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The Journal of Immunology, 2002, 168: 2307-2315.
Copyright © 2002 by The American Association of Immunologists

Allelic Polymorphism Synergizes with Variable Gene Content to Individualize Human KIR Genotype1

Heather G. Shilling*, Lisbeth A. Guethlein*, Nathalie W. Cheng*, Clair M. Gardiner2,*, Roberto Rodriguez{dagger}, Dolly Tyan{ddagger} and Peter Parham3,*

* Departments of Structural Biology and Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA 94305; {dagger} Department of Hematology and Bone Marrow Transplantation, City of Hope National Medical Center, Duarte, CA 91010; and {ddagger} Department of Pediatrics, Cedars-Sinai Medical Center, Los Angeles, CA 90048


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Killer Ig-like receptor (KIR) genes are a multigene family on human chromosome 19. KIR genes occur in various combinations on different haplotypes. Additionally, KIR genes are polymorphic. To examine how allelic polymorphism diversifies KIR haplotypes with similar or identical combinations of KIR genes, we devised methods for discriminating alleles of KIR2DL1, -2DL3, -3DL1, and -3DL2. These methods were applied to 143 individuals from 34 families to define 98 independent KIR haplotypes at the allele level. Three novel 3DL2 alleles and a chimeric 3DL1/3DL2 sequence were also identified. Among the A group haplotypes were 22 different combinations of 2DL1, 2DL3, 3DL1, and 3DL2 alleles. Among the B group haplotypes that were unambiguously determined were 15 distinct haplotypes involving 9 different combinations of KIR genes. A and B haplotypes both exhibit strong linkage disequilibrium (LD) between 2DL1 and 2DL3 alleles, and between 3DL1 and 3DL2 alleles. In contrast, there was little LD between the 2DL1/2DL3 and 3DL1/3DL2 pairs that define the two halves of the KIR gene complex. The synergistic combination of allelic polymorphism and variable gene content individualize KIR genotype to an extent where unrelated individuals almost always have different KIR types. This level of diversity likely reflects strong pressure from pathogens on the human NK cell response.


    Introduction
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 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Killer cell Ig-like receptors (KIR)4 comprise a family of membrane glycoproteins that are expressed on the surface of NK cells and subpopulations of activated or memory T cells (1). In humans, KIR are encoded by a family of genes in the leukocyte receptor complex on chromosome 19 (2, 3, 4, 5). KIR have specificity for class I molecules and can either activate or inhibit cellular functions after ligand binding. KIR with specificity for HLA-A, -B, -C, and -G have been identified; for other KIR, the specificity remains unknown (6).

During their development, NK cells are programmed to express different numbers and combinations of KIR in a stable manner. Thus, human peripheral blood NK cells have clonal diversity in receptors due to this mode of KIR gene expression. Contributing to this diversity, but to lesser extent, is expression of the HLA-E-specific receptors CD94:NKG2A and CD94:NKG2C (7). In a similar manner, KIR expression in T cells can produce diversity within populations of cells expressing the same TCR (8, 9). In NK cell responses, KIR are proposed to be receptors that contribute to recognition and response to cells damaged by infection or malignant transformation (1). In T cell responses, the expression of KIR after activation by Ag may modify their response on subsequent encounter with Ag (10).

Diversity is an important characteristic of the human KIR gene family and its counterpart in apes and Old World monkeys (11, 12, 13, 14). Sequence analysis of KIR cDNA populations obtained from individual donors has demonstrated that several of the KIR genes are polymorphic, and in this regard KIR3DL1 and KIR3DL2 have been particularly illustrative (15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26). Humans also differ in the KIR genes they inherit, as shown by typing genomic DNA for the presence and absence of each KIR gene. In combination with RFLP analysis, these data suggested two types of KIR haplotype, segregating at roughly equal frequency in the largely Caucasoid population studied. Group A haplotypes contain seven KIR genes and have KIR2DS4 as the only activating receptor. Group B haplotypes are more diverse in the KIR genes they contain, have more activating receptors, and are characterized by the 2DL2, 2DS1, 2DS2, 2DS3, and 2DS5 genes (11). These results have subsequently been confirmed in studies of other populations (27, 28, 29, 30).

Comparison of gene organization for two A haplotypes and one B haplotype showed that human KIR haplotypes are organized around three conserved framework genes: KIR3DL2 and -3DL3 at either end; and KIR2DL4 in the middle. Between the framework genes are two regions of variable gene content. In these regions, gene duplications, deletions, and hybridization by asymmetrical recombination are likely facilitated by the close proximity of the genes and the sequence similarity of the intergenic sequences (4, 5).

