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.

Scientific Reports
|June 25, 2024
PubMed

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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