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Updated: May 9, 2026

Measurement of Natural Killer Cell-Mediated Cytotoxicity and Migration in the Context of Hepatic Tumor Cells
Published on: February 22, 2020
Hypoxia downregulates the expression of activating receptors involved in NK-cell-mediated target cell killing without
Mirna Balsamo1, Claudia Manzini, Gabriella Pietra
1Dipartimento di Medicina Sperimentale, Università di Genova, Genova, Italy.
Abstract:
In certain infection sites or tumor tissues, the disruption of homeostasis can give rise to a hypoxic microenvironment, which, in turn, can alter the function of different immune cell types and favor the progression of the disease. Natural killer (NK) cells are directly involved in the elimination of virus-infected or transformed cells, however it is unknown whether their function is affected by hypoxia or not. In this study, we show that NK cells adapt to a hypoxic environment by upregulating the hypoxia-inducible factor 1α. However, NK cells lose their ability to upregulate the surface expression of the major activating NK-cell receptors (NKp46, NKp30, NKp44, and NKG2D) in response to IL-2 (or other activating cytokines, including IL-15, IL-12, and IL-21). These altered phenotypic features correlate with reduced responses to triggering signals resulting in impaired capability of killing infected or tumor target cells. Remarkably, hypoxia does not significantly alter the surface density and the triggering function of the Fc-γ receptor CD16, thus allowing NK cells to maintain their capability of killing target cells via antibody-dependent cellular cytotoxicity. This finding offers an important clue for exploitation of NK cell in antibody-based immunotherapy of cancer.
Insights
Hypoxia impairs natural killer (NK) cell anti-tumor activity by reducing activating receptor expression. However, NK cells retain antibody-dependent cellular cytotoxicity via CD16, offering potential for cancer immunotherapy.
Area of Science:
- Immunology
- Cancer Biology
- Cellular Microenvironments
Background:
- Hypoxia disrupts homeostasis in infection sites and tumors, altering immune cell function and promoting disease.
- Natural killer (NK) cells combat virus-infected and transformed cells, but their response to hypoxia remains unclear.
Purpose of the Study:
- To investigate the impact of hypoxia on NK cell function and phenotype.
- To explore the potential of NK cells in antibody-based cancer immunotherapy under hypoxic conditions.
Main Methods:
- Analysis of NK cell adaptation to hypoxia via hypoxia-inducible factor 1α (HIF-1α) upregulation.
- Assessment of NK cell receptor expression (NKp46, NKp30, NKp44, NKG2D, CD16) and cytokine responsiveness (IL-2, IL-15, IL-12, IL-21).
- Evaluation of NK cell killing capacity against target cells in hypoxic conditions, including antibody-dependent cellular cytotoxicity (ADCC).
Main Results:
- NK cells upregulate HIF-1α in response to hypoxia, indicating adaptation.
- Hypoxia impairs NK cell ability to upregulate key activating receptors (NKp46, NKp30, NKp44, NKG2D) upon cytokine stimulation.
- Reduced activating receptor expression correlates with diminished NK cell killing of infected or tumor cells.
- Hypoxia does not significantly affect the surface density or function of the Fc-γ receptor CD16.
- NK cell-mediated antibody-dependent cellular cytotoxicity (ADCC) is preserved in hypoxic environments.
Conclusions:
- Hypoxia alters NK cell phenotype and function, reducing their direct cytotoxic activity.
- Preserved CD16 function allows NK cells to maintain ADCC in hypoxic tumor microenvironments.
- Targeting CD16-mediated ADCC offers a promising strategy for antibody-based cancer immunotherapy in hypoxic tumors.
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