Killer-cell immunoglobulin-like receptors (KIR) in severe A (H1N1) 2009 influenza infections
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Introduction of a novel influenza virus into the human population leads to the occurrence of pandemic events, such as the one caused by pandemic influenza A (H1N1) 2009 virus. The severity of infections caused by this virus in young adults was greater than that observed in patients with seasonal influenza. Fatal cases have been associated with an abnormal innate, proinflammatory immune response. A critical role for natural killer cells during the initial responses to influenza infections has been suggested. In this study, we assessed the association of killercell immunoglobulin-like receptors (KIRs) with disease severity by comparing KIR gene content in patients with mild and severe pandemic influenza virus infections to a control group. We found that activator (KIR3DS1 and KIR2DS5) and inhibitory (KIR2DL5) genes, encoded in group B haplotypes containing the cB01, cB03 and tB01 motifs, are associated with severe pandemic influenza A (H1N1) 2009 infections. Better understanding of how genetic variability contributes to influenza virus pathogenesis may help to the development of immune intervention strategies aiming at controlling the severity of disease. © Springer-Verlag 2012.
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H1N1; Immunogenetics; Influenza; KIR; NK cells; Pandemic influenza killer cell immunoglobulin like receptor; killer cell immunoglobulin like receptor 2DL5; killer cell immunoglobulin like receptor 2DS5; killer cell immunoglobulin like receptor 3DS1; unclassified drug; 2009 H1N1 influenza; adolescent; adult; aged; arthralgia; article; blood sampling; child; clinical article; controlled study; coughing; disease association; disease severity; dyspnea; female; fever; genetic variability; genotype; haplotype; headache; human; Influenza virus A H1N1; lower respiratory tract infection; male; myalgia; pandemic influenza; pathogenesis; pharynx; preschool child; priority journal; protein motif; reverse transcription polymerase chain reaction; rhinorrhea; school child; upper respiratory tract infection; virus identification; Adolescent; Adult; Aged; Amino Acid Motifs; Child; Child, Preschool; Female; Gene Frequency; Genotype; Haplotypes; Humans; Influenza A Virus, H1N1 Subtype; Influenza, Human; Male; Mexico; Middle Aged; Pandemics; Protein Isoforms; Receptors, KIR; Receptors, KIR2DL5; Receptors, KIR3DS1; Severity of Illness Index; Young Adult; Orthomyxoviridae
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