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Published on: February 14, 2025
GSK3 Inhibition Drives Maturation of NK Cells and Enhances Their Antitumor Activity
Frank Cichocki1, Bahram Valamehr2, Ryan Bjordahl2
1Division of Hematology, Oncology and Transplantation, Department of Medicine, University of Minnesota Cancer Center, Minneapolis, Minnesota.
Abstract:
Maturation of human natural killer (NK) cells as defined by accumulation of cell-surface expression of CD57 is associated with increased cytotoxic character and TNF and IFNγ production upon target-cell recognition. Notably, multiple studies point to a unique role for CD57+ NK cells in cancer immunosurveillance, yet there is scant information about how they mature. In this study, we show that pharmacologic inhibition of GSK3 kinase in peripheral blood NK cells expanded ex vivo with IL15 greatly enhances CD57 upregulation and late-stage maturation. GSK3 inhibition elevated the expression of several transcription factors associated with late-stage NK-cell maturation including T-BET, ZEB2, and BLIMP-1 without affecting viability or proliferation. When exposed to human cancer cells, NK cell expanded ex vivo in the presence of a GSK3 inhibitor exhibited significantly higher production of TNF and IFNγ, elevated natural cytotoxicity, and increased antibody-dependent cellular cytotoxicity. In an established mouse xenograft model of ovarian cancer, adoptive transfer of NK cells conditioned in the same way also displayed more robust and durable tumor control. Our findings show how GSK3 kinase inhibition can greatly enhance the mature character of NK cells most desired for effective cancer immunotherapy. Cancer Res; 77(20); 5664-75. ©2017 AACR.
Insights
Inhibiting GSK3 kinase enhances natural killer (NK) cell maturation, boosting their cancer-fighting abilities. This approach improves NK cell cytotoxicity and tumor control, offering a promising avenue for cancer immunotherapy.
Area of Science:
- Immunology
- Cell Biology
- Cancer Research
Background:
- Natural Killer (NK) cell maturation, marked by CD57 expression, correlates with enhanced cytotoxic activity and cytokine production (TNF, IFNγ).
- CD57+ NK cells play a crucial role in cancer immunosurveillance, but mechanisms driving their maturation remain largely unknown.
Purpose of the Study:
- To investigate the effect of GSK3 kinase inhibition on human NK cell maturation.
- To evaluate the impact of GSK3 inhibition on NK cell function and anti-cancer efficacy.
Main Methods:
- Human peripheral blood NK cells were expanded ex vivo with IL15 and treated with a GSK3 inhibitor.
- NK cell maturation markers (CD57, T-BET, ZEB2, BLIMP-1), viability, proliferation, and cytotoxic functions were assessed.
- In vivo efficacy was tested using a mouse xenograft model of ovarian cancer.
Main Results:
- GSK3 inhibition significantly upregulated CD57 expression and key transcription factors (T-BET, ZEB2, BLIMP-1) without affecting NK cell viability or proliferation.
- Ex vivo expanded NK cells treated with GSK3 inhibitor showed enhanced TNF and IFNγ production, natural cytotoxicity, and antibody-dependent cellular cytotoxicity (ADCC).
- Adoptive transfer of GSK3 inhibitor-conditioned NK cells resulted in more robust and durable control of ovarian tumors in a mouse model.
Conclusions:
- Pharmacologic inhibition of GSK3 kinase is a potent strategy to promote late-stage maturation of human NK cells.
- GSK3 inhibition enhances NK cell effector functions critical for cancer immunotherapy.
- Conditioned NK cells demonstrate improved anti-tumor activity in vivo, highlighting their therapeutic potential.
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