Current progress in NK cell biology and NK cell-based cancer immunotherapy
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Updated: Dec 27, 2025

Flow Cytometry-based Assay for the Monitoring of NK Cell Functions
Published on: October 30, 2016
Raquel Tarazona1, Nelson Lopez-Sejas2, Beatriz Guerrero2
1Immunology Unit, University of Extremadura, Cáceres, Spain. rtarazon@unex.es.
Abstract:
A better understanding of the complex interactions between the immune system and tumour cells from different origins has opened the possibility to design novel procedures of antitumoral immunotherapy. One of these novel approaches is based on the use of autologous or allogeneic natural killer (NK) cells to treat cancer. In the last decade, different strategies to activate NK cells and their use in adoptive NK cell-based therapy have been established. Although NK cells are often considered as a uniform cell population, several phenotypic and functionally distinct NK cells subsets exist in healthy individuals, that are differentially affected by ageing or by apparently innocuous viruses such as cytomegalovirus (CMV). In addition, further alterations in the expression of activating and inhibitory receptors are found in NK cells from cancer patients, likely because of their interaction with tumour cells. Thus, NK cells represent a promising strategy for adoptive immunotherapy of cancer already tested in phase 1/2 clinical trials. However, the existence of NK cell subpopulations expressing different patterns of activating and inhibitory receptors and different functional capacities, that can be found to be altered not only in cancer patients but also in healthy individuals stratified by age or CMV infection, makes necessary a personalized definition of the procedures used in the selection, expansion, and activation of the relevant NK cell subsets to be successfully used in NK cell-based immunotherapy.
Insights
Natural killer (NK) cells show promise for cancer immunotherapy. However, variations in NK cell subsets due to age, infection, or cancer necessitate personalized treatment strategies for effective adoptive NK cell therapy.
Area of Science:
- Immunology
- Oncology
- Cell Therapy
Background:
- Interactions between the immune system and tumor cells are key to developing novel immunotherapies.
- Adoptive immunotherapy using natural killer (NK) cells is a promising cancer treatment strategy.
- NK cells, while often viewed uniformly, comprise distinct subsets with varying functions.
Purpose of the Study:
- To explore the potential of NK cell-based immunotherapy for cancer treatment.
- To investigate the heterogeneity of NK cell subsets and their alterations in cancer patients and healthy individuals.
- To highlight the need for personalized approaches in NK cell selection, expansion, and activation for immunotherapy.
Main Methods:
- Review of existing strategies for NK cell activation and adoptive therapy.
- Analysis of phenotypic and functional differences in NK cell subsets.
- Examination of NK cell receptor expression alterations in cancer patients and healthy individuals (stratified by age and cytomegalovirus infection).
Main Results:
- NK cells are a promising strategy for adoptive cancer immunotherapy, with ongoing clinical trials.
- NK cell subsets exhibit distinct characteristics influenced by age, cytomegalovirus (CMV) infection, and cancer.
- Alterations in activating and inhibitory receptors on NK cells are observed in cancer patients.
Conclusions:
- NK cell-based immunotherapy holds significant potential for cancer treatment.
- The heterogeneity of NK cell subsets and their altered functions necessitate individualized therapeutic protocols.
- Personalized selection, expansion, and activation of specific NK cell subsets are crucial for successful immunotherapy.
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