Splice variants of human natural cytotoxicity receptors: novel innate immune checkpoints

Avishai Shemesh1,2, Michael Brusilovsky3, Kiran Kundu1,2

  • 1The Shraga Segal Department of Microbiology, Immunology and Genetics, Goldman Building, Room 143, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, 84105, Israel.

Insights

Natural cytotoxicity receptors (NCRs) can have inhibitory functions due to alternative splicing. These newly discovered inhibitory NCRs act as immune checkpoints and offer potential therapeutic targets for diseases like cancer.

Area of Science:

  • Immunology
  • Molecular Biology

Background:

  • Natural cytotoxicity receptors (NCRs) like NKp30, NKp44, and NKp46 were initially identified as activating receptors on NK cells crucial for anti-tumor responses.
  • Recent studies reveal that alternative splicing of NCR genes generates isoforms with inhibitory functions.

Purpose of the Study:

  • To review the diverse NCR splice variants and the cytokines that regulate their expression.
  • To explore the functional consequences of these isoforms on innate immune cells.
  • To discuss their differential expression in cancer, pregnancy, and infectious diseases.

Main Methods:

  • Literature review of studies on NCR splice variants.
  • Analysis of cytokine-mediated regulation of NCR expression.
  • Examination of functional impacts and expression patterns in various pathological contexts.

Main Results:

  • Differential splicing of NCR genes leads to inhibitory receptor isoforms.
  • These inhibitory isoforms can be induced by cytokines in specific tissue microenvironments.
  • The inhibitory NKp44 isoform interacts with PCNA on tumor cells, highlighting specific ligand-receptor interactions.

Conclusions:

  • The discovery of inhibitory NCR isoforms reveals novel innate immune checkpoints.
  • Many of these checkpoints lack defined ligands and clear regulatory mechanisms.
  • These pathways present potential therapeutic targets for modulating innate immunity in cancer, pregnancy disorders, and infections.

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