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Published on: August 16, 2024
Cancer exosomes and natural killer cells dysfunction: biological roles, clinical significance and implications for
Reza Hosseini1, Hamzeh Sarvnaz2, Maedeh Arabpour3
1Department of Immunology School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. reza.hosseini6970@yahoo.com.
Abstract:
Tumor-derived exosomes (TDEs) play pivotal roles in several aspects of cancer biology. It is now evident that TDEs also favor tumor growth by negatively affecting anti-tumor immunity. As important sentinels of immune surveillance system, natural killer (NK) cells can recognize malignant cells very early and counteract the tumor development and metastasis without a need for additional activation. Based on this rationale, adoptive transfer of ex vivo expanded NK cells/NK cell lines, such as NK-92 cells, has attracted great attention and is widely studied as a promising immunotherapy for cancer treatment. However, by exploiting various strategies, including secretion of exosomes, cancer cells are able to subvert NK cell responses. This paper reviews the roles of TDEs in cancer-induced NK cells impairments with mechanistic insights. The clinical significance and potential approaches to nullify the effects of TDEs on NK cells in cancer immunotherapy are also discussed.
Insights
Tumor-derived exosomes (TDEs) impair natural killer (NK) cell anti-tumor immunity, hindering cancer immunotherapy. This review explores how TDEs suppress NK cells and discusses strategies to overcome these effects for improved cancer treatment.
Area of Science:
- Immunology
- Oncology
- Cell Biology
Background:
- Tumor-derived exosomes (TDEs) are implicated in cancer progression.
- Natural killer (NK) cells are crucial for anti-tumor immunity and cancer surveillance.
- NK cell-based immunotherapy shows promise but faces challenges.
Purpose of the Study:
- To review the mechanisms by which TDEs impair NK cell function.
- To discuss the clinical significance of TDEs in cancer immunotherapy.
- To explore strategies for overcoming TDE-mediated NK cell suppression.
Main Methods:
- Literature review of studies on TDEs and NK cells.
- Analysis of mechanistic insights into TDE-NK cell interactions.
- Discussion of clinical implications and therapeutic approaches.
Main Results:
- TDEs employ various strategies, including exosome secretion, to subvert NK cell responses.
- TDEs negatively impact NK cell-mediated anti-tumor immunity, favoring tumor growth.
- Understanding these interactions is key to enhancing NK cell immunotherapy.
Conclusions:
- TDEs represent a significant barrier to effective NK cell immunotherapy.
- Targeting TDEs or their effects on NK cells may improve cancer treatment outcomes.
- Further research is needed to develop strategies to nullify TDEs' immunosuppressive effects.
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