This activity commences early during infection suggesting that it

This activity commences early during infection suggesting that it is at least partly

an innate immune mechanism [56]. Type I IFN expression by epithelial cells could be an important component in establishing innate immunity following infection. CMT-93 cells infected by C. parvum rapidly expressed Type I IFN [40]. IFN-β mRNA expression was enhanced 4 h after infection and IFN-α mRNA expression was upregulated after 8 h. Supernatants taken from infected cells 24 h post-infection were shown to contain IFN-α by ELISA and an antiviral bioassay demonstrated the presence of active Type I IFN. In addition, supernatants from infected cells, but not uninfected cells, inhibited parasite development when added to other CMT-93 monolayers [40]. Type I IFN was also expressed in the intestinal tissue of neonatal SCID mice 24 h post-infection and treatment with anti-IFN-α/β-neutralizing Erlotinib ic50 antibodies increased numbers of parasites in the gut epithelium at 48 h post-infection and also enhanced the level of oocyst excretion at the peak of infection [40]. These findings suggested that autocrine activation by Type I IFN may help protect the

epithelium early during cryptosporidial infection. The production of IFN-α and IFN-β by epithelial cell (and dendritic cells) may also promote activation of innate immune cells, including NK cells. Cryptosporidium parvum reproduction in intestinal epithelial cell lines has been shown to be inhibited when the cells were treated with cytokines known to be expressed in check details the intestine during infection, including Type I IFN, IFN-γ and TNF-α [40, 57, 58]. Most human IFN-α’s and IFN-β inhibited parasite development [40]. The main protective mechanism associated with IFN-α and TNF-α was inhibition of sporozoite invasion of the host cell while intracellular parasite development was largely unaffected [40, 58]. However, no protective

role for TNF-α was found in vivo, as neonatal TNF-α−/− mice had no increased susceptibility to infection compared with control mice [58]. next IFN-γ activity was directed mainly at intracellular parasite development through depletion of available cellular Fe [57]. In accordance with a protective role for IL-4 against C. parvum in neonatal mice [26], IL-4 acted synergistically with low concentrations of IFN-γ to inhibit parasite development, but IL-4 alone had no effect on infection. No mechanism to explain this synergy was obtained, but it was shown that IL-4 did not affect expression of IFN-γR or phosphorylation of the IFN-γ signalling molecule STAT1 [59]. These cytokines usually did not completely prevent parasite development and, in the case of IFN-γ, parasite reproduction in the mouse intestinal epithelial cell line CMT-93 was optimally decreased by 40–50%. One explanation of this was that infection with the parasite caused significant depletion of STAT1 in both infected and uninfected epithelial cells [60].

To explore whether infant mice are more susceptible to microbial

To explore whether infant mice are more susceptible to microbial infection than adult mice, we infected

both infant and adult mice with live gram-positive Staphylococcus aureus (S. aureus) and monitored the survival rate for at least 14 days. In response to S. aureus challenge, adult mice had an overall survival of 72%, whereas find more infant mice showed a significantly reduced survival rate with 27% surviving to the end of the observation period (p = 0.0114 versus adult mice) (Fig. 1A). Blood samples were collected at different time points post S. aureus challenge from infant and adult mice for proinflammatory cytokine analysis. Although serum peak levels of TNF-α at 2 h and IL-6 at 6 h post S. aureus challenge were slightly lower in infant mice than those in adult mice, they did not reach statistical significances (Fig. 1B). Bacterial counts at 24 h post S. aureus challenge ABT-263 concentration were significantly greater in the blood, liver, and spleen of infant mice compared with adult mice (p < 0.05) (Fig. 1C). At 48 h significantly higher bacterial counts were observed in the blood and all measured visceral organs of infant mice (p < 0.05 versus adult mice) (Fig. 1C). Similar results were also observed in infant mice after being infected with live gram-negative Salmonella typhimurium (S. typhimurium), where a significantly

higher mortality rate (p = 0.0062) (Fig. 1D) and substantial more bacterial counts in the blood and visceral organs (p < 0.05) (Fig. 1F) were evident in infant mice compared with adult mice, whereas serum TNF-α and IL-6 levels were comparable between infant and adult mice (Fig. 1E). We further compared the antimicrobial selleck screening library response between infant and adult mice in a more clinically relevant model of polymicrobial sepsis induced by the cecal slurry method [26]. Infant mice were more susceptible to polymicrobial sepsis with an overall mortality of 76% compared with a

