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Updated: May 25, 2026

Flow Cytometry-based Assay for the Monitoring of NK Cell Functions
Published on: October 30, 2016
IRX-2, a novel immunotherapeutic, enhances and protects NK-cell functions in cancer patients
B Schilling1, E S Halstead, P Schuler
1Department of Pathology, University of Pittsburgh, Pittsburgh, PA, USA.
Background:
IRX-2 is a primary biologic which has been used for the therapy of head and neck squamous cell cancer (HNSCC) with promising clinical results. Since NK-cell function is compromised in HNSCC patients, we tested the effects of IRX-2 on the restoration of human NK-cell functions in vitro.
Methods:
Peripheral blood mononuclear cells (PBMC) were isolated from 23 HNSCC patients and 10 normal controls (NC). The NK-cell phenotype and functions were compared before and after culture ± IRX-2 or ± 50 IU/ml rhIL-2. Flow cytometry was used to study the NK-cell phenotype, cytotoxic activity and cytokine expression.
Results:
Impaired NK-cell cytotoxicity in HNSCC patients was related to lower expression of NKG2D, NKp30 and NKp46 receptors (P < 0.05) and not to a decreased frequency of NK cells. Incubation of patients' NK cells with IRX-2 up-regulated the percentage of receptor-positive NK cells (P < 0.05). It also up-regulated cytotoxicity of patients' NK cells (P < 0.01) more effectively than rhIL-2 (P < 0.01). IRX-2, but not rhIL-2, protected NK cells from suppression mediated by TGF-β, and it restored (P < 0.05) expression of activating NK-cell receptors and NK-cell cytotoxicity suppressed by TGF-β. Expression of pSMAD was decreased in NK cells treated with IRX-2 but not in those treated with rhIL-2.
Conclusions:
IRX-2 was more effective than IL-2 in enhancing NK-cell cytotoxicity and protecting NK-cell function of HNSCC patients in vitro, emphasizing the potential advantage of IRX-2 as a component of future therapies for HNSCC.
Insights
IRX-2 enhances natural killer (NK) cell function in head and neck squamous cell cancer (HNSCC) patients more effectively than IL-2. This biologic restores NK cell cytotoxicity and receptor expression, offering potential for HNSCC therapy.
Area of Science:
- Immunology
- Oncology
- Biotherapeutics
Background:
- Head and neck squamous cell cancer (HNSCC) is associated with compromised natural killer (NK) cell function.
- IRX-2 is a biologic agent investigated for HNSCC therapy with promising clinical outcomes.
Purpose of the Study:
- To evaluate the efficacy of IRX-2 in restoring human NK-cell functions in vitro.
- To compare the effects of IRX-2 with recombinant human interleukin-2 (rhIL-2) on NK cells from HNSCC patients.
Main Methods:
- Peripheral blood mononuclear cells (PBMC) were isolated from HNSCC patients and normal controls.
- NK-cell phenotype, cytotoxicity, and cytokine expression were analyzed using flow cytometry before and after culture with IRX-2 or rhIL-2.
- The impact of transforming growth factor-beta (TGF-β) on NK-cell function was assessed.
Main Results:
- HNSCC patients exhibited impaired NK-cell cytotoxicity linked to reduced expression of NKG2D, NKp30, and NKp46 receptors.
- IRX-2 significantly up-regulated NK-cell receptor expression and cytotoxicity in HNSCC patients' NK cells, outperforming rhIL-2.
- IRX-2 protected NK cells from TGF-β-mediated suppression and restored receptor expression and cytotoxicity, unlike rhIL-2. pSMAD expression was decreased by IRX-2.
Conclusions:
- IRX-2 demonstrates superior efficacy compared to IL-2 in enhancing NK-cell cytotoxicity and function in HNSCC patients.
- IRX-2 shows potential as a valuable component in future HNSCC therapeutic strategies.
- Restoration of NK-cell function by IRX-2 may improve treatment outcomes for HNSCC.
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