KIR+ CD8+ T Lymphocytes in Cancer Immunosurveillance and Patient Survival: Gene Expression Profiling
Open accessAbstract
Killer-cell immunoglobulin-like receptors (KIR) are expressed by natural killer (NK) and effector T cells. Although KIR+ T cells accumulate in oncologic patients, their role in cancer immune response remains elusive. This study explored the role of KIR+CD8+ T cells in cancer immunosurveillance by analyzing their frequency at diagnosis in the blood of 249 patients (80 melanomas, 80 bladder cancers, and 89 ovarian cancers), their relationship with overall survival (OS) of patients, and their gene expression profiles. KIR2DL1+ CD8+ T cells expanded in the presence of HLA-C2-ligands in patients who survived, but it did not in patients who died. In contrast, presence of HLA-C1-ligands was associated with dose-dependent expansions of KIR2DL2/S2+ CD8+ T cells and with shorter OS. KIR interactions with their specific ligands profoundly impacted CD8+ T cell expression profiles, involving multiple signaling pathways, effector functions, the secretome, and consequently, the cellular microenvironment, which could impact their cancer immunosurveillance capacities. KIR2DL1/S1+ CD8+ T cells showed a gene expression signature related to efficient tumor immunosurveillance, whereas KIR2DL2/L3/S2+CD8+ T cells showed transcriptomic profiles related to suppressive anti-tumor responses. These results could be the basis for the discovery of new therapeutic targets so that the outcome of patients with cancer can be improved.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
CD8+ T cells showing high expression levels of KIRs are reported in peripheral blood of cancer patients.
“CD8+ T cells showing high expression levels of KIRs are also reported in peripheral blood of cancer patients”
From Contrasting cytotoxic and regulatory T cell responses underlying distinct clinical outcomes to anti-PD-1 plus lenvatinib therapy in cancer (2025) · cites this paper as [51]
The Conclusions report that KIR-expressing CD8+ T cells accumulate in the peripheral blood of cancer patients. However, Methods §4.2 measures KIR expression as the percentage of positive cells, not the level of KIR expression on individual cells, so the claim’s “high expression levels” is not established. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
TNFα blockade overcomes resistance to anti-PD-1 in experimental melanoma
Bertrand, F., Montfort, A., Marcheteau, E., Imbert, C., Gilhodes, J., Filleron, T., Rochaix, P., Andrieu-Abadie, N., Levade, T., Meyer, N., et al. (2017) · Nature Communications · doi:10.1038/s41467-017-02358-7 · Cited by 384 · cited 1× · see citing works
“TNFRSF1B controls the expression of the inhibitory receptor Tim3 [37] and promotes cell death [38].”
Background
Flagged first, then by citations
Research works printed but not linked: 53
- [1]Rabinovich G.A. Gabrilovich D. Sotomayor E.M. Immunosuppressive strategies that are mediated by tumor cells Annu. Rev. Immunol. 2007 25 267 296 10.1146/annurev.immunol.25.022106.141609 17134371 PMC2895922 · DOI
