Natural killer cells and engagers: Powerful weapons against cancer

Cristina Bottino1,2, Valentin Picant3, Eric Vivier3,4,5

  • 1Department of Experimental Medicine (DIMES), University of Genova, Genoa, Italy.

Immunological Reviews
|August 24, 2024
PubMed

Insights

Natural killer (NK) cells are key innate immune cells for cancer immunotherapy. Novel antibody-based NK cell engagers (NKCEs) enhance tumor killing and may overcome the tumor microenvironment.

Area of Science:

  • Immunology
  • Cancer Biology
  • Cell Therapy

Background:

  • Natural killer (NK) cells are crucial innate immune cells that eliminate virus-infected or tumor cells.
  • Their cytotoxic functions are mediated by various receptors, recognizing self-molecules or danger signals.
  • NK cells are promising candidates for cancer immunotherapy due to their potent anti-tumor activity.

Purpose of the Study:

  • To explore strategies for enhancing NK cell activity in cancer immunotherapy.
  • To investigate the role of antibody-based NK cell engagers (NKCEs) in cancer therapy.
  • To understand the complexity of NK cell subsets, including memory-like phenotypes, for optimizing immunotherapy design.

Main Methods:

  • Review of current strategies to enhance NK cell activity, including cytokine administration and immune checkpoint blockade.
  • Focus on antibody-based NK cell engagers (NKCEs) as a cutting-edge approach.
  • Discussion of two main strategies: activating autologous NK cells versus adoptive transfer of ex vivo-activated NK cells.

Main Results:

  • NKCEs strengthen NK-to-target cell interactions and optimize tumor killing.
  • NKCEs show potential in overcoming the immunosuppressive tumor microenvironment.
  • NKCEs may also activate γδ T cells, suggesting synergistic effects in immunotherapy.

Conclusions:

  • NKCEs represent a promising advancement in cancer immunotherapy by enhancing NK cell-mediated tumor destruction.
  • Further exploration of NK cell subsets and their interactions is crucial for refining NKCE-based therapies.
  • The potential synergistic effects with other immune cells like γδ T cells warrant further investigation for combination immunotherapies.

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