2019
DOI: 10.3389/fimmu.2019.01999
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NK Cell Dysfunction and Checkpoint Immunotherapy

Abstract: NK cells play important roles in the innate immune responses against tumors. The effector function of NK cells relies on the integration of activating and inhibitory signals. Emerging checkpoint receptors and molecules are being revealed to mediate NK cell dysfunction in the tumor microenvironment. Inhibition of some NK cell surface checkpoint receptors has displayed the potential to reverse NK cell dysfunction in tumors, and to boost anti-tumor immunity, both in clinical trials (anti-KIR and anti-NKG2A), and … Show more

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Cited by 112 publications
(101 citation statements)
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“…Killer immunoglobulin‐like receptors have been known to regulate NK‐cell activation 114 . The inhibition of killer immunoglobulin‐like receptors has demonstrated an increase in NK activity with a trend towards an increase in response rates when combined with PD‐1 inhibition in head and neck cancer patients (NCT101714739) 115 . For the future, knowledge of how these drugs might benefit patients and which specific patient populations, both alone and in combination with other ICIs, will be important.…”
Section: Discussionmentioning
confidence: 99%
“…Killer immunoglobulin‐like receptors have been known to regulate NK‐cell activation 114 . The inhibition of killer immunoglobulin‐like receptors has demonstrated an increase in NK activity with a trend towards an increase in response rates when combined with PD‐1 inhibition in head and neck cancer patients (NCT101714739) 115 . For the future, knowledge of how these drugs might benefit patients and which specific patient populations, both alone and in combination with other ICIs, will be important.…”
Section: Discussionmentioning
confidence: 99%
“…They are enriched in mucosal tissues, including the intestinal tract (37) and respond to signals derived from their micro-environment such as cytokines, alarmins, and other inflammatory and non-inflammatory stimuli (38,39) to drive appropriate immune responses and maintain tissue homeostasis. In addition, ILCs express particular receptors and ligands at their surface regulating further their function (40,41). NK cells and ILC1 are mainly involved in the early protection against viruses (42), bacteria (43,44), and cancer (45) through the secretion of interferon (IFN)-γ and granulocyte-macrophage colony-stimulating factor (46).…”
Section: The Tumor Immune Contexture In Colorectal Cancer-the Successmentioning
confidence: 99%
“…If so, similar NK cell-ILC1 transdifferentiation could occur in CRC tumors and this would potentially with worsen prognosis. Collectively, it is clear that NK cells are involved in the control of CRC progression and metastasis but are also susceptible to tumor-directed dysregulation (41). To circumvent such events, current NK cell-based therapies are designed to boost NK cell functions in an effort to strategically further improve patient outcomes (68)(69)(70)(71).…”
Section: Type 1 Innate Lymphoid Cellsmentioning
confidence: 99%
“…Inhibitory receptors have a critical role in regulating immune responses to infections, thereby limiting autoimmunity and/or immunopathology ( Bi and Tian, 2019 ; Joller and Kuchroo, 2017 ). However, increased and sustained expression of inhibitory receptors, often found in patients with chronic viral infections and malignancies, is a principle mechanism priming lymphocytes to be dysfunctional.…”
Section: Introductionmentioning
confidence: 99%
“…However, increased and sustained expression of inhibitory receptors, often found in patients with chronic viral infections and malignancies, is a principle mechanism priming lymphocytes to be dysfunctional. The suppressive role of some inhibitory receptors, programmed cell death protein 1 (PD-1), cytotoxic T lymphocyte-associated protein 4 (CTLA-4), lymphocyte activation gene 3 (LAG-3), T cell immunoglobulin and mucin-domain containing-3 (TIM-3), and, more recently, T cell immunoglobulin and ITIM domain (TIGIT), is relatively well understood ( Bi and Tian, 2019 ; Golden-Mason and Rosen, 2013 ; Joller and Kuchroo, 2017 ; Lee et al, 2010 ). With chronic antigen availability, the surface expression of the inhibitory receptor is significantly upregulated and maintained on T and NK cells ( Bi and Tian, 2019 ; Joller and Kuchroo, 2017 ).…”
Section: Introductionmentioning
confidence: 99%