NK cells are regulated by opposing signals from receptors that activat
e and inhibit effector function. While positive stimulation may be ini
tiated by an array of costimulatory receptors, specificity is provided
by inhibitory signals transduced by receptors for MHC class I. Three
distinct receptor families, Ly49, CD94/NKG2, and KIR, are involved in
NK cell recognition of polymorphic MHC class I molecules. A common pat
hway of inhibitory signaling is provided by ITIM sequences in the cyto
plasmic domains of these otherwise structurally diverse receptors. Upo
n ligand binding and activation, the inhibitory NK cell receptors beco
me tyrosine phosphorylated and recruit tyrosine phosphatases, SHP-1 an
d possibly SHP-2, resulting in inhibition of NK cell-mediated cytotoxi
city and cytokine expression. Recent studies suggest these inhibitory
NK cell receptors are members of a larger superfamily containing ITIM
sequences, the inhibitory receptor superfamily (IRS).