
Authors:Filippo Vairo  Pâmela Portela  Patrícia H Salim  Mariana Jobim  Cristina Netto  Alicia Dorneles  Suzana Mittlestadt  Luiz Fernando Jobim  Ida Vanessa D Schwartz
Institution:1. Medical Genetics Service, Hospital de Clínicas de Porto Alegre, Brazil;2. Post Graduation Program in Medicine: Medical Sciences, Universidade Federal do Rio Grande do Sul, Brazil;3. Post-Graduation Program in Genetics and Molecular Biology, Universidade Federal do Rio Grande do Sul, Brazil;4. Immunology Service, Hospital de Clínicas de Porto Alegre, Brazil;5. BRAIN Experimental Research Group Laboratory, Hospital de Clínicas de Porto Alegre, Brazil;6. Genetics Department, Universidade Federal do Rio Grande do Sul, Brazil
Abstract:Gaucher disease (GD) is caused by reduced activity of the lysosomal enzyme glucocerebrosidase, which leads to a buildup of glucocerebroside within the cells and chronic stimulation of the immune system. GD is associated with clinical variability even in the same family, which suggests the influence of modifier genes. Natural killer (NK) cells play an important role in the immune response, and their number is decreased in GD. Killer-cell immunoglobulin-like receptors (KIR) regulate the activity of NK cells through an interaction with specific human leukocyte antigen (HLA) class I molecules on target cells.
Keywords:ERT  enzyme replacement therapy  GCs  Gaucher cells  GD  Gaucher disease  HLA  human leukocyte antigen  KIR  killer-cell immunoglobulin-like receptors  MGUS  monoclonal gammopathy of undetermined significance  MM  multiple myeloma  NK  natural killer  REDOME  National Bone Marrow Donors Registry  SSI  severity score index  SSP  sequence-specific primers
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