IntroductionThe peptide transporter-associated antigen processing (TAP) 1,2 is a heterodimer (formed by TAP-1 and TAP-2 subunits) that imports into the lumen of the endoplasmic reticulum the peptides required for a correct assembly of HLA class I molecules. Thus, cells derived from patients displaying defective expression of either of the TAP subunits are characterized by a strong reduction of mature HLA class I molecules at the cell surface. 3 It is well known that impaired HLA class I expression renders target cells susceptible to NK-mediated cytotoxicity. 4-9 Therefore, in patients with TAP deficiency, NK-mediated autoimmune reactions could occur unless unknown fail-safe mechanisms prevent an attack against autologous normal cells expressing insufficient amounts of HLA class I molecules. In agreement with this concept, freshly isolated TAP2 Ϫ/Ϫ NK cells were unable to kill autologous, HLA class I-negative, B-lymphoblastoid cell lines (B-LCLs). 10 However, this tolerance may be broken in cases of inflammation. Indeed TAP Ϫ/Ϫ patients have been reported to have type 1 bare lymphocyte syndrome that is accompanied in childhood by sinusitis and recurrent bronchitis and in adulthood by chronic lung inflammation and bronchiectasia. 3,10 In a recent report, some TAP-deficient adult patients have been described with necrotizing granulomatous lesions in the upper respiratory tract and in the skin, with infiltrating, activated NK or T cell receptor ␥␦ ϩ cells. 11 Thus, at least in these patients, a sustained activation of NK cells, which is likely to occur in the context of recurrent infections and chronic inflammation, may lead to the disruption of self-tolerance by NK cells and, consequently, to autoimmune manifestations. In this context, after culture in the presence of interleukin (IL)-2, TAP2 Ϫ/Ϫ NK cells have been reported to acquire the ability to kill autologous Epstein-Barr virus (EBV)-transformed B-LCLs 10 or autologous fibroblasts. 12 On the other hand, though some evidence exists for the occurrence of autoimmune phenomena, it is conceivable that TAP Ϫ/Ϫ NK cells adapt to the surrounding HLA class I-negative microenvironment to avoid inappropriate attacks on otherwise normal cells. A possible mechanism that could allow TAP Ϫ/Ϫ NK cells to spare autologous normal cells would be based on the defective expression of one or another NK cell-triggering receptor.In this context, although NK cells from TAP2 Ϫ/Ϫ patients have been shown to express a normally diversified repertoire of HLA class I-specific KIRs, 10 no data are available on the expression and