- [2]Miklós I. Toke E.R. Megyesi M. Molnar L. Tóth J. Lőrincz O. Somogyi E. Csiszovszki Z. Pántya K. Páles P. Determination of the immunogenetic risk of developing cancer J. Clin. Oncol. 2019 37 e13132 10.1200/JCO.2019.37.15_suppl.e13132 · DOI
- [3]Pagès F. Mlecnik B. Marliot F. Bindea G. Ou F.-S. Bifulco C. Lugli A. Zlobec I. Rau T.T. Berger M.D. International validation of the consensus Immunoscore for the classification of colon cancer: A prognostic and accuracy study Lancet 2018 391 2128 2139 10.1016/S0140-6736(18)30789-X 29754777 · DOI · Paper page
- [4]Barrow A.D. Edeling M.A. Trifonov V. Luo J. Goyal P. Bohl B. Bando J.K. Kim A.H. Walker J. Andahazy M. Natural Killer Cells Control Tumor Growth by Sensing a Growth Factor Cell 2018 172 534 548 10.1016/j.cell.2017.11.037 29275861 PMC6684025 · DOI
- [5]Kim Y. Born C. Bléry M. Steinle A. MICAgen Mice Recapitulate the Highly Restricted but Activation-Inducible Expression of the Paradigmatic Human NKG2D Ligand MICA Front. Immunol. 2020 11 960 10.3389/fimmu.2020.00960 32582150 PMC7287395 · DOI
- [6]Deng X. Gao F. Li N. Li Q. Zhou Y. Yang T. Cai Z. Du P. Chen F. Cai J. Antitumor activity of NKG2D CAR-T cells against human colorectal cancer cells in vitro and in vivo Am. J. Cancer Res. 2019 9 945 958 31218103 PMC6556598
- [7]Maimela N.R. Liu S. Zhang Y. Fates of CD8+ T cells in Tumor Microenvironment Comput. Struct. Biotechnol. J. 2019 17 1 13 10.1016/j.csbj.2018.11.004 30581539 PMC6297055 · DOI · Paper page
- [8]Béziat V. Hilton H.G. Norman P.J. Traherne J.A. Deciphering the killer-cell immunoglobulin-like receptor system at super-resolution for natural killer and T-cell biology Immunology 2017 150 248 264 10.1111/imm.12684 27779741 PMC5290243 · DOI
- [9]Ohkawa T. Seki S. Dobashi H. Koike Y. Habu Y. Ami K. Hiraide H. Sekine I. Systematic characterization of human CD8+ T cells with natural killer cell markers in comparison with natural killer cells and normal CD8+ T cells Immunology 2001 103 281 290 10.1046/j.1365-2567.2001.01248.x 11454057 PMC1783250 · DOI
- [10]Arlettaz L. Degermann S. De Rham C. Roosnek E. Huard B. Expression of inhibitory KIR is confined to CD8+ effector T cells and limits their proliferative capacity Eur. J. Immunol. 2004 34 3413 3422 10.1002/eji.200324756 15549734 · DOI
- [11]Anfossi N. Doisne J.-M. Peyrat M.-A. Ugolini S. Bonnaud O. Bossy D. Pitard V. Merville P. Moreau J.-F. Delfraissy J.-F. Coordinated Expression of Ig-Like Inhibitory MHC Class I Receptors and Acquisition of Cytotoxic Function in Human CD8 + T Cells J. Immunol. 2004 173 7223 7229 10.4049/jimmunol.173.12.7223 15585844 · DOI
- [12]Long E.O. Regulation of immune responses through inhibitory receptors Annu. Rev. Immunol. 1999 17 875 904 10.1146/annurev.immunol.17.1.875 10358776 · DOI
- [13]Van Bergen J. Koning F. The tortoise and the hare: Slowly evolving T-cell responses take hastily evolving KIR Immunology 2010 131 301 309 10.1111/j.1365-2567.2010.03337.x 20722764 PMC2996550 · DOI
- [14]Campillo J.A. Martínez-Escribano J.A. Moya-Quiles M.R. Marín L.A. Muro M. Guerra N. Parrado A. Campos M. Frías J.F. Minguela A. Natural killer receptors on CD8 T cells and natural killer cells from different HLA-C phenotypes in melanoma patients Clin. Cancer Res. 2006 12 4822 4831 10.1158/1078-0432.CCR-06-0019 16914567 · DOI