Although it is now clear that KIR haplotypes vary in gene content and that KIR genes are polymorphic, what has yet to be understood is how these two mechanisms work together in producing KIR diversity in human populations. In other words, how does allelic polymorphism further diversify KIR haplotypes defined by gene content, and to what extent? The investigation described here addresses these questions by combining analysis of families with KIR typing directed at the level of both genes and alleles. The results show that allelic polymorphism further differentiates KIR haplotypes having the same gene content. Together these two mechanisms of diversification individualize the human KIR genotype.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
KIR nomenclature

KIR2DL1, -2DL3, -3DL1, and -3DL2 alleles were named according to guidelines used in naming HLA alleles (Table IGo). Briefly, an asterisk separates the accepted gene designations (31) from three digits that distinguish alleles that differ by nonsynonymous substitutions; fourth and fifth digits were assigned to alleles that differ only by synonymous substitutions. Numerical order was assigned based on GenBank release dates. Partial sequences and splice variants were excluded, as were sequences of single PCR-derived clones.


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Table I. Alleles of KIR2DL1, 2DL3, 3DL1, and3DL2

 
KIR locus names are as specified by the HUGO Gene Nomenclature Committee (www.gene.ucl.ac.uk/nomenclature/genefamily/kir.html). KIR have also been included in the CD nomenclature as CD158 (32).

Donor population and DNA isolation

Samples were obtained from a total of 143 donors (predominantly Caucasian) from 34 families. PBMC from 64 donors representing 15 families were prepared at the Cedars-Sinai Medical Center (Los Angeles, CA); PBMC from 24 individuals representing 4 families were prepared at the City of Hope Histocompatibility Laboratory (Duarte, CA). Peripheral blood from 50 individuals representing 14 families was collected at the Stanford Medical Center Histocompatibility Laboratory (Stanford, CA), PBMC being isolated by Ficoll-Hypaque gradient separation. Genomic DNA was prepared from 2 x 106–1 x 107 PBMC using a QIAamp Blood Kit (Qiagen, Chatsworth, CA). One family described by Gardiner et al. (23) was analyzed for KIR at higher resolution in this study.

KIR genotyping

Generic KIR typing of genomic DNA was performed by PCR amplification with primers based on conserved regions specific to each KIR locus, as described by Uhrberg et al. (11), with modification. These primers detect five genes encoding inhibitory KIR (2DL1-3 and 3DL1-2) and five genes encoding stimulatory KIR (2DS1–4 and 3DS1). Detection of KIR2DS5 was as modified by Vilches et al. (26). KIR2DL2v1 (17) was assayed using the forward primer (5'-CAG CAC TTC CTT CTG CAC AC-3') and the 2DL2 locus-specific reverse primer (5'-GCC CTG CAG AGA ACC TAC A-3') (11). KIR2DL4 was amplified as described by Norman et al. (29), with substituted internal control primers (listed below). KIR2DL5 was assayed with typing primers described by Vilches et al. (33), using the same PCR conditions as for other generic KIR typing reactions. As an internal control, primers specific for a 650-bp fragment of the {beta}-globin gene (5'-GCT GTC ATC ACT TAG ACC TCA CC-3' and 5'-GAA AGA AAA CAT CAA GCG TCC C-3'), were included in the typing reactions for 2DL2v1, 2DL4, and 2DL5.

For KIR subtyping, primers designed to discriminate allele-specific polymorphisms were paired with KIR2DL1, -2DL3, -3DL1, or -3DL2 locus-specific primers. KIR3DL1 and -3DL2 subtyping were performed as described by Gardiner et al. (23), with the addition of one primer pair (3DL1-607T(F): 5'-GGT TCT GTT ACT CAC ACC T-3' and 3DL1-882T(R): 5'-AGA GTG ACG GAA GCC A-3') which amplifies 3DL1*004 and 3DL1*005 alleles. Fig. 1Go shows the alleles amplified by 2DL1- and 2DL3-specific primer combinations. PCR amplification conditions are listed as H (high), N (normal), or L (low) reflecting the annealing temperature used. Under condition N, initial denaturation was 95°C for 5 min; five cycles of 97°C for 20 s, 62°C for 45 s, and 72°C for 90s were followed by 26–30 cycles of 95°C for 20 s, 60°C for 45 s, and 72°C for 90 s; finally, a 7-min extension at 72°C was performed. For condition H, annealing temperatures were 68°C during the initial five cycles and 64°C for the remaining cycles; for condition L, the annealing temperatures were 60°C and 58°C. All other parameters of the amplification remained constant. Amplification of genomic DNA was performed in 25-µl reactions using 100–300 ng DNA, 0.625 U AmpliTaq polymerase, 2.5 µl 10x buffer (PerkinElmer, Norwalk, CT), and 0.2 mM dNTPs (Promega, Madison, WI). KIR primers were used at 0.5 mM. Internal control forward (5'-CTT CGA GCA AGA GAT GGC CAC-3') and reverse (5'-TTG CTG ATC CAC ATC TGC TGG AAG-3') primers, specific for a 350-bp fragment of {beta}-actin and {beta}-actin pseudogenes, were included in each subtyping PCR at a concentration of 0.033 mM.



