It is widely believed that self-tolerance of natural killer (NK) cells occurs because each NK cell expresses at least one inhibitory receptor specific for a host major histocompatibility complex (MHC) class I molecule. Here we report that some NK cells lack all known self-MHC-specific inhibitory receptors, yet are nevertheless self-tolerant. These NK cells exhibit a normal cell surface phenotype and some functional activity. However, they respond poorly to class I-deficient normal cells, tumor cells, or cross-linking of stimulatory receptors, suggesting that self-tolerance is established by dampening stimulatory signaling. Thus, self-
IntroductionNatural killer (NK) cells attack transformed, infected, and allogeneic cells. Target cell recognition depends on stimulatory receptors with various specificities and inhibitory receptors specific for major histocompatibility complex (MHC) class I molecules. [1][2][3] The stimulatory receptors associate with signaling adapter molecules including DNAX activating protein 12 (DAP12), CD3, or Fc receptor ␥ (FcR␥), which contain immunoreceptor tyrosine-based activation motifs (ITAMs), whereas the inhibitory receptors contain cytoplasmic immunoreceptor tyrosine-based inhibitory motifs (ITIMs). The balance of stimulatory and inhibitory signaling determines whether target cells are lysed and stimulate cytokine production.NK stimulatory receptors 3 recognize pathogen-encoded molecules (eg, Ly49H ligand 4,5 ) or host molecules that are up-regulated in transformed or infected cells (eg, NKG2D ligands 6 ). Because NK cells attack certain uninfected and untransformed cell types, such as bone marrow cells or lymphoblasts from MHC-deficient or allogeneic animals, it is believed that even these normal cells express a ligand that is recognized by an NK stimulatory receptor (reviewed in Raulet et al 7 ).There are 3 different families of MHC-specific inhibitory receptors that have been defined: Ly49, a family of approximately 10 lectinlike receptors expressed by murine NK cells 8 ; killer immunoglobulin (Ig)-like receptors (KIRs), a family of approximately 10 Ig-like receptors expressed by human NK cells 2,9 ; and CD94/NKG2A, a lectinlike receptor heterodimer expressed by both human and murine NK cells. 10,11 Ly49 receptors and KIRs bind to classical class Ia MHC molecules. In contrast, CD94/ NKG2A interacts with a nonclassical class Ib molecule called Qa-1 in mice and HLA-E in humans. The Qa-1/HLA-E molecules are 2-microglobulin (2m)-dependent and present a conserved peptide from the cleaved signal sequences of certain class Ia MHC molecules, which is recognized by CD94/NKG2A. Therefore, the CD94/NKG2A receptor indirectly recognizes class Ia molecules. All 3 types of inhibitory NK receptors distinguish subgroups of MHC class I molecules and all are expressed in a variegated fashion such that each NK cell expresses a more or less random set of receptors, with an average number per cell of 2 to 3. 12,13 Whether a target cell inhibits a given NK cell depends on whether the NK cell express...