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Updated: Mar 1, 2026

Natural Killer NK and CAR-NK Cell Expansion Method using Membrane Bound-IL-21-Modified B Cell Line
Published on: February 8, 2022
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.
Abstract:
Natural killer (NK) cells, a type of potent cytotoxic lymphocyte, are particularly promising for the treatment of cancers that lose or downregulate major histocompatibility complex class I (MHC class I) expression to evade T cell-mediated immunotherapy. However, the hostile and immunosuppressive tumor microenvironment (TME) greatly hinders the function of tumor-infiltrating NK cells, thus limiting the therapeutic efficacy. Here, we show a fusion protein of interleukin 21 (IL-21-Fc) that safely and effectively reprograms NK cell metabolism and restores their effector function in vivo. IL-21-Fc synergizes with IL-15 superagonist (IL-15SA) or adoptive NK cell transfer to eradicate MHC class I-deficient tumors and confer durable protection across multiple murine models. Mechanistically, we uncover that IL-21-Fc enhances NK cell effector function by upregulating glycolysis in a lactate dehydrogenase A (LDHA)-dependent manner. This study reveals LDHA-dependent metabolic reprogramming as a key axis for NK cell rejuvenation and positions IL-21-Fc as a promising, clinically translatable strategy to overcome TME-mediated suppression in solid tumors.
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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