Review Article

The Roles of Uterine Natural Killer (NK) Cells and KIR/HLA-C Combination in the Development of Preeclampsia: A Systematic Review

Table 1

Studies on killer cell immunoglobulin-like receptor (KIR)/HLA-C in preeclampsia (PE) sorted by publication date.

EthnicityAuthorsThe year of publicationThe experimental groupThe control groupSamplesConclusions

BritishHiby et al. [64]2004PE patients ()Full-term pregnant women ()Mothers: blood
Babies: umbilical cord blood or mouth swabs
The combination of maternal KIR AA and fetal HLA-C2 was more common in PE.
JapaneseSaito et al. [65]2006Couples with Japanese women and Caucasian men ()2003 database in Japan ()There was no statistical difference in the incidence of PE between the two groups.
White BritishHiby et al. [20]2010PE patients ()Normal primiparas ()Mothers: blood
Babies: umbilical cord blood or mouth swabs
Maternal KIR AA was related to PE when the fetus had more HLA-C2 inherited from the father. Maternal telomeric KIR B (KIR2DS1) was a protective factor for PE.
MexicoSánchez-Rodríguez et al. [37]2011PE patients ()Normal pregnant women ()Mothers: decidual samplesPE patients tended to have more inhibitory KIRs.
Chinese Han populationYu et al. [70]2014PE patients ()Normal pregnant women ()Mothers and fathers: blood
Babies: umbilical cord blood
Less PE patients had KIR2DS1, and more PE patients had AA genotype compared with normal pregnant women. More PE patients with KIR AA had fewer HLA-C2 than their babies.
Chinese Han populationLong et al. [72]2014PE patients ()Normal pregnant women ()Mothers: blood
Babies: umbilical cord blood
PE patients had less activating KIRs (2DS2, 2DS3, and 2DS5). The frequency of KIR2DL1 was increased in PE patients when the neonate was HLA-C2C2.
Uganda (sub-Saharan Africans)Nakimuli et al. [68]2015PE patients ()Normal pregnant women ()Mothers: blood
Babies: umbilical cord blood
The combination of maternal KIR AA and fetal HLA-C2 was related with PE. KIR2DS5 and KIR2DL1 had the protective effect on PE.
EuropeanJohnsen et al. [73]2018PE patients ()Normal pregnant women ()Mothers: blood, decidua, or muscle
Babies: umbilical cord blood or fetal placenta
PE patients with acute atherosis tended to have the combination of maternal KIR-B and fetal HLA-C2 compared with PE patients without acute atherosis.
EuropeanLarsen et al. [74]2019Severe PE patients ()Normal pregnant women ()Mothers: blood
Babies: blood
There was no effect of KIR/HLA-C combination on the risk of severe PE.