Abstract

Natural killer (NK) cells play a critical role in the antitumor immunity. Ionizing radiation (IR) has a pronounced effect on modifying NK cell biology, while the molecular mechanisms remain elusive. In this review, we briefly introduce the anti-tumor activity of NK cells and summarize the impact of IR on NK cells both directly and indirectly. On one hand, low-dose ionizing radiation (LDIR) activates NK functions while high-dose ionizing radiation (HDIR) is likely to partially impair NK functions, which can be reversed by interleukin (IL)-2 pretreatment. On the other hand, NK functions may be adjusted by other immune cells and the alternated malignant cell immunogenicity under the settings of IR. Various immune cells, such as the tumor-associated macrophage (TAM), dendritic cell (DC), regulatory T cell (Treg), myeloid-derived suppressor cell (MDSC), and tumor exhibited ligands, such as the natural killer group 2 member D ligand (NKG2DL), natural cytotoxicity receptors (NCR) ligand, TNF-related apoptosis-inducing ligand-receptor (TRAIL-R), and FAS, have been involved in this process. Better understanding the molecular basis is a promising way in which to augment NK-cell-based antitumor immunity in combination with IR.

Highlights

  • Natural killer (NK) cells, belonging to the innate lymphoid cells [1], are important effectors of tumor immunosurveillance

  • natural cytotoxicity receptors (NCR) stimulate the phosphorylation of immunoreceptor tyrosinebased activation motifs (ITAMs) that engage with adaptor proteins, giving rise to downstream signaling propagation, manifested by phosphoinositide 3-kinase (PI3K) and VAV2/3 [10] activation

  • We summarize the impact of Ionizing radiation (IR) on NK cells and its potential significance in antitumoral immune response (Figure 1)

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Summary

Frontiers in Oncology

Natural killer (NK) cells play a critical role in the antitumor immunity. Ionizing radiation (IR) has a pronounced effect on modifying NK cell biology, while the molecular mechanisms remain elusive. NK functions may be adjusted by other immune cells and the alternated malignant cell immunogenicity under the settings of IR. Various immune cells, such as the tumor-associated macrophage (TAM), dendritic cell (DC), regulatory T cell (Treg), myeloid-derived suppressor cell (MDSC), and tumor exhibited ligands, such as the natural killer group 2 member D ligand (NKG2DL), natural cytotoxicity receptors (NCR) ligand, TNF-related apoptosis-inducing ligand-receptor (TRAIL-R), and FAS, have been involved in this process.

INTRODUCTION
NK CELL EXHAUSTION IN TME
MODULATION OF NK CELL ACTIVITY BY IR
Direct Regulation of NK Cell Functions by IR
NK Cell Function Adjusted by Other Immune Cells
Immunoediting of Immunogenic Malignant Cells
Dose ranges
CLINICAL RESEARCH WITH REGARD TO RT ADMINISTRATION ON NK FUNCTION
CONCLUSION
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