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FIGURE 1. Subtyping for KIR2DL1 and 2DL3 alleles. Primer pairs used in PCR amplification are shown in the first two columns of A, for 2DL1, and B, for 2DL3. {blacksquare}, Alleles amplified by each primer pair. Approximate size of the amplified DNA fragment is shown to the right. H or N indicates high or normal annealing temperatures, respectively (detailed in Materials and Methods). C, Locus- and allele-specific primer sequences; priming sites correspond to the nucleotide position, relative to the start codon, of the 3' end of each primer. KIR2DS1v1 (17 ), which is coamplified with 2DL1*004, was further resolved in donors having both 2DL1*004 and 2DS1 reactivity. To do this, the 2DS1-specific forward primer (5'-TCT CCA TCA GTC GCA TCA A/G-3') (11 ) was paired with 2DL1-331G(R) using PCR conditions having low (L) annealing temperatures (described in Materials and Methods).

 
RNA and cDNA preparation

Total cellular RNA was prepared from 2 x 106–1 x 107 PBMC using RNAzol (Tel-Test, Friendswood, TX). First-strand cDNA was synthesized from ~5.0 µg RNA using oligo(dT) (Applied Biosystems, Foster City, CA) and avian myeloblastosis virus reverse transcriptase (Promega) at 42°C for 90 min.

Sequencing and subtyping of novel KIR alleles

When KIR subtyping results could not be explained in terms of known alleles, full length cDNA sequences were determined. KIR3D sequences were PCR amplified from PMBC-derived cDNA using oligonucleotide primers based on conserved KIR sequences as described by Valiante et al. (7). The resulting products were subcloned using a TOPO-TA Cloning Kit, according to the manufacturer’s instructions (Invitrogen, Carlsbad, CA) and then partially sequenced using a standard T7 or T3 primer and dye terminator automated sequencing (Applied Biosystems). Based on partial sequences, three to four representatives of each allele were selected and sequenced completely on both strands to obtain a consensus sequence. Alternatively, 7–10 clones representing each new allele were selected and pooled; the pool template was sequenced completely on both strands to obtain a consensus sequence.

In KIR3DL2 subtyping, 3DL2*010 and 3DL2*011 amplify with the 3DL2 subtyping primer pairs: 474G(F)/756C(R); 322G(F)/393G(R); 497G(F)/756C(R); 563T(F)/755T(R); 1019A(F)/1190T(R); and 122G(F)/394C(R). 3DL2*010 is additionally amplified by 377C(F)/393G(R), whereas 3DL2*011 is recognized by 377G(F)/393G(R). 3DL2*012 is positive with primer pairs 474G(F)/756C(R), 322G(F)/393G(R), 377C(F)/393G(R), 497A(F)/756C(R), 563T(F)/755T(R), and 1019A(F)/1190C(R) (23). These new reactivities result in ambiguous subtyping patterns for several combinations of 3DL2 alleles: 3DL2*010 plus *006 is indistinguishable from *001/9 and *007; as are 3DL2*010 and *003 from *001/9 and *011; *010 and *005 from *011 and *012; *011 and *006 from *003 and *007; and *012 plus *003 from *001/9 and *005. However, we were able to resolve the potential ambiguities in the data obtained here through segregation analysis.

KIR3DL1/2v is recognized by 3DL1 primer pairs 202C(F)/607C(R) and 607T(F)/882T(R), and 3LD2 primers 122G(F)/394C(R) and 1019A(F)/1190C(R) (23). Donors typing positive in these reactions were further tested with the 3DL1 locus-specific forward primer (5'-CCA TCG GTC CCA TGA TGC T-3') (11) and reverse primer KIR-921A(R) (5'-AAC AAG CAG TGG GTC ACT T-3'), specific for a 1.9-kb band of 3DL1/2v. No additional 3DL1/2v-positive donors were found outside of the family in which it was first identified.

