| 1998 |
HLA-E binds to and is the predominant ligand for the NK cell inhibitory receptor CD94/NKG2A, as well as CD94/NKG2B and CD94/NKG2C. HLA-E tetramers (recombinant HLA-E/β2m refolded with MHC leader-sequence peptide) bound specifically to CD94/NKG2A, NKG2B, and NKG2C on transfectants but not to KIR family receptors. Surface expression of HLA-E was sufficient to protect target cells from lysis by CD94/NKG2A+ NK cell clones. |
HLA-E tetramer binding assay, NK cell cytotoxicity assay, transfection of receptor-expressing cell lines |
Nature |
High |
9486650
|
| 1998 |
HLA-E is a major ligand for the NK cell inhibitory receptor CD94/NKG2A. Surface stabilization of HLA-E on .221 transfectants with appropriate HLA class I leader sequence peptides was sufficient to confer protection from CD94/NKG2A+ NK-mediated lysis. Neither the Ig-SF KIR receptors nor ILT2/LIR1 mediated this inhibitory effect. Anti-HLA-E, anti-CD94, or anti-CD94/NKG2A antibodies specifically restored NK lysis, confirming the HLA-E:CD94/NKG2A axis. |
NK cell cytotoxicity assay, antibody blocking, transfection of HLA class I allotypes into .221 cells, cold-loading of peptides |
Proceedings of the National Academy of Sciences of the United States of America |
High |
9560253
|
| 1998 |
The peptide-binding groove of HLA-E is highly adapted for specific binding of conserved leader sequence peptides from HLA class Ia molecules and is structurally similar to class Ia MHC molecules but with higher specificity along the entire peptide length, unlike the promiscuous grooves of class Ia molecules. |
Structural analysis / crystallography (framework review) |
Immunological reviews |
Medium |
9700506
|
| 1988 |
HLA-E (originally designated HLA-6.2) encodes a protein that associates with β2-microglobulin, establishing it as an expressible MHC class I molecule. It maps between HLA-C and HLA-A on chromosome 6. |
Gene transfer into class I-null human lymphoblastoid cell line, immunoprecipitation to detect β2m association, deletion mutant mapping |
Journal of immunology |
High |
3260916
|
| 2002 |
The two HLA-E alleles (HLA-E*0101 with Arg107 and HLA-E*0103 with Gly107) differ in peptide affinity, thermal stability, and cell surface expression levels. Crystal structures of HLA-E(G) complexed with two distinct peptides showed no significant conformational differences in the heavy chain between alleles or peptides, but differences in thermal stability and peptide affinity correlated with differential cell surface levels. |
Crystal structure determination, thermal stability assay, peptide affinity measurements, cell surface expression quantification |
The Journal of biological chemistry |
High |
12411439
|
| 1999 |
Cell surface expression of HLA-E in mouse cells strictly requires coexpression of human β2-microglobulin. Soluble empty HLA-E/hβ2m complexes display low thermostability, indicating low-affinity β2m interaction contributes to inefficient peptide loading in the ER. The allelic substitution at position 107 (Gly or Arg) greatly affects intracellular transport and cell surface expression. |
Transfection of HLA-E ± human β2m into mouse myeloma cells, thermal stability assay, FACS quantification of surface expression |
European journal of immunology |
High |
10064069
|
| 2000 |
Surface expression of HLA-E requires a functioning TAP molecule to transport HLA class I leader peptides into the ER. Without this peptide supply, HLA-E is unstable and degraded before reaching the cell surface. This mechanism allows NK cells to detect downregulation of classical HLA class I molecules in virally infected or tumor cells. |
Crystallographic studies and functional analyses described in review (citing original experimental work on TAP dependency) |
Clinical science |
Medium |
10887053
|
| 2000 |
HLA-E is expressed on trophoblast cell surfaces and is recognized by the vast majority of decidual NK cells via CD94/NKG2 receptors. HLA-E tetramer binding to decidual NK cells is inhibited by anti-CD94 antibody. The functional consequence of this interaction is inhibition of decidual NK cell cytotoxicity. |
HLA-E tetramer staining of decidual NK cells, anti-CD94 antibody blocking, cytotoxicity assays with polyclonal decidual NK cells, immunostaining of trophoblast |
