Decreased NKG2D expression on NK cells correlates with impaired NK cell function in patients with gastric cancer
Hiroaki Saito1, Tomohiro Osaki, Masahide Ikeguchi
1Division of Surgical Oncology, Department of Surgery, Tottori University School of Medicine, 36-1 Nishi-cho, Yonago, Japan. sai10@med.tottori-u.ac.jp
Background:
Although malignant diseases are known to be associated with immune suppression, the detailed mechanisms involved are still unknown. NKG2D is an activating cell surface receptor expressed by natural killer (NK) cells and CD8+ T cells, and the engagement of NKG2D is extremely important for NK cell activation. Although decreased NKG2D expression on NK cells is closely related to immune evasion by some cancers, the immunopathological importance of this phenomenon in gastric cancer patients remains unclear.
Methods:
NKG2D expression on NK cells was determined, using multicolor flow cytometry, to investigate the mechanisms responsible for immune evasion in gastric cancer patients.
Results:
NKG2D expression on NK cells from gastric cancer patients was significantly lower than that in healthy controls. Also, NKG2D expression in advanced gastric cancer was significantly lower than that in early gastric cancer. NK cells from patients with lymph node metastasis expressed significantly lower levels of NKG2D than the NK cells from those without lymph node metastasis, and NKG2D expression on NK cells in gastric cancer tissue was significantly lower than that of circulating NK cells. NKG2D expression on NK cells obtained from cancer patients was restored after 48 h in culture with RPMI containing 10% AB serum. Furthermore, NKG2D expression on NK cells obtained after surgery was significantly higher than that before surgery.
Conclusions:
Decreased NKG2D expression on NK cells may be one of the key mechanisms responsible for NK cell dysfunction in gastric cancer.
Insights
Reduced NKG2D expression on natural killer (NK) cells is linked to immune evasion in gastric cancer. This NK cell dysfunction, indicated by lower NKG2D levels, worsens with cancer progression and metastasis.
Area of Science:
- Immunology
- Oncology
- Cell Biology
Background:
- Malignant diseases are associated with immune suppression, but mechanisms remain unclear.
- NKG2D is a crucial activating receptor for natural killer (NK) and CD8+ T cells.
- Decreased NKG2D expression on NK cells aids cancer immune evasion, but its role in gastric cancer is unknown.
Purpose of the Study:
- To investigate the role of NKG2D expression on NK cells in gastric cancer immune evasion.
- To determine if NKG2D levels correlate with gastric cancer stage and metastasis.
Main Methods:
- Multicolor flow cytometry was used to quantify NKG2D expression on NK cells.
- NKG2D expression was compared between gastric cancer patients and healthy controls.
- Expression levels were analyzed in relation to cancer stage, lymph node metastasis, and tumor location.
Main Results:
- Gastric cancer patients exhibited significantly lower NKG2D expression on NK cells compared to healthy individuals.
- NKG2D expression decreased with advanced stage, lymph node metastasis, and in tumor tissue versus circulating NK cells.
- NKG2D expression was restored in vitro and increased post-surgery, suggesting a dynamic regulation.
Conclusions:
- Diminished NKG2D expression on NK cells is a key factor in NK cell dysfunction in gastric cancer.
- This downregulation contributes to immune evasion strategies employed by gastric tumors.
- NKG2D levels may serve as a potential biomarker for gastric cancer progression.
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