- [15]Chakraborty S. Bhattacharjee P. Panda A.K. Kajal K. Bose S. Sa G. Providence of the CD25+ KIR+ CD127- FOXP3- CD8+ T-cell subset determines the dynamics of tumor immune surveillance Immunol. Cell Biol. 2018 96 1035 1048 10.1111/imcb.12166 29768737 · DOI
- [16]Boyton R.J. Altmann D.M. Natural killer cells, killer immunoglobulin-like receptors and human leucocyte antigen class I in disease Clin. Exp. Immunol. 2007 149 1 8 10.1111/j.1365-2249.2007.03424.x 17521317 PMC1942026 · DOI
- [17]Vierra-Green C. Roe D. Jayaraman J. Trowsdale J. Traherne J. Kuang R. Spellman S. Maiers M. Estimating KIR haplotype frequencies on a cohort of 10,000 individuals: A comprehensive study on population variations, typing resolutions, and reference haplotypes PLoS ONE 2016 11 e0163973 10.1371/journal.pone.0163973 27723813 PMC5056762 · DOI
- [18]Guillamón C.F. Martínez-Sánchez M.V. Gimeno L. Campillo J.A. Server-Pastor G. Martínez-García J. Martínez-Escribano J. Torroba A. Ferri B. Abellán D.J. Activating KIRs on Educated NK Cells Support Downregulation of CD226 and Inefficient Tumor Immunosurveillance Cancer Immunol. Res. 2019 7 1307 1317 10.1158/2326-6066.CIR-18-0847 31239317 · DOI
- [19]Nitahara A. Shimura H. Ito A. Tomiyama K. Ito M. Kawai K. NKG2D ligation without T cell receptor engagement triggers both cytotoxicity and cytokine production in dendritic epidermal T cells J. Investig. Dermatol. 2006 126 1052 1058 10.1038/sj.jid.5700112 16484989 · DOI
- [20]Guillamón C.F. Martínez-Sánchez M.V. Gimeno L. Mrowiec A. Martínez-García J. Server-Pastor G. Martínez-Escribano J. Torroba A. Ferri B. Abellán D. NK Cell Education in Tumor Immune Surveillance: DNAM-1/KIR Receptor Ratios as Predictive Biomarkers for Solid Tumor Outcome Cancer Immunol. Res. 2018 6 1537 1547 10.1158/2326-6066.CIR-18-0022 30242020 · DOI
- [21]Zhou Y. Zhou B. Pache L. Chang M. Khodabakhshi A.H. Tanaseichuk O. Benner C. Chanda S.K. Metascape provides a biologist-oriented resource for the analysis of systems-level datasets Nat. Commun. 2019 10 1523 10.1038/s41467-019-09234-6 30944313 PMC6447622 · DOI · Paper page
- [22]Szklarczyk D. Gable A.L. Lyon D. Junge A. Wyder S. Huerta-Cepas J. Simonovic M. Doncheva N.T. Morris J.H. Bork P. STRING v11: Protein-protein association networks with increased coverage, supporting functional discovery in genome-wide experimental datasets Nucleic Acids Res. 2019 47 D607 D613 10.1093/nar/gky1131 30476243 PMC6323986 · DOI · Paper page
- [23]Chin C.-H. Chen S.-H. Wu H.-H. Ho C.-W. Ko M.-T. Lin C.-Y. cytoHubba: Identifying hub objects and sub-networks from complex interactome BMC Syst. Biol. 2014 8 Suppl. S4 S11 10.1186/1752-0509-8-S4-S11 25521941 PMC4290687 · DOI
- [24]Thiruchelvam-Kyle L. Hoelsbrekken S.E. Saether P.C. Bjørnsen E.G. Pende D. Fossum S. Daws M.R. Dissen E. The Activating Human NK Cell Receptor KIR2DS2 Recognizes a β2-Microglobulin-Independent Ligand on Cancer Cells J. Immunol. 2017 198 2556 2567 10.4049/jimmunol.1600930 28202613 · DOI
