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Updated: Mar 15, 2026

Isolation and Expansion of Cytotoxic Cytokine-induced Killer T Cells for Cancer Treatment
Published on: January 24, 2020
Cytokines can counteract the inhibitory effect of MEK-i on NK-cell function
Claudia Manzini1, Roberta Venè2, Irene Cossu1
1IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Abstract:
Oncogene-targeted therapies based on mutated BRAF- and/or MEK-specific inhibitors have been developed for melanoma treatment. Although these drugs induce tumor regression in a high percentage of patients, clinical responses are frequently limited in time and tumors often recur. Recent studies suggested that the combination of BRAF/MEK inhibition with immunotherapy could represent a promising strategy for the cure of melanoma. NK cells are suitable effectors for tumor immunotherapy. Here we show that PLX4032 (a mutant BRAFV600 inhibitor) had no effect on the functional properties of NK cells cultured in the presence of IL-2 or IL-15. In contrast, PD0325901 (a MEK inhibitor) induced the down-regulation of the main activating NK receptors and inhibited NK cell function. Importantly, PD0325901 did not affect the anti-tumor activity of NK cells that had been exposed to a combination of IL-15 and IL-18. In addition, both PLX4032 and PD0325901 did not exert any inhibitory effect on in vitro IL-2 or IL-15 pre-activated NK cells.Our data may provide a rationale for future clinical protocols that combine IL-15/IL-18 cytokine administration with MEK inhibitors. In addition, they suggest that oncogene-targeting drugs are compatible with NK-based adoptive therapy.
Insights
BRAF and MEK inhibitors show potential for melanoma treatment. MEK inhibitors may impact natural killer (NK) cell function, but combinations with IL-15/IL-18 cytokines show promise for immunotherapy.
Area of Science:
- Immunology
- Oncology
- Pharmacology
Background:
- Targeted therapies for melanoma, including BRAF and MEK inhibitors, often lead to acquired resistance and tumor recurrence.
- Combining BRAF/MEK inhibition with immunotherapy, particularly using natural killer (NK) cells, is a promising strategy for overcoming treatment limitations.
- NK cells are crucial immune effectors in tumor immunotherapy due to their cytotoxic and regulatory functions.
Purpose of the Study:
- To investigate the impact of BRAF and MEK inhibitors on the function of NK cells.
- To evaluate the compatibility of these targeted therapies with NK cell-based immunotherapy, especially when combined with specific cytokines.
- To provide a rationale for combining MEK inhibitors with cytokine-supported NK cell therapy in melanoma treatment protocols.
Main Methods:
- Assessing the functional properties of NK cells cultured with IL-2 or IL-15 in the presence of BRAF inhibitor PLX4032 and MEK inhibitor PD0325901.
- Analyzing the expression of activating NK receptors following treatment with PD0325901.
- Evaluating the anti-tumor activity of NK cells exposed to IL-15/IL-18 and MEK inhibitors in vitro.
- Testing the effect of PLX4032 and PD0325901 on pre-activated NK cells.
Main Results:
- The BRAF inhibitor PLX4032 did not affect NK cell function when cultured with IL-2 or IL-15.
- The MEK inhibitor PD0325901 reduced the expression of key activating NK receptors and impaired NK cell function.
- PD0325901 did not inhibit the anti-tumor activity of NK cells activated by IL-15 and IL-18.
- Neither PLX4032 nor PD0325901 inhibited IL-2 or IL-15 pre-activated NK cells.
Conclusions:
- MEK inhibitors may modulate NK cell function, but their combination with IL-15/IL-18 cytokines warrants further investigation for melanoma immunotherapy.
- BRAF and MEK inhibitors appear compatible with NK cell-based adoptive therapy, suggesting potential for combined treatment strategies.
- These findings support the development of clinical protocols integrating cytokine-enhanced NK cell therapy with MEK inhibitors for melanoma patients.
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