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Influence of the Tumor Microenvironment on NK Cell Function in Solid Tumors
Ombretta Melaiu1,2, Valeria Lucarini1, Loredana Cifaldi3
1Paediatric Haematology/Oncology Department, Ospedale Pediatrico Bambino Gesù, Rome, Italy.
Natural killer (NK) cells are crucial for fighting infections and tumors. While effective against many cancers, some tumors evade NK cell attacks, prompting research into immunotherapies to boost NK cell activity.
Area of Science:
- Immunology
- Cancer Biology
- Oncology
Background:
- Natural killer (NK) cells are innate lymphoid cells vital for immune responses against pathogens and tumors.
- NK cells possess potent cytotoxic activity regulated by complex signaling networks.
- Their role in tumor control and anti-metastatic effects is established in preclinical models.
Purpose of the Study:
- To review the role of NK cells in controlling solid tumor expansion and their prognostic significance in human cancers.
- To summarize mechanisms by which tumors and their microenvironment impair NK cell function.
- To evaluate current immunotherapeutic strategies for enhancing NK cell antitumor activity.
Main Methods:
- Literature review of preclinical and clinical studies.
- Analysis of mechanisms of NK cell evasion by tumors.
- Evaluation of immunotherapeutic approaches targeting NK cells.
Main Results:
- High density of tumor-infiltrating NK cells correlates with better prognosis in several human solid tumors.
- Tumor microenvironments can create immunosuppression, rendering tumors resistant to NK cell-mediated killing.
- Adoptive transfer of NK cells and chimeric antigen receptor (CAR)-NK cells are promising therapeutic strategies.
Conclusions:
- NK cells play a direct role in controlling solid tumor growth and have prognostic value.
- Understanding tumor-induced immunosuppression is key to overcoming resistance.
- Augmenting NK cell function via immunotherapy offers a viable strategy for solid tumor treatment.
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