42% mortality rate in adult mice (p = 0.0092) (Fig. 1G). There were no significant differences in the serum TNF-α and IL-6 levels post septic challenge between infant and adult mice (Fig. 1H); however, significantly higher bacterial counts were observed in the blood and visceral organs of infant mice at 12 and 24 h post polymicrobial infection (p < 0.05 versus adult mice) (Fig. 1I). These results indicate that, consistent with an enhanced mortality rate, infant mice exhibit impaired bacterial clearance in response to microbial infection. PMN influx from the circulation into the infectious site during bacterial infection plays a key role in eradicating the invaded microbial pathogens [27]. To ascertain the possible factors responsible for the delayed bacterial clearance observed in infant mice, we measured leukocyte populations in the peritoneal cavity of both infant and adult mice after being challenged with gram-positive or gram-negative bacteria.

Although the greatest changes in B-lymphocyte subpopulations occu

Although the greatest changes in B-lymphocyte subpopulations occur below the age of 2 years when the diagnosis of CVID cannot yet be made, the development of the peripheral B-lymphocyte population during childhood emphasizes the potential dangers of using a classification developed in adults to classify the prognosis of children and demonstrates

the need for a separate paediatric CVID classification. This study was funded by the Peribosch Foundation and the Jeroen Bosch Academie. We would like to thank the laboratory buy Stem Cell Compound Library of the Department of Clinical Chemistry and Hematology of the Jeroen Bosch Hospital for their extensive immunophenotyping effort. None. “
“The laboratory diagnostic methods for Clostridium difficile infection (CDI) include toxigenic culture, enzyme immunoassays Protease Inhibitor Library solubility dmso (EIAs) to detect the toxins of C. difficile, and nucleic acid amplification tests (NAATs) to detect C. difficile toxin genes, but each of these methods has disadvantages; toxigenic cultures require a long time to produce results, EIAs have low sensitivity, and NAATs that target DNA cannot distinguish vegetative cells from spores and dead cells. Here

we report a new detection method that uses reverse transcription polymerase chain reaction to target the toxin-gene transcripts. This method was able to specifically detect the vegetative cells of toxigenic C. difficile in fecal samples in spike tests, with a minimum detection limit of 5 × 102 colony-forming

units per 100 mg of stool specimen. The performance of this method was also demonstrated in a pilot scale evaluation using clinical fecal specimens, which showed that this method may be more sensitive than EIA and requires a shorter time than toxigenic culture. This method could potentially be applied in the clinical laboratory to detect C. difficile in fecal specimens. The ability of this method to discriminate the presence of vegetative cells from spores and dead cells could help to further the understanding of CDI. “
“Patterns of somatic mutation in IgE genes from allergic individuals have been a focus of study for many years, but IgE sequences have never been reported from parasitized individuals. To study the role of antigen selection in the evolution Amisulpride of the anti-parasite response, we therefore generated 118 IgE sequences from donors living in Papua New Guinea (PNG), an area of endemic parasitism. For comparison, we also generated IgG1, IgG2, IgG3 and IgG4 sequences from these donors, as well as IgG1 sequences from Australian donors. IgE sequences had, on average, 23.0 mutations. PNG IgG sequences had average mutation levels that varied from 17.7 (IgG3) to 27.1 (IgG4). Mean mutation levels correlated significantly with the position of their genes in the constant region gene locus (IgG3 < IgG1 < IgG2 < IgG4).

The Congress was attended by over 600 participants representing 3

The Congress was attended by over 600 participants representing 31 countries with the bulk coming from the various states of India. A special effort was made to encourage the participation of young immunologists and post doctoral scientists

by providing them bursary support and a platform for competitive presentation. The Congress was held in Hotel Le Meridien which provided an excellent scientific ambience. Situated in the heart of Delhi, very close to the historical monuments, and with the weather turning out to be brilliant, the week-long activity was a perfect blend of high science CAL-101 and social interaction. The Congress format was organized into 10 master lectures delivered by experienced

researchers, nine theme-based symposia with 54 invited speakers and six parallel workshop sessions featuring 65 oral presentations selected from over 400 submitted abstracts. In addition, there were two dedicated poster review sessions. The program covered a wide range of important topics that included the immunological basis of autoimmune and infectious diseases including HIV and type 1 diabetes, cross talk between innate and adaptive immunity, immunodeficiencies, issues related to organ and bone marrow transplantation, immunological tolerance, tumor immunology, stem cells and regenerative medicine and new developments towards vaccine, immune diagnostics and cell therapy. The organizing committee introduced e-poster presentation at this Congress as an effective means of promoting Palbociclib molecular weight peer networking and healthy discussion. Twelve

