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Updated: Jan 31, 2026

Flow Cytometry-based Assay for the Monitoring of NK Cell Functions
Published on: October 30, 2016
NK Cell-Based Immunotherapy in Cancer Metastasis
Seila Lorenzo-Herrero1,2,3, Alejandro López-Soto4,5,6, Christian Sordo-Bahamonde7,8,9
1Department of Functional Biology, Immunology, University of Oviedo, 33006 Oviedo, Spain. seilalorenzoherrero@gmail.com.
Abstract:
Metastasis represents the leading cause of cancer-related death mainly owing to the limited efficacy of current anticancer therapies on advanced malignancies. Although immunotherapy is rendering promising results in the treatment of cancer, many adverse events and factors hampering therapeutic efficacy, especially in solid tumors and metastases, still need to be solved. Moreover, immunotherapeutic strategies have mainly focused on modulating the activity of T cells, while Natural Killer (NK) cells have only recently been taken into consideration. NK cells represent an attractive target for cancer immunotherapy owing to their innate capacity to eliminate malignant tumors in a non-Major Histocompatibility Complex (MHC) and non-tumor antigen-restricted manner. In this review, we analyze the mechanisms and efficacy of NK cells in the control of metastasis and we detail the immunosubversive strategies developed by metastatic cells to evade NK cell-mediated immunosurveillance. We also share current and cutting-edge clinical approaches aimed at unleashing the full anti-metastatic potential of NK cells, including the adoptive transfer of NK cells, boosting of NK cell activity, redirecting NK cell activity against metastatic cells and the release of evasion mechanisms dampening NK cell immunosurveillance.
Insights
Natural Killer (NK) cells show promise in fighting cancer metastasis by directly eliminating tumors. This review explores how metastatic cells evade NK cells and discusses strategies to enhance NK cell therapy for better cancer treatment.
Area of Science:
- Immunology
- Oncology
- Cancer Research
Background:
- Metastasis is the primary cause of cancer mortality, with current therapies often ineffective against advanced disease.
- Immunotherapy shows promise but faces challenges, particularly in solid tumors and metastases, with a historical focus on T cells rather than Natural Killer (NK) cells.
- NK cells offer a unique therapeutic avenue due to their innate ability to target malignant cells without MHC restriction.
Purpose of the Study:
- To review the mechanisms and efficacy of NK cells in controlling metastasis.
- To detail the immune evasion strategies employed by metastatic cells against NK cell surveillance.
- To discuss current and emerging clinical strategies for enhancing NK cell anti-metastatic potential.
Main Methods:
- Literature review of NK cell mechanisms in metastasis.
- Analysis of cancer cell immune evasion tactics targeting NK cells.
- Compilation of clinical approaches for NK cell-based immunotherapy.
Main Results:
- NK cells possess inherent anti-metastatic capabilities.
- Metastatic tumors develop sophisticated mechanisms to evade NK cell detection and destruction.
- Various therapeutic strategies are being developed to overcome these evasion mechanisms and harness NK cell activity.
Conclusions:
- NK cells are a promising component of cancer immunotherapy, particularly for combating metastasis.
- Understanding and overcoming tumor evasion strategies are crucial for maximizing NK cell efficacy.
- Clinical advancements in NK cell therapy, including adoptive transfer and activity enhancement, hold significant potential for improving patient outcomes in metastatic cancer.
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