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Updated: Jan 25, 2026

Flow Cytometry-based Assay for the Monitoring of NK Cell Functions
Published on: October 30, 2016
NK cells to cure cancer
Clara Di Vito1, Joanna Mikulak2, Elisa Zaghi1
1Unit of Clinical and Experimental Immunology, Humanitas Clinical and Research Center, Rozzano, Milan, Italy.
Abstract:
Natural Killer (NK) cells are innate lymphocytes able to mediate immune-surveillance and clearance of viral infected and tumor-transformed cells. Growing experimental and clinical evidence highlighted a dual role of NK cells either in the control of cancer development/progression or in promoting the onset of immune-suppressant tumor microenvironments. Indeed, several mechanisms of NK cell-mediated tumor escape have been described and these includes cancer-induced aberrant expression of activating and inhibitory receptors (i.e. NK cell immune checkpoints), impairments of NK cell migration to tumor sites and altered NK cell effector-functions. These phenomena highly contribute to tumor progression and metastasis formation. In this review, we discuss the latest insights on those NK cell receptors and related molecules that are currently being implemented in clinics either as possible prognostic factors or therapeutic targets to unleash NK cell anti-tumor effector-functions in vivo. Moreover, we address here the major recent advances in regard to the genetic modification and ex vivo expansion of anti-tumor specific NK cells used in innovative adoptive cellular transfer approaches.
Insights
Natural Killer (NK) cells play a dual role in cancer immunity. This review explores NK cell immune checkpoints and genetic modifications to enhance their anti-tumor functions for cancer therapy.
Area of Science:
- Immunology
- Oncology
- Cell Biology
Background:
- Natural Killer (NK) cells are crucial innate lymphocytes for immune surveillance against viral infections and transformed cells.
- NK cells exhibit a complex role in cancer, potentially inhibiting or promoting tumor progression and immune suppression.
- Tumor escape mechanisms involve aberrant NK cell receptor expression, impaired migration, and reduced effector functions.
Purpose of the Study:
- To review current understanding of NK cell receptors and molecules as prognostic factors and therapeutic targets.
- To discuss advances in genetically modified and expanded NK cells for adoptive cellular transfer therapies.
- To highlight strategies for unleashing NK cell anti-tumor effector functions.
Main Methods:
- Literature review of experimental and clinical evidence on NK cell biology in cancer.
- Analysis of current clinical applications of NK cell receptors and related molecules.
- Overview of recent developments in NK cell genetic modification and ex vivo expansion.
Main Results:
- NK cell immune checkpoints and their aberrant expression are key mechanisms of tumor escape.
- NK cell receptors and associated molecules are emerging as prognostic indicators and therapeutic targets.
- Genetic modification and ex vivo expansion are advancing adoptive NK cell therapies.
Conclusions:
- Targeting NK cell immune checkpoints and enhancing their effector functions are promising strategies for cancer immunotherapy.
- Adoptive transfer of engineered NK cells represents an innovative therapeutic approach for cancer treatment.
- Further research into NK cell biology and therapeutic manipulation is essential for improving cancer outcomes.
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