NK cells are physiologically important in a number of contexts: mediating i
mmunity against viruses, intracellular bacteria and parasites, and in anti-
tumour immune responses. Moreover, in addition to these overtly immune prot
ective functions, NK cells also mediate a variety of homeostatic functions,
particularly in the regulation of haematopoesis and they may have an impor
tant role to play in the maintenance and development of placentation; certa
inly NK cells are a major component of the lymphocyte population of the dec
idua. The behaviour of the NK cell in these various situations is regulated
by a large number of distinct receptors that transmit positive and negativ
e signals. The balance of these signals determines whether the NK cell does
nothing or is activated to proliferate, kill or secrete a wide range of cy
tokines and chemokines. Ln this review the structure and function of a numb
er of molecules found on the NK cell surface are discussed, particular emph
asis being placed on the molecular details of the recognition of target cel
l classical class I HLA molecules by Killer cell Immunoglobulin-like Recept
ors (KIR) and the binding of the non-classical class I molecule HLA-E to th
e heterodimer formed by the association of CD94 with various members of the
NKG2 proteins.