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Updated: Jan 24, 2026

Measurement of Natural Killer Cell-Mediated Cytotoxicity and Migration in the Context of Hepatic Tumor Cells
Published on: February 22, 2020
Mechanisms of natural killer cell-mediated cellular cytotoxicity
Isabel Prager1, Carsten Watzl1
1Department for Immunology, Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo), Dortmund, Germany.
Abstract:
Cellular cytotoxicity, the ability to kill other cells, is an important effector mechanism of the immune system to combat viral infections and cancer. Cytotoxic T cells and natural killer (NK) cells are the major mediators of this activity. Here, we summarize the cytotoxic mechanisms of NK cells. NK cells can kill virally infected of transformed cells via the directed release of lytic granules or by inducing death receptor-mediated apoptosis via the expression of Fas ligand or TRAIL. The biogenesis of perforin and granzymes, the major components of lytic granules, is a highly regulated process to prevent damage during the synthesis of these cytotoxic molecules. Additionally, NK cells have developed several strategies to protect themselves from the cytotoxic activity of granular content upon degranulation. While granule-mediated apoptosis is a fast process, death receptor-mediated cytotoxicity requires more time. Current data suggest that these 2 cytotoxic mechanisms are regulated during the serial killing activity of NK cells. As many modern approaches of cancer immunotherapy rely on cellular cytotoxicity for their effectiveness, unraveling these pathways will be important to further progress these therapeutic strategies.
Insights
Natural killer (NK) cells use granule-mediated and death receptor-mediated pathways to eliminate infected or cancerous cells. Understanding these cytotoxic mechanisms is crucial for advancing cancer immunotherapy.
Area of Science:
- Immunology
- Cell Biology
Background:
- Cellular cytotoxicity is a key immune defense against viral infections and cancer.
- Cytotoxic T cells and natural killer (NK) cells are the primary mediators of cellular cytotoxicity.
- NK cells employ distinct mechanisms to eliminate target cells.
Purpose of the Study:
- To summarize the cytotoxic mechanisms employed by NK cells.
- To elucidate the regulation and interplay of NK cell cytotoxic pathways.
- To highlight the relevance of these mechanisms for cancer immunotherapy.
Main Methods:
- Review of existing literature on NK cell cytotoxicity.
- Analysis of granule-mediated cytotoxicity pathways, including perforin and granzymes.
- Examination of death receptor-mediated apoptosis via Fas ligand and TRAIL.
Main Results:
- NK cells induce target cell death through directed release of lytic granules or by triggering apoptosis via death receptors.
- The biogenesis of cytotoxic molecules within lytic granules is tightly regulated to prevent self-damage.
- NK cells possess self-protection strategies against their own cytotoxic contents.
- Granule-mediated killing is rapid, while death receptor-mediated killing is slower, with both regulated during serial killing.
Conclusions:
- NK cell cytotoxicity involves both rapid granule-mediated and slower death receptor-mediated apoptosis.
- Understanding NK cell cytotoxic pathways is essential for improving cellular immunotherapies for cancer.
- Further research into these mechanisms will drive advancements in therapeutic strategies.
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