- [25]Correia M.P. Stojanovic A. Bauer K. Juraeva D. Tykocinski L.-O. Lorenz H.-M. Brors B. Cerwenka A. Distinct human circulating NKp30+FcεRIγ+CD8+ T cell population exhibiting high natural killer-like antitumor potential Proc. Natl. Acad. Sci. USA 2018 115 E5980 E5989 10.1073/pnas.1720564115 29895693 PMC6042091 · DOI
- [26]da Silva R.F. Petta C.A. Derchain S.F. Alici E. Guimarães F. Up-regulation of DNAM-1 and NKp30, associated with improvement of NK cells activation after long-term culture of mononuclear cells from patients with ovarian neoplasia Hum. Immunol. 2014 75 777 784 10.1016/j.humimm.2014.05.010 24882570 · DOI
- [27]Poltorak M. Meinert I. Stone J.C. Schraven B. Simeoni L. Sos1 regulates sustained TCR-mediated Erk activation Eur. J. Immunol. 2014 44 1535 1540 10.1002/eji.201344046 24497027 · DOI
- [28]Llavero F. Artaso A. Lacerda H.M. Parada L.A. Zugaza J.L. Lck/PLCγ control migration and proliferation of interleukin (IL)-2-stimulated T cells via the Rac1 GTPase/glycogen phosphorylase pathway Cell. Signal. 2016 28 1713 1724 10.1016/j.cellsig.2016.07.014 27519475 · DOI
- [29]Cunningham C.A. Knudson K.M. Peng B.J. Teixeiro E. Daniels M.A. The POSH/JIP-1 scaffold network regulates TCR-mediated JNK1 signals and effector function in CD8(+) T cells Eur. J. Immunol. 2013 43 3361 3371 10.1002/eji.201343635 23963642 · DOI
- [30]Hayden M.S. Ghosh S. NF-κB in immunobiology Cell Res. 2011 21 223 244 10.1038/cr.2011.13 21243012 PMC3193440 · DOI
- [31]Chatterjee S. Daenthanasanmak A. Chakraborty P. Wyatt M.W. Dhar P. Selvam S.P. Fu J. Zhang J. Nguyen H. Kang I. CD38-NAD+Axis Regulates Immunotherapeutic Anti-Tumor T Cell Response Cell Metab. 2018 27 85 100 10.1016/j.cmet.2017.10.006 29129787 PMC5837048 · DOI · Paper page
- [32]Widjaja C.E. Olvera J.G. Metz P.J. Phan A.T. Savas J.N. de Bruin G. Leestemaker Y. Berkers C.R. de Jong A. Florea B.I. Proteasome activity regulates CD8+ T lymphocyte metabolism and fate specification J. Clin. Investig. 2017 127 3609 3623 10.1172/JCI90895 28846070 PMC5617668 · DOI
- [33]Jin H. Liao L. Park Y. Liu Y.-C. Neddylation pathway regulates T-cell function by targeting an adaptor protein Shc and a protein kinase Erk signaling Proc. Natl. Acad. Sci. USA 2013 110 624 629 10.1073/pnas.1213819110 23267066 PMC3545825 · DOI
- [34]Lim S. Kaldis P. Cdks, cyclins and CKIs: Roles beyond cell cycle regulation Development 2013 140 3079 3093 10.1242/dev.091744 23861057 · DOI
- [35]Gnanaprakasam J.N.R. Sherman J.W. Wang R. MYC and HIF in shaping immune response and immune metabolism Cytokine Growth Factor Rev. 2017 35 63 70 10.1016/j.cytogfr.2017.03.004 28363691 · DOI
- [36]Natoli G. Ostuni R. Adaptation and memory in immune responses Nat. Immunol. 2019 20 783 792 10.1038/s41590-019-0399-9 31213714 · DOI
- [38]Kim E.Y. Teh S.-J. Yang J. Chow M.T. Teh H.-S. TNFR2-deficient memory CD8 T cells provide superior protection against tumor cell growth J. Immunol. 2009 183 6051 6057 10.4049/jimmunol.0803482 19841176 · DOI
- [39]Yasuda K. Ueda Y. Ozawa M. Matsuda T. Kinashi T. Enhanced cytotoxic T-cell function and inhibition of tumor progression by Mst1 deficiency FEBS Lett. 2016 590 68 75 10.1002/1873-3468.12045 26787462 · DOI