Determination of KIR haplotypes

KIR haplotypes were determined by segregation analysis in families. Assumptions made to facilitate assignments of certain KIR alleles and loci included: 1) all haplotypes were assumed to include KIR2DL4 and 3DL2; 2) individuals having only one allele for 2DL1 and 2DL3 were assumed to be homozygous for both 2DL1 and 2DL3, unless segregation analysis discriminated between homo- and hemizygosity at these loci; 3) haplotypes were assumed to include either 2DL1/2DL3 or 2DL2, but not both; 4) KIR3DS1 was assumed to segregate as an allele of 3DL1; 5) KIR2DS4 was assumed to be present on haplotypes having no other KIR2DS genes. These assumptions are supported by the KIR haplotypes studied at high resolution (4, 5) and KIR linkage disequilibria (LDs) reported to date (11, 27, 28, 29, 30).

Statistical analysis

LD between pairs of KIR alleles and/or loci was calculated from parental haplotypes using the computer package Arlequin version 2.0 (34). For this purpose, KIR2DL3*006 (haplotype 22; Fig. 3GoA) was considered equivalent to 2DL3*002/6, and 3DL1/2v (haplotype 37; Fig. 3GoB) was scored as an allele of both 3DL1 and 3DL2. To calculate LD between subtyped KIR alleles and other, nonsubtyped KIR loci, the latter were scored as present or absent; ambiguous KIR2DS and 2DL5 loci were considered as being present. The significance of LD values was assessed by {chi}2 analysis.



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FIGURE 3. Allelic polymorphism diversifies KIR haplotypes with the same gene content. Twenty-two distinct A haplotypes, containing KIR2DL1, -2DL3, -3DL1, -3DL2, and -2DS4 as the expressed KIR genes (A), and 15 B haplotypes, composed of variable gene content (B), were defined. Dark gray boxes indicate the presence of genes, alleles being noted in white lettering; haplotypes having the same combination of genes are grouped together. The number of families in which each haplotype was found is shown to the right. KIR2DL4, which was present in all donors and likely an invariant component of all KIR haplotypes, is not shown. Because of ambiguity in assigning KIR2DS4 to B haplotypes due to its high frequency, 2DS4 is not included in B. Low resolution analysis of haplotypes 14, 22, 26, 33, and 35 was reported by Gardiner et al. (23 ).

 
HLA class I typing

HLA-A and HLA-B Ags were determined serologically by the laboratories supplying the samples (35). HLA-C type was determined serologically or by PCR-sequence-specific priming (SSP) analysis of genomic DNA using C locus SSP Unitray test kits (Pel-Freez, Brown Deer, WI).


    Results
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 Introduction
 Materials and Methods
 Results
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 References
 
High resolution KIR typing identifies new KIR alleles

Previous studies of KIR diversity have focused on either low resolution genotyping that determines the presence or absence of KIR genes (11, 27, 28, 29, 30) or cDNA sequencing to assess their allelic polymorphism (15, 16, 17, 20, 21, 22, 23, 24, 25, 26). The goal of this study was to determine how these two levels of genetic diversity are related and, more specifically, to examine the extent of allelic polymorphism underlying KIR haplotypes sharing similar or identical gene content. To this end, we assembled a panel of genomic DNAs from 143 donors (predominantly Caucasoid) belonging to 34 families; families were selected for having three or more members which could include siblings, parents, and grandparents. Initial low resolution PCR-SSP typing was performed, as in prior studies, to determine the presence or absence of 13 KIR genes (2DL1–5, 2DS1–5, 3DL1–2, and 3DS1). This yielded 22 distinct KIR genotypes, of which 19 have been previously reported (data not shown).

High resolution typing was targeted to the four KIR loci for which most variants had been reported at the time this study began: KIR2DL1; KIR2DL3; KIR3DL1; and KIR3DL2. For each of these genes, locus-specific primers were paired with allele-specific primers designed to survey polymorphic sites spanning the coding sequence. Given that individual KIR alleles are identified by the combination of polymorphisms present, this scheme had the potential for discovering KIR alleles with novel configurations of known polymorphic sites. Indeed, four new KIR alleles were discovered. KIR3DL2*010, -3DL2*011, and -3DL2*012 differ from other 3DL2 sequences in that they have different combinations of previously described 3DL2 polymorphisms (Fig. 2GoA). The fourth allele, provisionally called KIR3DL1/2v, is a chimeric sequence encoding a molecule that combines 3DL1 extracellular domains with a 3DL2 cytoplasmic tail. This arrangement is similar to that of the common chimpanzee KIR, Pt-KIR3DL1/2 (12). The sequence of 3DL1/2v can be derived from 3DL1*005 and 3DL2*003 (Fig. 2GoB), however, and shares an average of only 96.6% nucleotide sequence identity with the three alleles of Pt-KIR3DL1/2. Taken together, these data indicate that 3DL1/2v and Pt-KIR3DL1/2 probably arose independently, albeit through analogous recombination events. The haplotype containing 3DL1/2v lacks conventional 3DL1 or 3DL2 genes, indicating that 3DL1/2v was generated by unequal crossing over between these two genes, which gave rise to a haplotype in which the intervening region is absent.



