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Updated: Jan 1, 2026

Scalable Biomanufacturing Workflow to Produce and Isolate Natural Killer Cell-Derived Extracellular Vesicle-Based Cancer Biotherapeutics
Published on: August 16, 2024
Cancer extracellular vesicles as novel regulators of NK cell response
Alessandra Soriani1, Elisabetta Vulpis1, Lorenzo Cuollo2
1Department of Molecular Medicine, Sapienza University of Rome, Laboratory Affiliated to Istituto Pasteur Italia-Fondazione Cenci Bolognetti, Rome, Italy.
Abstract:
Natural killer (NK) cells are innate lymphoid cells that play a major role in the immune surveillance against tumors and their activity is regulated through signals derived by a number of NK cell inhibitory and activating receptors as well as cytokines and other soluble factors released in the tumor microenvironment. Extracellular vesicles (EVs) are membrane-enclosed particles secreted by all cell types, both in healthy and diseased conditions, and are important mediators of intercellular communication. Depending on the molecular cargo, tumor-derived extracellular vesicles have the capability to either promote or suppress NK cell-mediated functions. Anti-cancer therapies designed to sustain host anti-tumor immune response represent an appealing strategy to control tumor growth avoiding tumor immune escape. The ability of anticancer chemotherapy to enhance the immunogenic potential of malignant cells mainly relies on the establishment of the immunogenic cell death (ICD) and the release of damage-associated molecular patterns (DAMPs). Moreover, the activation of the DNA damage response (DDR) and the induction of senescence represent two crucial modalities aimed at promoting the clearance of drug-treated tumor cells by NK cells. Herein, we will address the main mechanisms used by cancer-derived extracellular vesicles to modulate NK cell activity, and we will discuss how anti-cancer therapies might impact on the secretion and the immunomodulatory function of these vesicles.
Insights
Tumor-derived extracellular vesicles (EVs) can suppress or promote natural killer (NK) cell activity. Anti-cancer therapies may alter EVs, impacting NK cell-mediated anti-tumor immunity.
Area of Science:
- Immunology
- Cancer Biology
- Cellular Communication
Background:
- Natural killer (NK) cells are crucial for immune surveillance against tumors.
- NK cell activity is modulated by receptors, cytokines, and factors in the tumor microenvironment.
- Extracellular vesicles (EVs) are key mediators of intercellular communication, influencing various cellular functions.
Purpose of the Study:
- To elucidate mechanisms by which cancer-derived EVs modulate NK cell activity.
- To discuss the impact of anti-cancer therapies on EV secretion and function.
- To explore strategies for enhancing anti-tumor immune responses.
Main Methods:
- Review of current literature on NK cell biology and EVs.
- Analysis of molecular cargo within tumor-derived EVs.
- Investigation of immunogenic cell death (ICD) and damage-associated molecular patterns (DAMPs) in response to therapy.
- Examination of DNA damage response (DDR) and senescence induction.
Main Results:
- Tumor-derived EVs can either promote or suppress NK cell functions depending on their cargo.
- Anti-cancer therapies can induce immunogenic cell death (ICD) and release DAMPs.
- Therapy-induced DDR and senescence can enhance NK cell-mediated tumor cell clearance.
- Therapies can influence the secretion and immunomodulatory properties of EVs.
Conclusions:
- Understanding EV-NK cell interactions is vital for developing novel cancer immunotherapies.
- Targeting EV pathways offers a potential strategy to overcome tumor immune evasion.
- Optimizing anti-cancer therapies can leverage EVs to bolster anti-tumor immunity.
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