Clinical cancer therapy by NK cells via antibody-dependent cell-mediated cytotoxicity
Kory L Alderson1, Paul M Sondel
1Department of Human Oncology, University of Wisconsin, Madison, WI 53705, USA.
Abstract:
Natural killer (NK) cells are powerful effector cells that can be directed to eliminate tumor cells through tumor-targeted monoclonal antibodies (mAbs). Some tumor-targeted mAbs have been successfully applied in the clinic and are included in the standard of care for certain malignancies. Strategies to augment the antitumor response by NK cells have led to an increased understanding of how to improve their effector responses. Next-generation reagents, such as molecularly modified mAbs and mAb-cytokine fusion proteins (immunocytokines, ICs) designed to augment NK-mediated killing, are showing promise in preclinical and some clinical settings. Continued research into the antitumor effects induced by NK cells and tumor-targeted mAbs suggests that additional intrinsic and extrinsic factors may influence the antitumor response. Therefore more research is needed that focuses on evaluating which NK cell and tumor criteria are best predictive of a clinical response and which combination immunotherapy regimens to pursue for distinct clinical settings.
Insights
Natural killer (NK) cells enhance cancer immunotherapy using monoclonal antibodies (mAbs). Further research is needed to optimize NK cell and tumor criteria for predicting clinical response to these novel immunotherapies.
Area of Science:
- Immunology
- Oncology
- Biotechnology
Background:
- Natural killer (NK) cells are crucial immune effectors for eliminating tumor cells.
- Tumor-targeted monoclonal antibodies (mAbs) are clinically established for treating certain cancers.
- Strategies to enhance NK cell antitumor activity are advancing, with novel reagents showing promise.
Purpose of the Study:
- To review the role of NK cells and mAbs in cancer immunotherapy.
- To discuss next-generation reagents like immunocytokines (ICs) that augment NK-mediated killing.
- To highlight the need for research identifying predictive biomarkers for clinical response.
Main Methods:
- Review of current literature on NK cell biology and mAb-based cancer therapies.
- Analysis of preclinical and clinical data for novel immunotherapeutic agents.
- Identification of factors influencing NK cell efficacy against tumors.
Main Results:
- Monoclonal antibodies (mAbs) can direct NK cells to eliminate tumor cells.
- Next-generation reagents, including immunocytokines (ICs), are emerging to boost NK cell activity.
- Intrinsic and extrinsic factors significantly impact the antitumor response.
Conclusions:
- NK cell-targeted mAbs represent a significant advance in cancer immunotherapy.
- Further research is essential to determine optimal NK cell and tumor criteria for predicting treatment response.
- Identifying predictive biomarkers will guide the development of combination immunotherapy regimens for specific clinical settings.
Related Concept Videos
Cytotoxic T Cells-mediated Immune Response
Immunological surveillance is the ability of immune cells to monitor and eliminate infected cells with intracellular pathogens, neoplastically transformed cells, and cells with non-self antigens. Cytotoxic T cells and NK...
Tumor Immunotherapy
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Cells of the Innate Immune Response
Phagocytes
Phagocytes police the peripheral tissues by removing cellular debris and responding to the invasion of foreign substances or pathogens. Many phagocytes attack and remove microorganisms even before lymphocytes detect them. The human body has two general...
Immune Surveillance by NK Cells and Phagocytes
Natural Killer Cells: The Fast Responders
NK cells are large granular lymphocytes found in the blood and lymphatic system. These...
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists