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FIGURE 2. Novel KIR3DL alleles recombine polymorphisms from known 3DL1 and 3DL2 alleles. A, Novel KIR3DL2*010, *011, and *012 sequences are shown aligned to other 3DL2 alleles; only polymorphic positions are shown. Each allotype is compared with the 3DL2 consensus sequence, and identities are indicated with a dash (–). Differences from the consensus sequence are highlighted in gray. B shows how KIR3DL1/2v could have been formed by recombination between 3DL1*005 and a 3DL2 gene. In this schematic of the 3DL1/2v nucleotide sequence, identity with 3DL1*005 is indicated by the white background, whereas identity with 3DL2*003 is shown in gray. Sites of difference between the two parent sequences are shown with black bars. The region shaded black contains the recombination site, which is expanded and displayed as an alignment with the exact crossover site (between nucleotides 919 and 921) indicated by hatching. Identities are indicated with a dash (–). In 3DL1/2v, nucleotide position 607 (the C shown in exon 4 of the schematic) differs from 3DL1*005, which has a T at this site but matches all other known 3DL1 and 3DL2 sequences. Thus, the recombination forming 3DL1/2v might not have involved 3DL1*005, but a related allele having C at position 607. Alternatively, this substitution could have been introduced subsequent to the recombination between 3DL1 and 3DL2 and could have been a consequence of conversion or point mutation. The observed pattern of shared substitutions suggests that 3DL2*010 and -*011 could have arisen through recombination or gene conversion events between other 3DL2 alleles, and these relationships are diagrammed in C. KIR3DL2 *012 likely originated by recombination between 3DL2*008, shown with a white background, and 3DL2*005, shown with a gray background (C). The regions of 3DL2 *012 which correspond to each potential donor sequence are similarly shaded, and hatch marks identify the putative crossover site. D0, D1, and D2, Membrane distal, middle, and membrane proximal Ig domains; ST, stem; TM, transmembrane; cyt; cytoplasmic domain. Exons 1 and 2, which encode the leader peptides, were not included in this alignment.

 
KIR3DL2*012 differs from KIR3DL2*008 by three nucleotide substitutions and from 3DL2*005 by two nucleotide substitutions and could have originated by recombination between these two alleles (Fig. 2GoC). Given that 3DL2*010 differs from 3DL2*001 and 3DL2*007 by single nucleotides, it could have arisen from recombination or gene conversion between these two alleles or point mutation of either one. Similarly, 3DL2*011 could have originated by recombination or gene conversion between 3DL2*003 and 3DL2*007 or by point mutation of 3DL2*003 (Fig. 2GoC).

Patterns of LD in 22 A haplotypes

Within each family, the segregation of KIR alleles was determined and used to define KIR haplotypes. Of the 34 families, 26 were informative in this regard, and 98 of the 110 parental haplotypes within the informative families were defined. The most common combination of KIR genes is also the simplest and corresponds to that of the A haplotype group. These haplotypes consist of KIR2DL1, -2DL3, -2DL4, -3DL1, -3DL2, -3DL3, and -2DS4, the last being the only KIR2DS gene. Of the 98 parental haplotypes, 48 (49%) have this combination of KIR genes. Within this group, 22 KIR haplotypes were distinguished by their combination of 2DL1, 2DL3, 3DL1, and 3DL2 alleles (Fig. 3GoA).

Comparison of the A haplotypes revealed striking patterns of LD, most notably between alleles of KIR2DL1 and KIR2DL3 (Table IIGo). The 2DL1*002 and 2DL3*002/6 alleles were partnered exclusively with each other, as were 2DL1*003 and 2DL3*001. These 2DL1/2DL3 pairs appeared on haplotypes in 12 and 16 families, respectively. Certain pairs of 3DL1 and 3DL2 alleles are also in LD, including 3DL1*001 and 3DL2*001/9, 3DL1*005 and 3DL2*001/9, 3DL1*004 and 3DL2*003, and 3DL1* 002/3/6/7/8 and 3DL2*002. However, there is more evidence of recombination between 3DL1 and 3DL2 than between 2DL1 and 2DL3; KIR3DL1*004, for example, was associated with 3DL2*005, -*011, and -*012, as well as with -*003, whereas 3DL2*001/9 appeared with 3DL1*002/3/6/7/8, -*001, and -*005. KIR3DL1*002/3/6/7/8, a collection of similar alleles, was associated with 3DL2*001/9, -*002, -*006, -*008, and -*010. The strong LD between 2DL1 and 2DL3 does not extend to 3DL1, the predominant 2DL1/2DL3 pairs being found in linkage with all four of the 3DL1 alleles distinguished by our subtyping.