- [40]Agresta L. Hoebe K.H.N. Janssen E.M. The Emerging Role of CD244 Signaling in Immune Cells of the Tumor Microenvironment Front. Immunol. 2018 9 2809 10.3389/fimmu.2018.02809 30546369 PMC6279924 · DOI
- [41]Batlle E. Massagué J. Transforming Growth Factor-β Signaling in Immunity and Cancer Immunity 2019 50 924 940 10.1016/j.immuni.2019.03.024 30995507 PMC7507121 · DOI · Paper page
- [42]Nandi A. Estess P. Siegelman M. Bimolecular complex between rolling and firm adhesion receptors required for cell arrest; CD44 association with VLA-4 in T cell extravasation Immunity 2004 20 455 465 10.1016/S1074-7613(04)00077-9 15084274 · DOI
- [43]Hegde V.L. Singh N.P. Nagarkatti P.S. Nagarkatti M. CD44 mobilization in allogeneic dendritic cell-T cell immunological synapse plays a key role in T cell activation J. Leukoc. Biol. 2008 84 134 142 10.1189/jlb.1107752 18388297 PMC3178506 · DOI
- [44]Paluskievicz C.M. Cao X. Abdi R. Zheng P. Liu Y. Bromberg J.S. T Regulatory Cells and Priming the Suppressive Tumor Microenvironment Front. Immunol. 2019 10 2453 10.3389/fimmu.2019.02453 31681327 PMC6803384 · DOI
- [45]Minguela A. Pastor S. Mi W. Richardson J.A. Ward E.S. Feedback regulation of murine autoimmunity via dominant anti-inflammatory effects of interferon gamma J. Immunol. 2007 178 134 144 10.4049/jimmunol.178.1.134 17182548 · DOI
- [46]Castro F. Cardoso A.P. Gonçalves R.M. Serre K. Oliveira M.J. Interferon-Gamma at the Crossroads of Tumor Immune Surveillance or Evasion Front. Immunol. 2018 9 847 10.3389/fimmu.2018.00847 29780381 PMC5945880 · DOI · Paper page
- [47]Ohmatsu H. Humme D. Gonzalez J. Gulati N. Möbs M. Sterry W. Krueger J.G. IL-32 induces indoleamine 2,3-dioxygenase+CD1c+ dendritic cells and indoleamine 2,3-dioxygenase+CD163+ macrophages: Relevance to mycosis fungoides progression Oncoimmunology 2017 6 e1181237 10.1080/2162402X.2016.1181237 28344860 PMC5353917 · DOI
- [48]Harrison O.J. Srinivasan N. Pott J. Schiering C. Krausgruber T. Ilott N.E. Maloy K.J. Epithelial-derived IL-18 regulates Th17 cell differentiation and Foxp3+Treg cell function in the intestine Mucosal Immunol. 2015 8 1226 1236 10.1038/mi.2015.13 25736457 PMC4368110 · DOI
- [49]Eil R. Vodnala S.K. Clever D. Klebanoff C.A. Sukumar M. Pan J.H. Palmer D.C. Gros A. Yamamoto T.N. Patel S.J. Ionic immune suppression within the tumour microenvironment limits T cell effector function Nature 2016 537 539 543 10.1038/nature19364 27626381 PMC5204372 · DOI
- [50]Wan F. Anderson D.E. Barnitz R.A. Snow A. Bidere N. Zheng L. Hegde V. Lam L.T. Staudt L.M. Levens D. Ribosomal protein S3: A KH domain subunit in NF-kappaB complexes that mediates selective gene regulation Cell 2007 131 927 939 10.1016/j.cell.2007.10.009 18045535 · DOI
- [51]Mandelboim O. Reyburn H.T. Valés-Gómez M. Pazmany L. Colonna M. Borsellino G. Strominger J.L. Protection from lysis by natural killer cells of group 1 and 2 specificity is mediated by residue 80 in human histocompatibility leukocyte antigen C alleles and also occurs with empty major histocompatibility complex molecules J. Exp. Med. 1996 184 913 922 10.1084/jem.184.3.913 9064351 PMC2192787 · DOI
