The missing self model predicts that NK cells adapt somatically to the
type as well as levels of MHC class I products expressed by their hos
t. Transgenic and gene knock-out mice have provided conclusive evidenc
e that MHC class I genes control specificity and tolerance of NK cells
. The article describes this control and discusses the possible mechan
isms behind it, starting from a genetic model to study how natural res
istance to tumors is influenced by MHC class I expression in the host
as well as in the larger cells. Data on host gene regulation of NK-cel
l functional specificity as well as Ly49 receptor expression are revie
wed, leading up to the central question: how does the system develop a
nd maintain ''useful'' NK cells, while avoiding ''harmful'' and ''usel
ess'' ones? The available data can be fitted within each of two mutual
ly non-exclusive models: cellular adaptation and clonal selection. Rec
ent studies supporting cellular adaptation bring the focus on differen
t possibilities within this general mechanism, such as anergy, recepto
r calibration and, most importantly whether the specificity of each NK
cell is permanently fixed or subject to continuous regulation.