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Table II. LD between alleles of KIR2DL1, KIR2DL3, KIR3DL1, and KIR3DL21

 
Allelic polymorphism distinguishes B haplotypes with similar gene content

Haplotypes having more complicated combinations of KIR genes than the A haplotypes, and which are characterized by KIR2DS genes not present in A haplotypes, are called collectively B haplotypes (11). These differ primarily in the number and type of KIR2DS genes present but can also vary by the presence or absence of 2DL1, 2DL2, 2DL3, and 3DL1. From the family analysis, 24 B haplotypes were unambiguously defined. They represent 15 distinct KIR haplotypes, involving 9 different gene combinations (Fig. 3GoB). An additional 26 parental haplotypes were partially defined, but ambiguities in assignment of KIR2DS loci prevented their complete definition.

Different combinations of KIR alleles were seen to underlie three of the B haplotype gene combinations (Fig. 3GoB). In the first group, three KIR2DL1/2DL3 pairs are combined with 3DL2*007 and 3DS1; these haplotypes also include 2DS1, 2DS5, and 2DL5 genes. In the second and third groups, it is the combinations of 3DL1 and 3DL2 alleles that differentiate the haplotypes. Four distinct 3DL1/3DL2 pairs were associated with 2DL2 and 2DS2; these haplotypes, unlike most of the B haplotypes, do not include 2DL5. Two additional 3DL1/3DL2 pairs are combined with 2DS2, 2DS3, 2DL5, 2DL2, and 2DL1*004.

The KIR2DL1/2DL3 allele combinations seen on these B haplotypes include those pairs that were prominent on the A haplotypes: KIR2DL1*002 and KIR2DL3*002/6; KIR2DL1*003 and KIR2DL3*001; and KIR2DL1*001 and KIR2DL3*004/5. 2DL1*004, a chimeric 2DL1/2DS1 sequence (18) not seen on any A haplotype, was present only on B haplotypes that lacked 2DL3, including two haplotypes with 2DL2. KIR2DL2 also appeared without 2DL1 or 2DL3 on several haplotypes involving various combinations of KIR2DS loci and 3DL1 and 3DL2 alleles.

Several KIR3DL1/3DL2 allele combinations were present in both A and B haplotypes. Additionally, 3DS1, which segregates as a 3DL1 allele, was in strong LD with 3DL2*007, an allele that is common on B haplotypes but absent from A haplotypes. The combination of 3DS1 and 3DL2*007 appeared on haplotypes that differed in both gene and allele content, including haplotypes with different combinations of KIR2DS loci (Fig. 3GoB).

The gene combinations seen in the B haplotypes listed on Fig. 3GoB encompass all but two of the partial, low resolution B haplotypes reported by Crum (27) et al. from analysis of 13 Irish families. Of these, the partial haplotypes 2DL1-2DL3-3DS1-2DS5-2DS1, and 3DS1-2DS5-2DS1 correspond to haplotypes 23–25, as does the partial haplotype 3DS1-2DS5 (also reported by Witt et al. (28)). Haplotypes 26–31, and 34 have the 3DL1-2DS2 combination, and the 3DL1-2DS2-2DS4 combination is part of haplotype 28. The combination of 3DS1-2DS5-2DS1-2DS2 is seen in haplotype 33, as are 3DS1-2DS5-2DS1, and 3DS1-2DS5. Finally, haplotypes 30–31 have the combination 2DL2-2DS3-2DS2, although in the Irish family from which this partial haplotype was defined, these genes are probably linked to 3DS1 instead of 3DL1. All but one of these partial haplotypes form part of KIR gene combinations for which we have identified more than one distinct haplotype. Of the two partial haplotypes of Crum et al. that do not match any of the B haplotypes defined here, the 2DL2-3DL1-2DS3-2DS1-2DS2 combination is suggested in several of the haplotypes that could not be determined fully (data not shown). By contrast, there was no suggestion of the 2DS3-2DS5-2DS1 combination in our data. Conversely, four of the B haplotypes identified here (haplotypes 32 and 35–37) did not include any of the gene combinations reported as partial haplotypes.