European journal of immunology |
High |
10898498
|
| 2000 |
HLA-E transcription is induced by IFN-γ through an upstream STAT1 binding site and is inducible by CIITA through the SXY regulatory module. HLA-E is not inducible by NF-κB or IRF1 due to divergence in its promoter regulatory elements. |
Promoter analysis, transcriptional reporter assays, cis-acting element mapping |
Human immunology |
Medium |
11137213
|
| 2002 |
HLA-E can be recognized by the αβ T cell receptor (TCR) on CD8+ T cells independently of CD94/NKG2C. An αβ CD8+CD94/NKG2C+ CTL clone recognized RMA-S/HLA-E cells loaded with specific HLA class I leader sequence peptides and also a peptide derived from EBV BZLF-1 protein. Anti-clonotypic TCR antibody blocked lysis while anti-CD94 did not, and HLA-E tetramers stained K14 cells in a TCR-dependent manner. |
CTL cytotoxicity assay, antibody blocking with anti-TCR and anti-CD94, HLA-E tetramer staining |
European journal of immunology |
High |
11920559
|
| 2003 |
HLA-E cell surface expression in tumor cell lines is related to the availability of free β2-microglobulin in the cytoplasm. Tumor cells with downregulation of HLA class Ia heavy chains (leading to excess β2m) show increased HLA-E surface expression. Addition of human β2m to tumor cells expressing HLA-E(G) allele increased HLA-E surface expression. Total loss of HLA class Ia expression (including β2m mutations) abolished HLA-E surface expression. |
Monoclonal antibody staining (3D12) of tumor cell lines, exogenous β2m addition experiments, analysis of cell lines with defined HLA alterations |
Immunogenetics |
Medium |
12618909
|
| 2005 |
Inhibitory NKG2A/CD94 and activating NKG2E/CD94 receptors bind HLA-E with indistinguishable affinities, both higher than the activating NKG2C/CD94 receptor. The peptide presented by HLA-E significantly influences binding affinity of all three receptors, while HLA-E allelic differences (position 107) had no effect on receptor binding affinity. |
Quantitative binding affinity measurements and thermodynamic analysis (surface plasmon resonance or equivalent) for three NKG2x/CD94 receptors with HLA-E/peptide complexes |
Journal of immunology |
High |
15728498
|
| 2005 |
Stable surface expression of HLA-E on porcine cells requires appropriate peptide loading (HLA class I leader sequence peptides). HLA-E expression on porcine cells protected them from lysis by human NKG2A+ NK clones. An HLA-E single-chain trimer (SCT) fusing β2m, peptide, and HLA-E heavy chain was engineered and demonstrated correct folding and function, inhibiting NK cytotoxicity and IFN-γ secretion. |
Transfection of porcine cell lines, FACS for surface expression, NK cytotoxicity assay, IFN-γ measurement, engineering of single-chain trimer construct |
Molecular immunology |
High |
15829309
|
| 2007 |
TNFα, IL-1β, and IFN-γ upregulate cell-surface HLA-E expression on endothelial cells and induce release of soluble HLA-E (sHLA-E). HLA-E upregulation protects IFN-γ-activated endothelial cells from NK-mediated lysis, while sHLA-E protects bystander cells. HLA-E protein expression in normal human non-lymphoid organs is mainly restricted to endothelial cells. |
In vitro cytokine stimulation of endothelial cells, flow cytometry for surface HLA-E, NK cell cytotoxicity assay, ELISA for sHLA-E |
Blood |
High |
17179229
|
| 2008 |
Crystal structures of HLA-E complexed with two leader peptides (HLA-Cw*07: VMAPRALLL and HLA-G*01: VMAPRTLFL, both at 2.5 Å resolution) showed that allotypic variations in leader sequences do not cause conformational changes in the HLA-E heavy chain, but subtle changes in peptide conformation within the binding groove profoundly affect recognition by CD94-NKG2 receptors. HLA-Cw*07 peptide (poorly recognized) versus HLA-G*01 peptide (high-affinity ligand) differ in conformation within the groove. |
X-ray crystallography at 2.5 Å resolution, structural comparison of peptide-HLA-E complexes |
Journal of molecular biology |
High |
18339401
|
| 2011 |
HLA-E expressed on gynecological tumors inhibits CD8+ T cell (CTL) function via CD94/NKG2A receptor interaction. Up to 50% of intraepithelial CTLs expressed the inhibitory CD94/NKG2A receptor. In ovarian cancer, high HLA-E expression completely neutralized the beneficial effect of high CTL infiltration on overall survival, indicating functional inhibition of CTLs by HLA-E:NKG2A interaction in the tumor microenvironment. |