computer stations were provided and these displayed the submitted posters in 3–4 screen pages each. The participants had the opportunity to view, at their convenience, the allotted posters of each day on big screens by clicking the poster number of interest; this also facilitated the discussion of the data with others and with the poster judges. Six best posters (2 for each day of the Congress) were awarded a cash prize and certificate during the valedictory ceremony. The awards were made available through a small grant from International Immunology (facilitated by the Editor-in-chief, Tadamitsu Kishimoto), which is published by Oxford University Press, on behalf of the Japanese Society for Immunology. An important highlight of the Congress was the session ‘Ten best oral presentations’, the participants of which were selected by a panel of international experts. Several awards were instituted to recognize the hard work put in by young researchers, with the ultimate goal being to promote excellence in research. Another important feature of the Congress was the ‘Round Table discussion’ session highlighting the issues related to ‘Gender equality and career development’.

One week after previous skin sensitization, elicitation by OXA in

One week after previous skin sensitization, elicitation by OXA induced a faster regional lymph node IL-2 response (maximum 9-fold increase, n = 3) peaking 4–6 h after challenge, fast decreasing PKC412 by 16–24 h. Regardless of ear skin or oral mucosa sensitization and/or elicitation, the levels of IL-2 were low in the axillary lymph nodes. One exposure to hapten (OXA) did not result in any major increase in

lymph node levels of IFN-γ. Following a second exposure 1 week after sensitization, a sharp increase in IFN-γ (maximum 37-fold increase, n = 3) was found with a peak 24 h after challenge. The amount then rapidly declined and returned to the levels seen after the first hapten exposure. Regardless of ear skin or oral mucosa sensitization and/or

elicitation, the levels of IFN-γ were low in the axillary lymph nodes. Regardless whether the animals were sensitized on ear skin or in the oral mucosa, the weight of the pooled regional submandibular (2) and auricular (2) lymph nodes demonstrated a gradual increase (from average 10 to 27 mg, n = 4–6) up to 48 h. Thereafter, the weight decreased (to 20 mg) 1 week after exposure. Upon elicitation, the weight of the lymph nodes rapidly increased to reach 38 mg at 48 h after Lapatinib the second exposure, irrespective of whether the oral mucosa or ear skin had been elicited. One week after the second exposure, the lymph node weight was down selleck kinase inhibitor to 20 mg. In two separate set of experiments, the number of cells in the pooled regional lymph nodes increased from baseline 5 × 107

to 45 × 107 at 96 h after sensitization, thereafter decreased to 12 × 107 1 week after hapten exposure. A second hapten exposure either in the oral mucosa or on ear skin resulted in that the number of lymph node cells increased to a peak (50 × 107) which was evident 24 h earlier than in the sensitizing phase. In this study, we have analysed the levels of and the kinetics of the Th1-cytokines IL-2 and IFN-γ responses in an experimental mouse model of CS reactions, induced by the hapten OXA. One or two superficial hapten exposures resulted in markedly raised levels of IL-2 in the oral mucosa and ear skin early (4–6 h) after exposure, while IFN-γ levels were raised only after the second application of the hapten peaking at 4–24 h. Both cytokines quickly subsided thereafter at the body sites here investigated. IL-2 is a cytokine that acts primarily as an autocrine growth factor for T cells (CD4+ and CD8+) and NK cells. From mice sensitized either on ear skin or locally in the oral mucosa, the highest density of both CD4+ (25%) and CD8+ (75%) T-cells incorporating radioactive thymidine (indicating active proliferation) was obtained at 24 h [8]. We also found that the oral mucosa IL-2 receptor (on T cells) was at its peak at 16 h regardless of site of sensitization [8].

