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Updated: Dec 12, 2025

Isolation and Expansion of Cytotoxic Cytokine-induced Killer T Cells for Cancer Treatment
Published on: January 24, 2020
Natural killer cells in cancer biology and therapy
Song-Yang Wu1,2, Tong Fu1,2, Yi-Zhou Jiang3,4
1Department of Breast Surgery, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Abstract:
The tumor microenvironment is highly complex, and immune escape is currently considered an important hallmark of cancer, largely contributing to tumor progression and metastasis. Named for their capability of killing target cells autonomously, natural killer (NK) cells serve as the main effector cells toward cancer in innate immunity and are highly heterogeneous in the microenvironment. Most current treatment options harnessing the tumor microenvironment focus on T cell-immunity, either by promoting activating signals or suppressing inhibitory ones. The limited success achieved by T cell immunotherapy highlights the importance of developing new-generation immunotherapeutics, for example utilizing previously ignored NK cells. Although tumors also evolve to resist NK cell-induced cytotoxicity, cytokine supplement, blockade of suppressive molecules and genetic engineering of NK cells may overcome such resistance with great promise in both solid and hematological malignancies. In this review, we summarized the fundamental characteristics and recent advances of NK cells within tumor immunometabolic microenvironment, and discussed potential application and limitations of emerging NK cell-based therapeutic strategies in the era of presicion medicine.
Insights
Natural killer (NK) cells are key innate immune cells fighting cancer. Emerging therapies focus on harnessing NK cells to overcome tumor immune escape and improve cancer treatment outcomes.
Area of Science:
- Immunology
- Oncology
- Cancer Research
Background:
- The tumor microenvironment is complex, with immune escape a major driver of cancer progression.
- Natural killer (NK) cells are crucial innate immune effector cells against cancer but are often overlooked in therapies.
- Current immunotherapies primarily target T cells, with limited success, highlighting the need for alternative strategies.
Purpose of the Study:
- To review the characteristics of NK cells within the tumor immunometabolic microenvironment.
- To discuss recent advances in NK cell biology and their role in cancer immunity.
- To explore emerging NK cell-based therapeutic strategies for cancer treatment.
Main Methods:
- Literature review of fundamental NK cell characteristics.
- Analysis of recent advances in NK cell immunometabolism.
- Discussion of therapeutic strategies including cytokine supplementation, suppressive molecule blockade, and genetic engineering.
Main Results:
- NK cells are heterogeneous and play a vital role in innate anti-cancer immunity.
- Tumors develop resistance mechanisms against NK cell cytotoxicity.
- Strategies like cytokine supplementation and genetic engineering show promise in overcoming NK cell resistance.
Conclusions:
- NK cell-based therapies offer a promising new avenue for cancer treatment, particularly in solid and hematological malignancies.
- Overcoming tumor-induced resistance is crucial for the success of NK cell immunotherapies.
- Precision medicine approaches are essential for optimizing NK cell-based therapeutic strategies.
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