Immunohistochemistry on 420 tumor sections, in situ detection of NKG2A+ CTLs, survival analysis linked to HLA-E expression and CTL infiltration |
Proceedings of the National Academy of Sciences of the United States of America |
Medium |
21670276
|
| 2014 |
HCMV-driven expansion of NKG2C+ NK cells requires CD94/NKG2C:HLA-E axis and IL-12 from CD14+ monocytes. Blockade of CD94/NKG2C on NK cells or silencing of HLA-E in HCMV-infected fibroblasts greatly impaired expansion of NKG2C+ NK cells. IL-12 neutralization substantially reduced CD25 upregulation and NKG2C+ subset expansion. |
NK-monocyte coculture system, NKG2C blockade antibodies, HLA-E siRNA knockdown in infected fibroblasts, IL-12 neutralization |
The Journal of clinical investigation |
High |
25384219
|
| 2015 |
HLA-E:NKG2A interaction inhibited degranulation of NKG2A+ NK cell subsets with almost all tested peptides. In contrast, NKG2A-NKG2C+ NK cell responses were enhanced only by a restricted set of peptides, most strongly by the HLA-G leader peptide. The HLA-E:G-peptide complex triggered NKG2C receptor internalization (reduced by bafilomycin, indicating lysosomal pathway involvement). |
NK cell degranulation assay (CD107a expression), peptide-induced HLA-E surface expression on PBMCs, NKG2C receptor internalization assay with bafilomycin |
Human immunology |
Medium |
26382247
|
| 2015 |
During monocyte-to-macrophage differentiation, newly synthesized HLA-E molecules are primarily trafficked to intracellular autophagy-lysosomal vesicles (colocalizing with LC3 and LAMP1) rather than the cell surface, unlike classical HLA class I. Only a small fraction of HLA-E reaches the cell surface, and NK lysis is still inhibited by anti-NKG2A antibody comparably in differentiated and undifferentiated cells. |
Confocal microscopy with LC3 and LAMP1 co-localization, subcellular fractionation, flow cytometry, NK cytotoxicity assay in monocytic cell lines and primary monocytes |
Journal of leukocyte biology |
Medium |
26310830
|
| 2018 |
Crystal structures of HLA-E bound to HIV- and Mtb-derived pathogen peptides reveal that despite preferences for canonical primary anchor residues, HLA-E-bound pathogen peptides can adopt alternative conformations within the peptide-binding groove. Combined structural and mutagenesis analyses show greater tolerance for hydrophobic and polar residues in the primary pockets than previously appreciated. |
X-ray crystallography of HLA-E/peptide complexes, mutagenesis of binding pockets, biochemical peptide binding studies |
Nature communications |
High |
30087334
|
| 2018 |
Adaptive NK cells recognize differences between HLA-E-peptide complexes with exquisite specificity via the activating CD94/NKG2C receptor. Prolonged exposure to HLA-E presenting the HLA-G leader peptide VMAPRTLFL enriched adaptive NK cells with low FcεRγ expression, upregulated CD25, increased proliferation, and elevated antibody-dependent cellular cytotoxicity and IFN-γ responses compared to other HLA-E peptide complexes. |
NK cell coculture with defined HLA-E peptide complexes, flow cytometry for phenotype markers, functional assays for ADCC and IFN-γ, CD25/FcεRγ expression analysis |
Cell reports |
High |
30134159
|
| 2017 |
HLA-E presents glycopeptides from the Mycobacterium tuberculosis protein MPT32 to CD8+ T cells. Recognition by an HLA-E-restricted CD8+ T cell clone required N-terminal O-linked mannosylation of MPT32 by a mannosyltransferase encoded by Rv1002c, establishing the first post-translationally modified Mtb antigen presented by HLA-E. |
T cell clone cytotoxicity/recognition assay, HLA-E tetramer staining, Rv1002c mannosyltransferase mutant bacteria, glycopeptide synthesis |
Scientific reports |
Medium |
28676677
|
| 2019 |
Senescent dermal fibroblasts upregulate HLA-E expression, and this HLA-E interacts with the inhibitory receptor NKG2A on NK cells and highly differentiated CD8+ T cells to inhibit immune responses against senescent cells. HLA-E induction in senescent cells is driven by SASP-related pro-inflammatory cytokines and regulated by p38 MAP kinase signaling in vitro. Blocking HLA-E:NKG2A interaction boosted immune responses against senescent cells in vitro. |