“The role of NK cells in the control of endogenously arisi

“The role of NK cells in the control of endogenously arising tumors is still unclear. We monitored activation and effector functions

of NK cells in a c-myc-transgenic mouse model of spontaneously arising lymphoma. At early stages, tumors demonstrated reduced MHC class I expression and increased expression of natural killer group 2D ligands (NKG2D-L). NK cells in these tumors showed an activated phenotype that correlated with the loss of tumor MHC class I. With increasing tumor load however, NK-cell effector functions became progressively paralyzed or exhausted. In later stages of disease, tumors re-expressed MHC class I and lost NKG2D-L, suggesting a role of these two signals for NK cell-mediated tumor control. Testing a panel of lymphoma cell lines expressing various MHC class I and NKG2D-L levels suggested that NK cell-dependent tumor control required a priming and a Proteasome inhibitor triggering signal that were provided by MHC class I down-regulation and by NKG2D-L, respectively. Deleting either of the “two signals” resulted in tumor escape. At early disease stages, immune stimulation through TLR-ligands in vivo efficiently delayed lymphoma growth in a strictly NK cell-dependent manner. Thus,

NK-receptor coengagement is crucial for NK-cell functions in vivo and especially for NK cell-mediated tumor surveillance. NK cells are effector lymphocytes of the innate immune system, which are capable of recognizing and heptaminol eliminating virus-infected or malignant cells without prior sensitization. The cytotoxic potential of NK cells depends on direct lytic activity buy INK 128 and on cytokine expression 1 and is tightly regulated by the balance of positive and negative signals delivered by NK-cell surface receptors 2. Inhibitory receptors interacting with MHC self-molecules interfere with positive signaling, thus

protecting normal tissue from NK-cell attack. As predicted by the “missing self hypothesis”, interaction of NK cells with target cells expressing reduced levels of self MHC, such as virus-infected or tumor cells, ignites the lytic machinery 3–6. Inhibitory receptors of mouse NK cells comprise several Ly49 receptors, CD94/NKG2A 7 or CD48 8. Activating receptors such as Ly49D 9, Ly49H 10 or NKp46 11 recognize nonself molecules that are expressed upon infection. Another type of an activating surface molecule is natural killer group 2D (NKG2D). This receptor recognizes self-molecules when these are overexpressed due to infection or malignant transformation 12. In the mouse, H60, RAE1 and MULT1 were identified as NKG2D ligands (NKG2D-L) 13–15. In summary, the outcome of an NK-cell response is determined by integration of various types of signals arising from sensing distinct self -and nonself-ligands. It is not clear whether single receptors are necessary or sufficient for activating NK cells.

1) BMDCs lacking both DAP12 and FcRγ had no staining for TREM-2

1). BMDCs lacking both DAP12 and FcRγ had no staining for TREM-2 similar to those grown from TREM-2-deficient BM, suggesting that FcRγ may minimally contribute to cell surface expression of TREM-2 in these cells. To address whether TREM-2 regulates TLR responses in DCs, we generated BMDCs from WT and TREM-2-deficient mice. We first investigated whether TREM-2 deficiency affected DC development from BM cells cultured in the presence of GM-CSF.

Total cell number was decreased in TREM-2-deficient BM cell culture after 5 days of culture (Supporting see more Information Fig. 1A), however the percentage of total cells that were CD11c+ DCs was not changed between WT and TREM-2-deficient cultures (Supporting Information Fig. 1B). We next stimulated these BMDCs using various TLR ligands (LPS, CpG DNA and Zymosan) for 16 h and performed ELISA to evaluate secretion of IL-12 p70 and TNF. Though Zymosan is a complex particle BTK inhibitor in vivo that interacts with multiple pattern recognition receptors, such as dectin-1, it also signals through a TLR2/TLR6 heterodimer 18, 19. TREM-2-deficient DCs produced significantly more IL-12 p70 than WT DCs after stimulation with a range of doses of LPS, CpG DNA and Zymosan (Fig. 2A). TNF secretion from TREM-2-deficient DCs was

modestly increased over WT DCs (Fig. 2B). In addition to IL-12 p70 and TNF, IL-6 and IL-10 secretion was also higher in TREM-2-deficient DCs than WT DCs after stimulation with these TLR ligands (Fig. 2C and D). Interestingly, we did not see any cytokine production from unstimulated TREM-2-deficient DCs (Ito and Hamerman, unpublished observation). We next compared pro-inflammatory cytokine secretion between WT, DAP12/FcRγ-deficient