Strong LD within but not between the two halves of the KIR gene complex

Calculations of LD were performed using all defined parental haplotypes. For the four subtyped genes (KIR2DL1, 2DL2, 3DL1, 3DL2), allele pairs in significant LD are shown in Table IIGo with their significance levels. The results quantitatively establish the strong LD between KIR2DL1 and 2DL3 alleles first apparent from inspection of A haplotypes (Fig. 3GoA). In addition, KIR2DL1*004 and 2DL1blank are in significant positive LD with 2DL3blank, as is evident on inspection of B haplotypes (Fig. 3GoB). There is a corresponding significant negative LD between 2DL1*002 and 2DL3*001, 2DL1*003 and 2DL3*002/6, and 2DL1*004 and 2DL3*001, as well as between 2DL1*002 or 2DL1*003 and 2DL3blank and between 2DL3*001 or 2DL3*002/6 and 2DL1blank. LD calculations also demonstrate significant positive LD between pairs of 3DL1 and 3DL2 alleles, including that between 3DL2*007 and 3DS1. In addition, there are several 3DL1/3DL2 pairs in negative LD, including 3DL1*002/3/6/7/8 and 3DL2*005 or 3DL2*007, 3DL1*004 and 3DL2*002 or 3DL2*007, and 3DS1 and 3DL2*001/9.

The stronger LD between KIR2DL1 and 2DL3 than between 3DL1 and 3DL2 is consistent with the physical separation of these loci. KIR2DL1 and 2DL3 are closer together, being separated only by the pseudogene KIR2DP1 (also called KIRZ), whereas the distance between the 3DL1/3DS1 and 3DL2 loci varies with haplotype and can include several KIR2DS genes. In contrast, the LD between either 2DL1 or 2DL3 and 3DL1 or 3DL2 is much weaker. The four pairs of alleles in strongest positive LD were KIR2DL1*002 and KIR2DL3*002/6 with 3DL1*004 and 3DL2*005; this combination of alleles is represented in haplotype 8 (Fig. 3GoA), an A haplotype defined independently in four families.

LD between alleles of the four subtyped genes and the presence or absence of other KIR genes is shown in Table IIIGo. These data show that for genes that are present in both A and B haplotypes, certain alleles appear restricted to B haplotypes. KIR2DL1*004 is in strong LD with the B haplotype genes KIR2DL2, -2DL5, -2DS2, and -2DS3 and appears to be exclusively found on B haplotypes. Similarly, 3DL2*007 is also strongly associated with the B haplotype genes 2DL5, 2DS1, and 2DS5 which make up a different subset of B haplotype genes than that for 2DL1*004. There are corresponding negative LDs between 2DL1*004 and 3DL2*007 and the absence of B group loci (or B group blanks).


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Table III. LD between alleles of KIR2DL1, -2DL3, -3DL1,and -3DL2 and nonsubtyped KIR genes1

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Systematic sequence analysis of KIR cDNA from two individuals first indicated that KIR haplotypes vary in gene content and KIR genes exhibit allelic polymorphism (7). At the population level, the former has been studied with low resolution genotyping aimed at detecting the presence and absence of KIR loci (11, 27, 28, 29, 30), whereas the latter has been studied through a combination of cell surface phenotyping, cDNA sequencing, and genotyping of allelic differences (15, 16, 17, 20, 21, 22, 23, 24, 25, 26). At a higher level of resolution, DNA sequences have been determined for three KIR haplotypes, representing two combinations of genes. Two of the sequences correspond to A haplotypes, those haplotypes having the simplest arrangement of KIR genes; the third sequence corresponds to one of the more complicated B haplotypes (4, 5).

In this study, family analysis and high resolution genotyping of the KIR2DL1, -2DL3, -3DL1, and -3DL2 genes were combined with low resolution typing of 13 genes to define 37 KIR haplotypes involving 10 different gene combinations. Demonstrated by these data is the extent to which allelic polymorphism diversifies KIR haplotypes having the same set of genes. This effect was most apparent for the A haplotypes, which all have the same arrangement of KIR genes. A total of 48 independent A haplotypes were defined, and within this group 22 different haplotypes were represented. Because allele level typing was focused on genes found on both A and B haplotypes, and not those that distinguish B haplotypes, the number of B haplotypes unambiguously defined, 24, was less than for A haplotypes. Moreover, because B haplotypes vary in their gene content, the number of defined B haplotypes having any given arrangement of KIR genes was further reduced. Fifteen haplotypes involving 9 different gene combinations were represented in the 24 independently defined haplotypes. Thus, there is considerable diversification of B haplotypes through the combination of different alleles within the same arrangement of genes. Our assessments of A and B haplotype diversity are likely to be an underestimate because allele level typing was not done for all KIR genes; for those genes thus analyzed, not all the known alleles could be discriminated. Despite these limitations, our approach was robust enough to identify four previously undiscovered KIR variants, one of which (KIR3DL2*010) is present on both A and B haplotypes.