Senescence induction in primary fibroblasts, flow cytometry for HLA-E expression, NK/CD8 T cell killing assay, p38 inhibitor treatment, NKG2A blocking antibody |
Nature communications |
High |
31160572
|
| 2019 |
HIV-1 Nef protein downmodulates HLA-E surface levels on infected primary CD4+ T cells by targeting the cytoplasmic tail of HLA-E. Tail-swap experiments exchanging the cytoplasmic tail of HLA-A2 with that of HLA-E demonstrated Nef specifically targets the HLA-E cytoplasmic tail. HIV-1 mutants lacking functional Nef (and to a lesser extent Vpu) showed impaired HLA-E downmodulation. |
Primary HIV-1 strain infection of CD4+ T cells, single Nef/Vpu expression in T cell lines, cytoplasmic tail swap constructs (HLA-A2/HLA-E chimeras), flow cytometry |
Journal of virology |
High |
31375574
|
| 2020 |
SARS-CoV-2 spike 1 protein (SP1) expressed intracellularly in lung epithelial cells induces HLA-E surface expression via presentation of an SP1-derived HLA-E-binding peptide, leading to increased NKG2A/CD94 expression on NK cells and reduced NK cell degranulation via HLA-E/NKG2A interaction. The GATA3 transcription factor was ruled out as responsible for HLA-E upregulation. |
Transfection of lung epithelial cells with SARS-CoV-2 spike constructs, flow cytometry for HLA-E and NK cell activation markers, NK cell co-culture assay, immunofluorescence, GATA3 inhibitor experiments |
Cells |
Medium |
32859121
|
| 2021 |
HLA-E-restricted HIV-1-specific CD8+ T cell clones and allogeneic CD8+ T cells transduced with their TCRs suppressed HIV-1 replication in CD4+ T cells in vitro. HLA-E-restricted T cells were primed in vitro and recognized Gag-derived peptides presented by HLA-E. |
In vitro T cell priming, TCR transduction into allogeneic CD8+ T cells, HIV-1 replication suppression assay in CD4+ T cells |
Science immunology |
High |
33766848
|
| 2022 |
The SARS-CoV-2 Non-structural protein 13 (Nsp13) encodes a peptide presented by HLA-E that prevents binding of HLA-E to the inhibitory receptor NKG2A (unlike self-peptides), rendering target cells susceptible to NKG2A-expressing NK cell attack. NKG2A+ NK cells were specifically activated and proficiently limited SARS-CoV-2 replication in infected lung epithelial cells in vitro. |
Peptide-HLA-E binding assay, NKG2A blocking experiments, NK cell activation assay, viral replication suppression assay in lung epithelial cells, patient NK cell phenotyping |
Cell reports |
High |
35235832
|
| 2022 |
Crystal structures of HLA-E bound to VL9 (MHC class Ia signal peptides) versus pathogen-derived peptides reveal that VL9 positions close to the α2 helix via three HLA-E-exclusive amino acids. Non-VL9 pathogen peptides introduce an alternative peptide-binding motif and re-configure a key TCR-interacting α2 region, providing the structural basis for VL9- versus non-VL9-HLA-E immune discrimination. Small-angle X-ray scattering revealed that non-VL9 HLA-E complexes are conformationally dynamic in solution compared to VL9 complexes. |
X-ray crystallography of multiple HLA-E/peptide complexes, small-angle X-ray scattering (SAXS), mutagenesis of key residues, peptide excess experiments |
Cell reports |
High |
35705051
|
| 2023 |
Among 16 common classical HLA class I signal peptide variants, only 6 can be efficiently processed to generate epitopes enabling CD94/NKG2 engagement ('functional SPs'). The single functional HLA-B SP (HLA-B/-21M) induces high HLA-E expression but provides the lowest NKG2 receptor recognition, and competes with other SPs for providing epitope to HLA-E, thereby reducing overall CD94/NKG2A recognition of target cells. |
Systematic quantitative analysis of 16 SP variants for HLA-E stabilization and CD94/NKG2A/C binding, competitive peptide loading assays, NK cell functional assays |
Nature immunology |
High |
37264229
|
| 2023 |
HLA-E is largely retained in the endoplasmic reticulum after synthesis due to limited supply of high-affinity peptides, with further fine-tuning by its cytoplasmic tail. Once at the cell surface, HLA-E is unstable and rapidly internalized; its cytoplasmic tail is required for HLA-E internalization, resulting in enrichment in late and recycling endosomes. This distinguishes HLA-E trafficking from classical HLA class I. |
