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Updated: Jul 20, 2026

Measurement of Natural Killer Cell-Mediated Cytotoxicity and Migration in the Context of Hepatic Tumor Cells
Published on: February 22, 2020
Resistance against natural killer cell cytotoxicity: analysis of mechanisms
J Hasenkamp1, A Borgerding, G Wulf
1Department of Haematology and Oncology, Georg-August University of Goettingen, Goettingen, Germany. j.hasenkamp@med.uni-goettingen.de
Abstract:
Target cell resistance against natural killer (NK) cell-mediated cytotoxicity obstructs NK cell-based immunotherapy of leukaemia. Several mechanisms of resistance have been described. Because of lack of simple assays for analysing these mechanisms, their relative impact on a given effector-target pair is mostly unknown. We here analysed the combination of the Granzyme B (GrB) enzyme-linked immunospot assay (ELISPOT) for the assessment of NK cell reactivity and cytotoxicity assays to estimate target cell escape mechanisms. Target cell recognition failure leads to negative GrB ELISPOT results, whereas target cell resistance shows positive GrB ELISPOT results in the absence of cytotoxicity. We confronted NK cells with the sensitive target cell line K562, and with the resistant cell lines ML2, SupB15 and Raji. ML2 cells sufficiently activated GrB-release whilst being resistant against cytotoxic granules of NK cells. Partial resistance of Raji results from the interaction of HLA class I with inhibitory killer immunglobulin-like receptors (KIR) on the NK cells. Failure of target recognition by HLA class I-KIR interaction, lacking ligands to stimulatory NK cell receptors and partial resistance to cytotoxic granules all contributed to resistance of SupB15. In conclusion, revealing the mechanisms of resistance against NK cell-mediated cytotoxicity may allow improving the results of NK-based immunotherapy.
Insights
Target cell resistance hinders natural killer (NK) cell immunotherapy for leukemia. This study introduces assays to identify resistance mechanisms, paving the way for improved cancer treatments.
Area of Science:
- Immunology
- Cancer Biology
- Cellular Cytotoxicity
Background:
- Target cell resistance to natural killer (NK) cell-mediated cytotoxicity is a major obstacle in NK cell-based immunotherapy for leukemia.
- Existing assays lack the simplicity to analyze these resistance mechanisms and their impact on effector-target interactions.
Purpose of the Study:
- To develop and apply combined Granzyme B (GrB) enzyme-linked immunospot (ELISPOT) and cytotoxicity assays to analyze NK cell resistance mechanisms.
- To differentiate between target cell recognition failure and resistance to cytotoxic granules.
Main Methods:
- Utilized Granzyme B (GrB) ELISPOT assay to assess NK cell reactivity.
- Employed cytotoxicity assays to evaluate target cell escape mechanisms.
- Tested NK cells against sensitive (K562) and resistant (ML2, SupB15, Raji) target cell lines.
Main Results:
- ML2 cells showed Granzyme B release but resisted NK cell cytotoxic granules.
- Raji cell resistance was partially attributed to HLA class I interactions with inhibitory killer immunoglobulin-like receptors (KIR).
- SupB15 resistance resulted from a combination of failed target recognition (HLA class I-KIR interaction), lack of stimulatory ligands, and partial resistance to cytotoxic granules.
Conclusions:
- The developed assay combination effectively distinguishes NK cell resistance mechanisms.
- Understanding these mechanisms is crucial for enhancing the efficacy of NK cell-based immunotherapies for leukemia.
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