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. 2025 Jul 25;15(16):8222–8258. doi: 10.7150/thno.116951

Table 1.

The role of LILRB family in infectious, autoimmune and neurodegenerative diseases.

Diseases LILRBs Ligands Expressing cells Mechanisms References
Viral infections
CMV LILRB1 UL18 Cytotoxic T cell Lysis of CMV-infected cells 238
UL18 NK cell Inhibit NK cytotoxic activity 236
UL18 DC Inhibit DC migration, maturation, and allogeneic T cell proliferation 145, 237
Lymphocyte CMV reactivation after lung transplantation 239
HIV-1 LILRB2 Monocyte Impair monocyte antigen presentation 124
HLA-B Myelomonocytic cell Induce myelomonocytic tolerogenesis 241
HLA-I DC Dysregulation of cDCs 243
HLA-G Myeloid DC Modulate DC antigen presentation and proinflammatory cytokine secretion 244
LILRB1, LILRB3 Myeloid DC NA 247
LILRB1 S100A9 NK cell Enhance NK cell anti-HIV-1 activity 85
DENV LILRB1 Enhance DENV replication 86
Overcome cell-autonomous immunity, boosting DENV intracellular survival 251
Resistant to TLR/anti-IgM stimulation in CD19+CD27+ naïve B cells 252
SARS-CoV-2 LILRB4 MDSC Elevated inflammation and regulatory B/T cell accumulation 255
EBV LILRB1 CD8+ T cell Inhibiting IFN-γ production to impair immunity 182, 257
CHB virus LILRB1 NK cell Reduce NK cell degranulation and IFN-γ production 258
Zika virus LILRB1, LILRB2 Mutations impact in utero transmission chances 108
Reovirus LILRB2/PirB Essential for reovirus replication and neuropathogenicity 259
Bacterial infections
Mycobacterium tuberculosis LILRB1 NK cell Decrease CD107a and IFN-γ expression 260
LILRB2 MDSC Transition between immunosuppressive and proinflammatory states 261
LILRB5 Cytotoxic T cell Enhance cytotoxic T cell proliferation 263
Staphylococcus aureus LILRB1, LILRB3/PirB Macrophage Influence TLR-mediated cytokine production 264
LILRB3 Neutrophil Regulate neutrophil activation and antimicrobial functions 169
Salmonella LILRB2, LILRB4 Antigen presenting cell Induce tolerogenic antigen-presenting cells 131
Escherichia coli LILRB1, LILRB4, PirB Macrophage Enhanced proinflammatory cytokine production and MAPK/NF-kB activation 265
Parasite infections
Plasmodium falciparum LILRB1 RIFIN NK and B cells Regulate IgM production and NK-mediated killing 63, 64
B cell Modulates inflammatory cytokine release 274
LILRB2 RIFIN Modulate immune response for immune evasion 66
Toxoplasma gondii LILRB1 HLA-G NK cell NA 277
LILRB4 MDSC Alter ARG1 and IL-10 expression via SHP2/STAT6, leading to MDSC dysfunction 278
Trypanosoma cruzi LILRB1 CD4+ T cell Modulate parasite-specific T cell response 279
Autoimmune diseases
Autoimmune thyroid diseases LILRB1 CD4+/CD8+ T cell Disrupt IL-10 synthesis and cell proliferation 281
Rheumatoid arthritis LILRB1 HLA-G CD8+ T cell Regulate CD8+ T cell activation 283
Soluble HLA-G Binding capacity dictates anti-inflammatory protection 284
Systemic lupus erythematosus LILRB1 Peripheral blood B cell Impaired LILRB1 expression and function 285
LILRB4 Monocytoid DC Loss-of-function polymorphisms affect inflammatory cytokine levels 106
LILRB4 Plasmablast and plasma cell Ectopically expressed 286
Multiple sclerosis LILRB1 HLA-G Modulate T-cell infiltration and immune-inflammatory response 287
LILRB4 Influence Th1/Th17 proliferation and proinflammatory factor release 289
Neurodegenerative disease
Alzheimer's disease LILRB2/PirB Aβ oligomers Causes synaptic toxicity and impaired developmental plasticity 291
LILRB2 Aβ oligomers, L-α-phosphatidylserine Microglia Inhibits TREM2 signaling 292
LILRB4 ApoE Microglia Dampening microglia phagocytosis of amyloid plaques 84

Aβ, β-amyloid; ApoE, apolipoprotein E; ARG, Arginase-1; CHB, chronic hepatitis B; CMV, cytomegalovirus; DC, dendritic cell; DENV, dengue virus; EBV, Epstein-Barr virus; HIV-1, human immunodeficiency virus type 1; HLA, human leukocyte antigen; IFN-α, interferon-alpha; IL-10, interleukin-10; MDSC, myeloid-derived suppressor cell; NK, natural killer; RIFINs, repetitive interspersed families of polypeptides; S100A9, S100 calcium binding protein A9; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2; TLR, toll-like receptor.