- [52]Levings M.K. Sangregorio R. Sartirana C. Moschin A.L. Battaglia M. Orban P.C. Roncarolo M.-G. Human CD25+CD4+ T suppressor cell clones produce transforming growth factor beta, but not interleukin 10, and are distinct from type 1 T regulatory cells J. Exp. Med. 2002 196 1335 1346 10.1084/jem.20021139 12438424 PMC2193983 · DOI
- [53]Bardou P. Mariette J. Escudié F. Djemiel C. Klopp C. jvenn: An interactive Venn diagram viewer BMC Bioinform. 2014 15 293 10.1186/1471-2105-15-293 PMC4261873 25176396 · DOI
- [54]Shannon P. Markiel A. Ozier O. Baliga N.S. Wang J.T. Ramage D. Amin N. Schwikowski B. Ideker T. Cytoscape: A software environment for integrated models of biomolecular interaction networks Genome Res. 2003 13 2498 2504 10.1101/gr.1239303 14597658 PMC403769 · DOI · Paper page
Cited by
Sorted by citations
Guo, X., Nie, H., Zhang, W., Li, J., Ge, J., Xie, B., Hu, W., Zhu, Y., Zhong, N., Zhang, X., et al. (2025) · Cancer Cell · doi:10.1016/j.ccell.2025.01.001 · Cited by 100 · see citing works
- Authors
- Gimeno, L., Serrano-López, E. M., Campillo, J. A., Cánovas-Zapata, M. A., Acuña, O. S., García-Cózar, F., Martínez-Sánchez, M. V., Martínez-Hernández, M. D., Soto-Ramírez, M. F., López-Cubillana, P., Martínez-Escribano, J., Martínez-García, J., Corbalan-García, S., Álvarez-López, M. R., & Minguela, A.
- Affiliations
- Instituto Murciano de Investigación Biosanitaria (ES)
- Universidad de Murcia (ES)
- Immunology Service, Hospital Clínico Universitario Virgen de la Arrixaca and Instituto Murciano de Investigación Biomédica (IMIB-Arrixaca), 30120 Murcia, Spain
- Universidad Autónoma de Sinaloa (MX)
- Department of Biomedicine, Biotechnology and Public Health (Immunology), University of Cadiz and Institute of Biomedical Research Cádiz (INIBICA), 11009 Cadiz, Spain
- Dermatology Service, Hospital Clínico Universitario Virgen de la Arrixaca and Instituto Murciano de Investigación Biomédica (IMIB-Arrixaca), 30120 Murcia, Spain
- Department of Biochemistry and Molecular Biology, Veterinary School, International Excellence Campus “Campus Mare Nostrum”, Universidad Murcia, 30100 Murcia, Spain
- Corresponding author
- Minguela, Alfredo
- Venue
- Cancers
- Publisher
- MDPI AG
- Published
- 2020-10-15
- Volume
- 12
- Issue
- 10
- Pages
- 2991
- ISSN
- 2072-6694 (ISSN-L)
- PMC
- PMC7650600
- OpenAlex
- W3093284555
- Cited by
- 17
- References
- 1
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 2
- FWCI
- 0.70
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Cancers (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- RODIN (Universidad de Cádiz) (submittedVersion, cc-by)
- RISalud Institutional Health Repository of Andalucía (submittedVersion, cc-by)
- Funders
- Instituto de Salud Carlos III (PI1302297)
- Fundación Mutua Madrileña (AP74392010)
- Fundación Séneca (20812-PI-18)
- Asociación Pablo Ugarte (APU) ((no number))
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Immune Cell Function and Interaction
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Keywords
- killer cell immunoglobulin-like receptors, tumor surveillance, KIR2DL1, melanoma, bladder cancer, ovarian cancer, overall survival, gene expression profiling, tumor microenvironment, T cell expansion
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review