Human natural killer (NK) cells are able to adhere to xenogeneic porcine en
dothelial cells (EC) and evidence from in vitro studies as well as animal m
odels suggests a potential role fur NK cells in the cellular recognition an
d damage of porcine xenogeneic tissues. One possible explanation for the ob
served NK cell-mediated xenogeneic cytotoxicity against porcine EC is the m
olecular incompatibility between porcine major histocompatibility complex (
MHC) class I molecules and MHC-specific inhibitory receptors on human NK ce
lls. In this review we attempt to summarize the current knowledge concernin
g adhesive interactions between human Mt cells and porcine EC under special
considerations of the cross-species receptor-ligand interactions. Methodol
ogical differences in assessing adhesion between various studies are review
ed and comparisons to the syngeneic/allogeneic adhesion mechanisms are made
. Finally, the therapeutic potential of blocking antibodies and transgenic
HLA expression in preventing NK-cell adhesion and xenogeneic cytotoxicity i
s discussed.