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Published on: July 12, 2022
NK Cell Senescence in Cancer: From Molecular Mechanisms to Therapeutic Opportunities
Zilin Qiu1,2, Zhengrui Li3, Cangang Zhang4
1Donghai County People's Hospital - Jiangnan University Smart Healthcare Joint Laboratory, Donghai County People's Hospital (Affiliated Kangda College of Nanjing Medical University), Lianyungang, 222000, China.
Abstract:
P Natural killer (NK) cells function as crucial effectors in the innate immune response against tumors. Nevertheless, NK cell senescence, characterized by phenotypic and functional changes, substantially compromises their antitumor immune response. This review provides a comprehensive summary of the molecular mechanisms governing NK cell senescence and its implications for cancer immunotherapy. We propose a refined definition of NK cell senescence based on distinct biomarkers, including elevated CD57 expression, reduced cytotoxicity, and altered cytokine secretion. Moreover, we investigate the complex interactions between the tumor microenvironment (TME) and NK cell senescence, highlighting the influence of chronic inflammation, immunosuppressive cytokines, and persistent tumor antigenic stimulation. Additionally, this review underscores the potential utility of senescent NK cells as biomarkers for assessing antitumor efficacy and examines the adverse effects of NK cell senescence on cancer immunotherapy. Lastly, we summarize current approaches to mitigate NK cell senescence, such as gene editing techniques and cytokine modulation, which may enhance the efficacy of NK cell-based immunotherapies. By establishing a comprehensive framework for understanding NK cell senescence within the TME, this review aims to guide future research and the development of innovative therapeutic strategies targeting senescent NK cells to improve cancer immunotherapy outcomes.
Insights
Natural killer (NK) cell senescence impairs the immune response against cancer. Understanding NK cell senescence and targeting it may improve cancer immunotherapy outcomes.
Area of Science:
- Immunology
- Oncology
- Cellular senescence
Background:
- Natural killer (NK) cells are vital for innate immunity against tumors.
- NK cell senescence, marked by altered phenotype and function, weakens anti-tumor responses.
- This compromises the effectiveness of cancer immunotherapies.
Purpose of the Study:
- To comprehensively review the molecular mechanisms of NK cell senescence.
- To explore the impact of NK cell senescence on cancer immunotherapy.
- To propose a refined definition and discuss mitigation strategies for NK cell senescence.
Main Methods:
- Literature review of molecular mechanisms, biomarkers, and therapeutic strategies.
- Analysis of the interplay between the tumor microenvironment (TME) and NK cell senescence.
- Examination of senescent NK cells as potential biomarkers.
Main Results:
- NK cell senescence is characterized by elevated CD57, reduced cytotoxicity, and altered cytokine secretion.
- The TME, through chronic inflammation and immunosuppressive factors, drives NK cell senescence.
- Senescent NK cells can serve as biomarkers and negatively impact immunotherapy efficacy.
Conclusions:
- A refined understanding of NK cell senescence is crucial for improving cancer immunotherapy.
- Targeting NK cell senescence via gene editing or cytokine modulation holds therapeutic potential.
- Further research into NK cell senescence within the TME can guide novel treatment strategies.
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