Abstract

Natural killer (NK) cells are endowed with germline-encoded receptors that enable them to detect and kill malignant cells without prior priming. Over the years, overwhelming evidence has identified an essential role for NK cells in tumor immune surveillance. More recently, clinical trials have also highlighted their potential in therapeutic settings. Yet, data show that NK cells can be dysregulated within the tumor microenvironment (TME), rendering them ineffective in eradicating the cancer cells. This has been attributed to immune suppressive factors, including the tumor cells per se, stromal cells, regulatory T cells, and soluble factors such as reactive oxygen species and cytokines. However, the TME also hosts myeloid cells such as dendritic cells, macrophages, neutrophils, and myeloid-derived suppressor cells that influence NK cell function. Although the NK-myeloid cell crosstalk can promote anti-tumor responses, myeloid cells in the TME often dysregulate NK cells via direct cell-to-cell interactions down-regulating key NK cell receptors, depletion of nutrients and growth factors required for NK cell growth, and secretion of metabolites, chemokines and cytokines that ultimately alter NK cell trafficking, survival, and cytotoxicity. Here, we review the complex functions of myeloid-derived cytokines in both supporting and suppressing NK cells in the TME and how NK cell-derived cytokines can influence myeloid subsets. We discuss challenges related to these interactions in unleashing the full potential of endogenous and adoptively infused NK cells. Finally, we present strategies aiming at improving NK cell-based cancer immunotherapies via pathways that are involved in the NK-myeloid cell crosstalk in the TME.

Highlights

  • Natural Killer (NK) cells are cytotoxic lymphocytes that innately recognize their target cells based on signals from an array of germline-encoded inhibitory and activating cell surface receptors [1]

  • The NK-myeloid cell crosstalk is central in shaping NK cell anti-tumor responses and that a better understanding of this crosstalk is required to improve outcomes of NK cell-based cancer immunotherapies

  • While strategies directed towards boosting NK cell cytotoxicity per se using cytokines or drugs that modulate cytokine signaling, other complementory approaches directed towards reverting the tumor microenvironment (TME) to favor anti-tumor immunity is likely required to promote longterm responses

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Summary

Introduction

Natural Killer (NK) cells are cytotoxic lymphocytes that innately recognize their target cells based on signals from an array of germline-encoded inhibitory and activating cell surface receptors [1]. While NK cells positively promote DC infiltration and maturation via release of pro-inflammatory cytokines such as interferon (IFN)-g [20], myeloid-derived cytokines, including interleukin (IL)-12, IL-15, and IL-18, critically promote NK cell maturation, proliferation, and anti-tumor functions [21]. We outline current methods and possible future approaches to enhance anti-tumor responses by NK cells via administration or manipulation of cytokines and cytokine signaling, as well as preventing myeloid cell infiltration into the TME.

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