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Updated: Jun 19, 2026

Advances in Human Induced Pluripotent Stem Cell-Derived Chimeric Antigen Receptor-Expressing Natural Killer Cells
Published on: February 14, 2025
Primary human tumor cells expressing CD155 impair tumor targeting by down-regulating DNAM-1 on NK cells
Mattias Carlsten1, Håkan Norell, Yenan T Bryceson
1Department of Medicine, Karolinska Institutet, Karolinska University Hospital, Center for Infectious Medicine, Stockholm, Sweden. mattias.carlsten@ki.se
Abstract:
The activating NK cell receptor DNAX accessory molecule-1 (DNAM-1) contributes to tumor immune surveillance and plays a crucial role in NK cell-mediated recognition of several types of human tumors, including ovarian carcinoma. Here, we have analyzed the receptor repertoire and functional integrity of NK cells in peritoneal effusions from patients with ovarian carcinoma. Relative to autologous peripheral blood NK cells, tumor-associated NK cells expressed reduced levels of the DNAM-1, 2B4, and CD16 receptors and were hyporesponsive to HLA class I-deficient K562 cells and to coactivation via DNAM-1 and 2B4. Moreover, tumor-associated NK cells were also refractory to CD16 receptor stimulation, resulting in diminished Ab-dependent cellular cytotoxicity against autologous tumor cells. Coincubation of NK cells with ovarian carcinoma cells expressing the DNAM-1 ligand CD155 led to reduction of DNAM-1 expression. Therefore, NK cell-mediated rejection of ovarian carcinoma may be limited by perturbed DNAM-1 expression on tumor-associated NK cells induced by chronic ligand exposure. Thus, these data support the notion that tumor-induced alterations of activating NK cell receptor expression may hamper immune surveillance and promote tumor progression.
Insights
Tumor-associated NK cells show reduced activating receptors like DNAX accessory molecule-1 (DNAM-1), impairing ovarian cancer immune surveillance. Chronic ligand exposure may cause this, promoting tumor progression.
Area of Science:
- Immunology
- Cancer Biology
- Cellular Immunology
Background:
- Activating NK cell receptors, such as DNAX accessory molecule-1 (DNAM-1), are vital for tumor immune surveillance.
- DNAM-1 plays a critical role in NK cell recognition of various human tumors, including ovarian carcinoma.
Purpose of the Study:
- To investigate the receptor repertoire and functional status of NK cells in ovarian carcinoma peritoneal effusions.
- To determine how tumor-associated NK cells respond to stimulation and interact with tumor cells.
Main Methods:
- Analysis of NK cell receptor expression (DNAM-1, 2B4, CD16) in tumor-associated vs. peripheral blood NK cells.
- Assessment of NK cell hyporesponsiveness to target cells (K562) and co-stimulation.
- Evaluation of antibody-dependent cellular cytotoxicity (ADCC) against autologous tumor cells.
- Investigation of DNAM-1 expression changes upon coincubation with ovarian carcinoma cells expressing the DNAM-1 ligand (CD155).
Main Results:
- Tumor-associated NK cells exhibited reduced expression of DNAM-1, 2B4, and CD16 compared to autologous peripheral blood NK cells.
- These tumor-associated NK cells were hyporesponsive to HLA class I-deficient K562 cells and coactivation via DNAM-1 and 2B4.
- NK cells showed refractoriness to CD16 stimulation, leading to diminished ADCC against autologous tumor cells.
- Exposure to ovarian carcinoma cells expressing CD155 reduced DNAM-1 expression on NK cells.
Conclusions:
- Perturbed DNAM-1 expression on tumor-associated NK cells, induced by chronic ligand exposure, may limit NK cell-mediated rejection of ovarian carcinoma.
- Tumor-induced alterations in activating NK cell receptor expression can impair immune surveillance and contribute to tumor progression.
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