and TREM-2-deficient DCs (Fig. 3A). DAP12/FcRγ-deficient and TREM-2-deficient DCs showed higher IL-12 p70 production than WT DCs after 16 h stimulation with CpG DNA or Zymosan (Fig. 3A). The TLR responses in TREM-2-deficient DCs were lower than DAP12/FcRγ-deficient DCs (Fig. 3A). We also compared the pro-inflammatory cytokine production of WT, DAP12-deficient, DAP12/FcRγ-deficient and TREM-2-deficient BMDCs by intracellular cytokine staining. After both 2 and 6 h stimulation with CpG DNA, the Branched chain aminotransferase percentage of IL-12 p40+TNF+ cells was higher in TREM-2-deficient, DAP12-deficient and DAP12/FcRγ-deficient DCs than in WT DCs (Fig. 3B). Consistent with the ELISA results (Fig. 3A), DAP12/FcRγ-deficient DCs showed the highest percent of IL-12 p40+TNF+ cells after CpG DNA stimulation (Fig. 3B). Both TREM-2-deficient and DAP12-deficient DCs showed an intermediate phenotype of pro-inflammatory cytokine production in between WT and DAP12/FcRγ-deficient DCs in response to CpG DNA (Fig. 3B). Furthermore, the cytokine staining pattern of TREM-2-deficient DCs was very close to that of DAP12-deficient DCs, suggesting that TREM-2 inhibits TLR responses primarily through DAP12 in DCs.

10 When considering the application

of the treatment to p

10 When considering the application

of the treatment to patients, a low NNT and a higher NNH is preferable. The study by Suki et al.1 has not demonstrated any clear benefit for sevelamer over calcium-based phosphate binders, and this was particularly clear for younger patients, but resulted in increased gastrointestinal adverse events. Based on this, you recommend that your patient should take calcium-based phosphate binders. Talazoparib purchase Further articles in this series will cover how to apply results of RCTs and systematic reviews in everyday patient care. Randomized controlled trials can provide reliable answers to intervention questions if they are well designed and well reported. By asking a series of structured questions clinicians can critically appraise RCTs to determine whether the results are applicable to their patients. Incorporating results from RCTs in decision-making helps us to provide optimal patient care based on

the best possible evidence. In recent years there has been much activity centred on improving the reporting of RCTs in the biomedical literature. In 1993, a group HKI 272 of medical journal editors, clinical trialists, epidemiologists and methodologists met and by 1996 the first Consolidated Standards of Reporting Trials (CONSORT) Statement was published. The CONSORT Statement is intended to improve the reporting of a RCT, enabling readers to understand a trial’s design, conduct, Amylase analysis and interpretation and to assess the validity of its results.2,11 Visit to learn more. More recently The EQUATOR Network was founded. EQUATOR is an international initiative that seeks to improve reliability of medical research literature by promoting transparent and accurate reporting

of research studies and provides many resources to facilitate this. Visit to learn more. MJ was supported by a postgraduate scholarship from the Australasian Kidney Trials Network. “
“Aim:  Renal nurses in Australia and New Zealand are critical to the care of patients with chronic kidney disease (CKD), especially those on dialysis. We aimed to obtain the opinions of renal nurses in Australia and New Zealand on the Caring for Australasians with Renal Impairment (CARI) Guidelines. Methods:  A self-administered survey was distributed to all members of the professional organisation for renal nurses (Renal Society of Australasia) in 2006. The results were compared with those from a similar survey in 2002 and an identical 2006 survey of Australian and New Zealand nephrologists.

Hence, the aim of this study was to determine whether NK cells co

Hence, the aim of this study was to determine whether NK cells could play a role in the immune response against HPV infection and related cancers. On tissue samples, we observed an infiltration of NKp46+ NK cells in HPV-associated preneoplastic lesions. In vitro, NK cells displayed a higher cytotoxic activity against HPV+ cells in the presence of HPV-VLPs, by increasing the exocytosis of their cytotoxic granules and Wnt assay by secreting TNF-α and IFN-γ. We also

demonstrated that VLPs rapidly entered into blood NK cells by macropinocytosis, independently of the clathrin and caveolin pathways. Entry of VLPs did not occur into CD16− blood NK cells or into the CD16− NK92 cell line. Moreover, NK92 cells did not degranulate or secrete cytokines in response to VLPs. Finally, the transduction of CD16 into NK92 cells restored VLP entry, degranulation and cytokine production, demonstrating the major role of CD16 in the NK-cell response against HPVs. In order to determine whether NK cells are present in HPV-associated lesions, we stained tissue samples for NKp46, a specific marker of NK cells 12 (Fig. 1). Because more than 85% of HPV-associated cervical lesions occur in the region of the junction between