Analysis of the high resolution typing obtained for the KIR2DL1, -2DL3, -3DL1, and -3DL2 genes revealed striking patterns of LD. Between 2DL1 and 2DL3 alleles, there is very high LD, and it is also high between 3DL1 and 3DL2 alleles. In contrast, between these two pairs of genes, which mark the two halves of the human KIR gene complex, LD was negligible. High LD is consistent with the compact nature of the KIR gene family (3, 4, 5), and its absence in the central interval between 2DL1 and 3DL1 suggest that this region is a focus for recombination. This region contains 2DL4, the pseudogene KIR3DP1 (also called KIRX) and a unique 14-kb stretch which includes L1 repeat sequences not present in the other KIR genes (5).

In general, the pressure from diverse and rapidly evolving pathogens selects for diversity and novelty in immune system genes. In this regard, the class I and II genes of the major histocompatibility complex have provided the precedent for genes so polymorphic that unrelated human individuals rarely have identical HLA genotype (36, 37, 38). Although HLA diversity has been appreciated for some decades, KIR genes and their diversity are recently discovered phenomena (15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26). Whereas HLA diversity almost entirely derives from allelic polymorphism, with differences in gene content playing a minor role, we demonstrate here that KIR diversity involves major contributions from both gene content and allelic polymorphism. Moreover, the data obtained permit assessment of the extent to which KIR genes individualize human genomes. A total of 9761 pairwise comparisons between the unrelated individuals in our panel revealed only 0.24% of them to be KIR identical. This number provides an estimate of the frequency with which unrelated individuals have identical KIR type. However, it is likely to be an overestimate because polymorphisms for only four KIR genes were typed at the allele level, and not all alleles at those loci were distinguished. Similar comparisons of the HLA class I types of the panel members showed that 0.01% of unrelated pairs had identical HLA class I genotype. From these data, it is seen that diversity of the KIR gene system ensures that the large majority of individuals within a population have different KIR genotype, a situation analogous to that seen for HLA. As for HLA, it seems likely that such diversity in human KIR genotype is the result of natural selection by pathogens.

The approach we describe here of targeting allele level typing to the KIR2DL1, -2DL3, -3DL1, and -3DL2 genes works well in defining A haplotypes because all four targeted genes are invariant components of these haplotypes. A haplotypes comprise an estimated 47–59% of KIR haplotypes in Caucasoid populations, including the one studied here (11, 27, 28, 29, 30). Of the four KIR genes typed at high resolution, only 3DL1 and 3DL2 are common components of B haplotypes. Consequently, the approach we took has been less effective in tracking the segregation of genes associated with B haplotypes and thus in defining B haplotypes. This limitation could be addressed by extending high resolution to the other KIR genes.

That the KIR gene system individualizes human genomes to an extent approaching that of the HLA system means that bone marrow transplantation between unrelated HLA-matched donors and recipients will involve, with few exceptions, KIR incompatibility. Also, ~75% of the transplants involving HLA-matched sibling donors will involve KIR incompatibility. The detriment or benefit of KIR incompatibilities in transplantation is less easy to predict but is amenable to study in patients and donors who are typed at high resolution for both HLA and KIR.


    Acknowledgments
 
We thank Dr. Carl Grumet and the Stanford Medical Center Histocompatibility Laboratory staff for their help in collecting samples. We also thank Dr. Jennifer Kidd for providing {beta}-globin primer sequences.


    Footnotes
 
1 This research was supported by National Institutes of Health Grants AI45865 and AI22039 (to P.P.), National Institutes of Health Training Grant AI07290 (to H.G.S. and L.A.G.), and a Leukemia Research Foundation Fellowship (to C.M.G.). Sample collection at City of Hope was supported by National Institutes of Health Grant PO 1 CA 30206. Back

2 Current address: Department of Medicine and Therapeutics, University College Dublin, Dublin 7, Ireland. Back

3 Address correspondence and reprint requests to Dr. Peter Parham, Departments of Structural Biology and Microbiology and Immunology, Sherman Fairchild Building, Stanford University School of Medicine, Stanford, CA 94305. E-mail address: peropa{at}leland.stanford.edu Back

4 Abbreviations used in this paper: KIR, killer cell Ig-like receptors; LD, linkage disequilibrium; SSP, sequence-specific priming. Back

Received for publication October 4, 2001. Accepted for publication December 19, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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