Metabolic reinvigoration of NK cells by IL-21 enhances immunotherapy against MHC class I-deficient solid tumors

Yi Wang1, Chao Huang2, Guoxin Cai3

  • 1Institute of Bioengineering, École Polytechnique Fédérale de Lausanne (EPFL), 1015 Lausanne, Switzerland; Institute of Materials Science & Engineering, EPFL, 1015 Lausanne, Switzerland.

Cell Reports
|February 27, 2026
PubMed

Insights

Interleukin 21-Fc (IL-21-Fc) fusion protein revitalizes natural killer (NK) cells by reprogramming their metabolism. This approach enhances NK cell anti-tumor activity, overcoming the immunosuppressive tumor microenvironment for cancer immunotherapy.

Area of Science:

  • Immunology
  • Cancer Biology
  • Metabolic Engineering

Background:

  • Natural killer (NK) cells are cytotoxic lymphocytes crucial for cancer immunotherapy, especially against tumors with downregulated MHC class I.
  • The tumor microenvironment (TME) often suppresses NK cell function, limiting their therapeutic potential.
  • Developing strategies to overcome TME-mediated suppression is vital for effective NK cell-based cancer therapies.

Purpose of the Study:

  • To investigate the efficacy of a novel fusion protein, interleukin 21-Fc (IL-21-Fc), in restoring NK cell function within the TME.
  • To elucidate the metabolic mechanisms by which IL-21-Fc enhances NK cell effector functions.
  • To evaluate IL-21-Fc in combination therapies for eradicating MHC class I-deficient tumors.

Main Methods:

  • Administration of IL-21-Fc in murine cancer models.
  • Assessment of NK cell metabolism, focusing on glycolysis and lactate dehydrogenase A (LDHA) activity.
  • Evaluation of synergistic effects of IL-21-Fc with IL-15 superagonist (IL-15SA) or adoptive NK cell transfer.
  • Analysis of tumor eradication and durable protection in vivo.

Main Results:

  • IL-21-Fc safely and effectively reprograms NK cell metabolism and restores effector function in vivo.
  • IL-21-Fc synergizes with IL-15SA or adoptive NK cell transfer to eradicate MHC class I-deficient tumors.
  • IL-21-Fc enhances NK cell glycolysis in an LDHA-dependent manner, boosting anti-tumor activity.
  • Durable protection was observed across multiple murine models.

Conclusions:

  • LDHA-dependent metabolic reprogramming is a key mechanism for rejuvenating NK cells.
  • IL-21-Fc represents a promising, clinically translatable strategy to overcome TME-mediated suppression in solid tumors.
  • This approach enhances NK cell-based cancer immunotherapy efficacy.

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