the endocervix and exocervix 18, we chose these tissues as normal controls. The quantification of NK cells in the epithelia (Fig. 1F) showed a Ibrutinib significant infiltration of NKp46+ cells in SILs (Fig. 1C) compared with normal Dolutegravir epithelia (Fig. 1A and B), but not in squamous cell carcinoma (SCC) (Fig. 1D) despite the presence of more numerous NK cells in the surrounding stroma (Supporting Information Fig. 1). Interestingly, virus particles have been detected mainly in SILs and not in SCC 19 where the virus is usually integrated into the host genome 20. Our results thus suggest that NK cells could interact with virus particles. In order to determine whether HPV–VLPs could modify the cytotoxic activity of NK cells, we analyzed in vitro the exocytosis of cytotoxic granules of NK cells, negatively selected from blood of healthy donors, in the presence of VLPs

by measuring the expression of lysosomal-associated membrane protein 1 (CD107a) on the NK-cell surface. CD16 engagement has been described to induce degranulation in NK cells 21. Consequently, we used an anti-CD16 mAb as positive control. VLPs significantly increased the number of CD107a+ NK cells after 1 and 6 h of incubation (Fig. 2A and B). We also assessed cytotoxicity of NK cells against CasKi, a HPV+ SCC cell line, and observed a higher cytotoxic activity of NK cells in response to VLPs (Fig. 2C). In addition to their capacity to exhibit cytotoxic activity, NK cells are able to secrete cytokines to promote cell-mediated immune responses. Consequently, we measured NK-cell cytokine production and we noticed a significant increase in TNF-α and IFN-γ after 6 h (Fig. 2D and E) and 24 h (data not shown) of culture in the presence of VLPs.

described 12 AML patients in CR and two MDS patients vaccinated w

described 12 AML patients in CR and two MDS patients vaccinated with 0·3–3·0 mg of a modified HLA-A24–binding WT1 class I epitope emulsified in Montanide. There were clinical responses with reduction in leukaemic blasts associated with immune responses to WT1 in some patients but no complete remissions [89]. NVP-BKM120 Keilholz et al. described 17 AML patients in CR and two patients with refractory anaemia with excess blasts (RAEB) receiving a median of 11 vaccinations of WT1126 peptide, with KLH adjuvant and GM–CSF. Ten AML patients had stable disease and there was a reduction in leukaemic blasts in the two patients with RAEB [90]. Molldrem

and colleagues serially vaccinated 66 patients with CML, AML and MDS at various stages of disease progression with the PR1 peptide at doses ranging from 0·25–1·0 mg with Montanide and GM–CSF. Stable disease and some complete remissions were observed associated with induced immune responses to PR1. Event-free survival was prolonged significantly in the patients who showed an immune response [91]. Rezvani and colleagues treated eight patients with AML in remission or stable MDS with a single dose of a combined PR1 and WT1 vaccine and observed immune responses to either PR1 or WT1 in all patients, associated with a transient fall in WT1 mRNA residual disease [92]. Greiner recently reported the results of high-dose RHAMM peptide vaccination given

bi-weekly. Four of nine patients had immunological responses and three showed clinical buy Dorsomorphin responses – reduction of leukaemic marrow blasts and improved blood counts [93]. It is difficult to draw firm conclusions from this diverse group

of patients treated with different vaccines and schedules, but it is possible to conclude that immune responses were nearly always necessary for a clinical response or reduction in leukaemia burden measured by WT1 mRNA. Clinical responses, assessed differently in each study, ranged from reduction in marrow blasts, improved blood counts and impressive continuous complete remissions in some high-risk patients, to complete remissions in perhaps 5% of evaluable patients. While these data are promising, the studies are too small and diverse to draw any meaningful conclusions about the true efficacy of peptide vaccination Vasopressin Receptor in AML. Currently, T cell responses to peptide vaccines are limited to single MHC class I epitopes. A broad range of peptides spanning most common HLA molecules and including MHC class II epitopes would not only extend the applicability of these vaccines to more patients but would also recruit CD4 T cell help that could sustain CD8 T cell responses over a longer period. As an alternative, some researchers have focused upon developing DNA vaccines incorporating the entire sequence of the antigen [20]. NK cells with the potential for alloreaction use the inhibitory killer cell immunoglobulin-like receptors (KIRs) to sense the missing expression of self-MHC class I molecules.