The role of natural killer cell in gastrointestinal cancer: killer or helper

Feixue Wang1, Jennie Ka Ching Lau2, Jun Yu3

  • 1Institute of Digestive Disease, Department of Medicine and Therapeutics, State Key Laboratory of Digestive Disease, Li Ka Shing Institute of Health Sciences, CUHK Shenzhen Research Institute, The Chinese University of Hong Kong, Hong Kong SAR, PR China.

Oncogene
|December 2, 2020
PubMed

Insights

Natural killer (NK) cells show promise in fighting gastrointestinal cancer by targeting tumor cells and enhancing immune responses. Strategies are being developed to overcome tumor resistance and boost NK cell therapy effectiveness.

Area of Science:

  • Immunology
  • Oncology
  • Gastroenterology

Background:

  • Gastrointestinal (GI) cancer presents a significant global health challenge with high mortality rates.
  • The immune system, encompassing innate and adaptive responses, offers a promising therapeutic avenue for cancer treatment.
  • Natural killer (NK) cells are crucial in innate immunity, capable of directly lysing tumor cells and contributing to adaptive immunity through cytokine secretion and memory formation.

Purpose of the Study:

  • To review the role of NK cells in GI cancer, including their cytotoxic and modulatory functions.
  • To discuss current strategies aimed at enhancing NK cell-mediated anti-tumor effects and overcoming tumor resistance mechanisms.
  • To explore the clinical applications and potential of NK cell-based therapies for GI cancer.

Main Methods:

  • Review of existing literature on NK cell biology and function in the context of GI cancer.
  • Analysis of preclinical and clinical data regarding NK cell-based therapeutic strategies.
  • Discussion of various approaches to augment NK cell activity, such as adoptive transfer, immune checkpoint inhibitors, and cytokine therapy.

Main Results:

  • NK cells possess inherent cytotoxicity against tumor cells and modulate anti-tumor immune responses in GI cancer.
  • Tumors often exhibit mechanisms to evade NK cell surveillance, including reduced infiltration and impaired function.
  • Emerging strategies like ex vivo NK cell expansion, immune checkpoint blockade, and targeted therapies show encouraging preclinical results.

Conclusions:

  • NK cells represent a promising therapeutic agent for GI cancer due to their versatile anti-tumor capabilities.
  • Overcoming tumor-induced immune evasion is critical for the successful clinical application of NK cell therapies.
  • Further research and clinical trials are warranted to fully realize the potential of NK cell-based immunotherapies in treating GI cancers.

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