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Updated: Jun 23, 2025

Measurement of Natural Killer Cell-Mediated Cytotoxicity and Migration in the Context of Hepatic Tumor Cells
Published on: February 22, 2020
TLR9 agonism differentially impacts human NK cell-mediated direct killing and antibody-dependent cell-mediated
Anna R Mahr1, Maia M C Bennett-Boehm1,2, Frederik H Rothemejer3,4
1Department of Biology, University of Nebraska at Omaha, Omaha, NE, USA.
Abstract:
There are two known mechanisms by which natural killer (NK) cells recognize and kill diseased targets: (i) direct killing and (ii) antibody-dependent cell-mediated cytotoxicity (ADCC). We investigated an indirect NK cell activation strategy for the enhancement of human NK cell killing function. We did this by leveraging the fact that toll-like receptor 9 (TLR9) agonism within pools of human peripheral blood mononuclear cells (PBMCs) results in a robust interferon signaling cascade that leads to NK cell activation. After TLR9 agonist stimulation, NK cells were enriched and incorporated into assays to assess their ability to kill tumor cell line targets. Notably, differential impacts of TLR9 agonism were observed-direct killing was enhanced while ADCC was not increased. To ensure that the observed differential effects were not attributable to differences between human donors, we recapitulated the observation using our Natural Killer-Simultaneous ADCC and Direct Killing Assay (NK-SADKA) that controls for human-to-human differences. Next, we observed a treatment-induced decrease in NK cell surface CD16-known to be shed by NK cells post-activation. Given the essential role of CD16 in ADCC, such shedding could account for the observed differential impact of TLR9 agonism on NK cell-mediated killing capacity.
Insights
Toll-like receptor 9 (TLR9) agonism enhances natural killer (NK) cell direct killing of tumor cells but not antibody-dependent cell-mediated cytotoxicity (ADCC). This is potentially due to decreased CD16 expression on NK cells after TLR9 activation.
Area of Science:
- Immunology
- Cellular Biology
- Cancer Research
Background:
- Natural killer (NK) cells eliminate diseased cells via direct killing or antibody-dependent cell-mediated cytotoxicity (ADCC).
- Toll-like receptor 9 (TLR9) agonism in peripheral blood mononuclear cells (PBMCs) triggers interferon signaling, activating NK cells.
Purpose of the Study:
- To investigate an indirect NK cell activation strategy using TLR9 agonism to enhance human NK cell killing function.
- To determine the differential effects of TLR9 agonism on direct NK cell killing versus ADCC.
Main Methods:
- Human peripheral blood mononuclear cells (PBMCs) were stimulated with a TLR9 agonist.
- Activated NK cells were enriched and used in assays to measure tumor cell killing.
- The Natural Killer-Simultaneous ADCC and Direct Killing Assay (NK-SADKA) was employed to control for donor variability.
Main Results:
- TLR9 agonism significantly enhanced the direct killing capacity of NK cells.
- ADCC mediated by NK cells was not increased following TLR9 agonist stimulation.
- A decrease in NK cell surface CD16 expression was observed post-activation, correlating with impaired ADCC.
Conclusions:
- TLR9 agonism represents a viable strategy for enhancing direct NK cell cytotoxicity against tumor targets.
- The impaired ADCC function may be attributed to the downregulation of CD16 on activated NK cells.
- Further research is warranted to optimize NK cell-based immunotherapies by modulating TLR9 signaling and CD16 expression.
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