Department of Experimental Medicine, Sapienza University of Rome, Rome 00161, Italy.
Department of Molecular Medicine, Sapienza University of Rome, Rome 00161, Italy.
J Immunol Res. 2019 Feb 6;2019:8795673. doi: 10.1155/2019/8795673. eCollection 2019.
Besides their innate ability to rapidly produce effector cytokines and kill virus-infected or transformed cells, natural killer (NK) cells display a strong capability to adapt to environmental modifications and to differentiate into long-lived, hyperfunctional populations, dubbed memory or memory-like NK cells. Despite significant progress in the field of NK cell-based immunotherapies, some factors including their short life span and the occurrence of a tumor-dependent functional exhaustion have limited their clinical efficacy so that strategies aimed at overcoming these limitations represent one of the main current challenges in the field. In this scenario, the exploitation of NK cell memory may have a considerable potential. This article summarizes recent evidence in the literature on the peculiar features that render memory NK cells an attractive tool for antitumor immunotherapy, including their long-term survival and persistence, the resistance to tumor-dependent immunosuppressive microenvironment, the amplified functional responses to IgG-opsonized tumor cells, and expansion capability. Along with highlighting these issues, we speculate that memory NK cell-based adoptive immunotherapy settings would greatly take advantage from the combination with tumor-targeting therapeutic antibodies (mAbs), as a strategy to fully unleash their clinical efficacy.
除了先天能够快速产生效应细胞因子并杀死病毒感染或转化的细胞外,自然杀伤 (NK) 细胞还具有很强的适应环境变化和分化为长寿、超功能群体的能力,这些群体被称为记忆或类似记忆的 NK 细胞。尽管 NK 细胞免疫疗法领域取得了重大进展,但一些因素,包括其寿命短和肿瘤依赖性功能衰竭的发生,限制了它们的临床疗效,因此旨在克服这些限制的策略是该领域当前的主要挑战之一。在这种情况下,利用 NK 细胞记忆可能具有相当大的潜力。本文总结了文献中关于使记忆 NK 细胞成为抗肿瘤免疫治疗有吸引力的工具的一些特殊特征的最新证据,包括其长期存活和持久性、对肿瘤依赖性免疫抑制微环境的抵抗力、对 IgG 调理肿瘤细胞的功能反应放大以及扩增能力。在强调这些问题的同时,我们推测基于记忆 NK 细胞的过继免疫治疗方案将极大地受益于与肿瘤靶向治疗性抗体 (mAb) 的联合应用,作为充分发挥其临床疗效的策略。