Live cell imaging, FRAP, subcellular fractionation, cytoplasmic tail deletion/mutation constructs, trafficking inhibitor studies, comparison with classical HLA class I |
The Journal of experimental medicine |
High |
37140910
|
| 2023 |
HLA-E presents EBV LMP-1-derived peptides (GGDPHLPTL or GGDPPLPTL) to NKG2A+ NK and CD8+ T cells in an inhibitory manner. EBV strains encoding both peptide variants were associated with symptomatic EBV reactivations. The highly expressed HLA-E*0103/0103 genotype is protective against infectious mononucleosis through induction of BZLF1-specific HLA-E-restricted CD8+ T cell responses that efficiently prevent viral dissemination in vitro. |
Functional NK and CD8+ T cell assays, viral dissemination assay in vitro, large cohort study (1404 patients), peptide-HLA-E binding experiments |
Blood |
High |
36477802
|
| 2023 |
Platelet-derived RGS18 promotes HLA-E expression on circulating tumor cells (CTCs) through the AKT-GSK3β-CREB signaling pathway, enabling CTCs to evade NK cell-mediated immune surveillance via the HLA-E:CD94-NKG2A immune checkpoint. Disruption of this interaction by NKG2A blockade or HLA-E knockdown enhanced NK-mediated killing in vitro and prevented tumor metastasis in vivo. |
Single-cell transcriptomics, in vitro NK killing assay, in vivo tumor metastasis mouse model, HLA-E knockdown, NKG2A blockade, RGS18 overexpression/knockdown with AKT/GSK3β/CREB pathway analysis |
Cancer cell |
High |
36706761
|
| 2023 |
Antigen-specific human NK cell memory against HIV and influenza is mediated largely through the activating CD94/NKG2C receptor recognizing HLA-E in an epitope-specific manner. Single-cell cloning validated permanent antigen specificity of individual memory NK cells. KLRG1, α4β7, and NKG2C were identified as biomarkers of antigen-specific NK memory, and individual HLA-E-restricted peptides from HIV-1 and influenza constitute dominant NK cell responses in infected persons. |
Single-cell cloning of NK cells, HLA-E tetramer staining, NKG2C blocking, peptide-HLA-E binding assays, immunophenotyping of infected patient NK cells |
Science immunology |
High |
38064568
|
| 2023 |
High-throughput yeast-display screening identified 500 unique peptides that bind both HLA-E and CD94/NKG2A or CD94/NKG2C, including CMV proteome-derived peptides. Peptides selectively activating NKG2C+ NK cells were identified. Prediction algorithms trained on yeast-display selections identified human and CMV proteome-derived HLA-E-presented peptides capable of signaling through both inhibitory and activating receptors. |
Yeast-displayed peptide library screen, HLA-E/CD94/NKG2x binding selection, NK cell functional assays, machine learning-based prediction algorithm |
Nature communications |
High |
37558657
|
| 2021 |
HLA-E-restricted CD8+ T cells from CMV-infected individuals express inhibitory KIR2DL1 and KIR2DL2/L3 when bearing high-affinity TCRs for HLA-E/self-peptide, while T cells with lower-affinity TCRs expressed the activating receptor NKG2C. Activation of high-affinity TCR-bearing T cells was regulated by KIR2D receptor interaction with HLA-C, providing a mechanism for self/non-self discrimination by HLA-E-restricted T cells. |
RNA sequencing, flow cytometry, TCR affinity measurement, KIR2D blocking experiments, CMV UL40/HLA-E tetramer staining |
Science immunology |
High |
33893172
|
| 2023 |
HLA-E-restricted SARS-CoV-2-specific CD8+ T cell clones with diverse TCRs recognized five SARS-CoV-2-derived peptides presented by HLA-E and suppressed viral replication in Calu-3 lung epithelial cells. SARS-CoV-2 infection markedly downregulated classical HLA class I (HLA-A, B, C) expression while HLA-E expression was not affected, enabling continued HLA-E-restricted T cell recognition. |
T cell clone isolation and characterization, HLA-E peptide-specific suppression of SARS-CoV-2 replication, flow cytometry for HLA class I and HLA-E surface expression in infected cells, primary reconstituted human airway epithelial cells |
Science immunology |
High |
37390223
|