Abstract

Natural killer (NK) cells, the large granular lymphocytes differentiated from the common lymphoid progenitors, were discovered in early 1970’s. They are members of innate immunity and were initially defined by their strong cytotoxicity against virus-infected cells and by their important effector functions in anti-tumoral immune responses. Nowadays, NK cells are classified among the recently discovered innate lymphoid cell subsets and have capacity to influence both innate and adaptive immune responses. Therefore, they can be considered as innate immune cells that stands between the innate and adaptive arms of immunity. NK cells don’t express T or B cell receptors and are recognized by absence of CD3. There are two major subgroups of NK cells according to their differential expression of CD16 and CD56. While CD16+CD56dim subset is best-known by their cytotoxic functions, CD16-CD56bright NK cell subset produces a bunch of cytokines comparable to CD4+ T helper cell subsets. Another subset of NK cells with production of interleukin (IL)-10 was named as NK regulatory cells, which has suppressive properties and could take part in immune-regulatory responses. Activation of NK cells is determined by a delicate balance of cell-surface receptors that have either activating or inhibitory properties. On the other hand, a variety of cytokines including IL-2, IL-12, IL-15, and IL-18 influence NK cell activity. NK-derived cytokines and their cytotoxic functions through induction of apoptosis take part in regulation of the immune responses and could contribute to the pathogenesis of many immune mediated diseases including ankylosing spondylitis, Behçet’s disease, multiple sclerosis, rheumatoid arthritis, psoriasis, systemic lupus erythematosus and type-1 diabetes. Dysregulation of NK cells in autoimmune disorders may occur through multiple mechanisms. Thanks to the rapid developments in biotechnology, progressive research in immunology enables better characterization of cells and their delicate roles in the complex network of immunity. As NK cells stand in between innate and adaptive arms of immunity and “bridge” them, their contribution in inflammation and immune regulation deserves intense investigations. Better understanding of NK-cell biology and their contribution in both exacerbation and regulation of inflammatory disorders is a requisite for possible utilization of these multi-faceted cells in novel therapeutic interventions.

Highlights

  • The immune system, formed by a delicate network of cells and effector molecules, aims to provide defense against invaders while protecting the integrity and restoration of the “self”

  • Single cell RNA sequencing (RNA-seq) analysis in rheumatoid arthritis synovial tissue indicated that T, B and Natural killer (NK) cells that are associated with RA disease and CD4+ T, B and NK cells likely contribute to RA pathogenesis through expression of signaling molecules and their interactions with immune cells and fibroblast populations [86]

  • There is strong evidence that the innate immune system, NK cells, influence subsequent adaptive immune responses. Thanks to their ability to rapidly kill abnormal cells and produce cytokines and chemokines, NK cells are positioned for a key role in regulation of autoimmune responses, and can either suppress or augment autoimmunity, directly or indirectly

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Summary

The Role of Natural Killer Cells in Autoimmune Diseases

Umut Can Kucuksezer 1, Esin Aktas Cetin 1, Fehim Esen 1,2, Ilhan Tahrali 1, Nilgun Akdeniz 1, Metin Yusuf Gelmez 1 and Gunnur Deniz 1*. Natural killer (NK) cells, the large granular lymphocytes differentiated from the common lymphoid progenitors, were discovered in early 1970’s. They are members of innate immunity and were initially defined by their strong cytotoxicity against virus-infected cells and by their important effector functions in anti-tumoral immune responses. NK cells are classified among the recently discovered innate lymphoid cell subsets and have capacity to influence both innate and adaptive immune responses. While CD16+CD56dim subset is best-known by their cytotoxic functions, CD16-CD56bright NK cell subset produces a bunch of cytokines comparable to CD4+ T helper cell subsets Another subset of NK cells with production of interleukin (IL)-10 was named as NK regulatory cells, which has suppressive properties and could take part in immune-regulatory responses.

INTRODUCTION
Allergy and asthma
Natural Killer Cell Development and Maturation
Natural Killer Cell Receptors
Transcriptional Approach to Natural Killer Cells
Effector Functions of Natural Killer Cells
The Mechanisms of Natural Killer Cell Cytotoxicity
Cytokine Production of Natural Killer Cells
Natural Killer Cells in Health and Tolerance
Systemic Lupus Erythematosus
Findings
DISCUSSION AND CONCLUSION
Full Text
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