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Overview
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NK cells are generally categorized as innate immune cells despite the fact that they bear features of lymphocytes such as morphological similarity and expression of lymphoid markers. NK cells mount a frontline defense against invading pathogens and tumors but, unlike T lymphocytes, do not require specific antigen recognition or costimulation. They are the counterparts of T cells and are a part of the innate lymphoid cells (ILCs), which are grouped into three groups (Group 1–3) based on their functions. NK cells are part of Group I ILCs and exert cytotoxic functions similar to CD8+ T cells.1

 

View NK Cells at the Interactive Cell Map>

Types of NK cells

NK cells are derived from the bone marrow but can mature both in the bone marrow and in secondary lymphoid tissues. In humans, different types of NK cells (NK cytotoxic, NK regulatory and NK memory) have been described based on the functions they carry out—cytotoxicity, regulatory profile and tolerance, respectively.2 Each type of NK cell can be discriminated by sets of surface/intracellular NK cell markers along with secretory molecules. Expression of these markers is conditioned by the environmental context and stimuli that recruit and activate NK cells. While surface markers alone cannot segregate the type of NK cells, metabolic markers can give a direct clue about what NK cells are involved in. NK cytotoxic cells are characterized by glycolysis and oxidative phosphorylation; NK regulatory cells utilize sources other than glucose for energy and have low levels of glycolysis and oxidative phosphorylation; and NK memory cells have low levels of reactive oxygen species (ROS), high glucose and lipid metabolism.3  

The functions of NK cells

Viral control

NK cells expand, undergo specific differentiation and acquire different sets of receptors and signaling molecules when they encounter certain types of viruses such as HIV (NKG2C, NK p10, NK p46), HCV (NKG2D, perforin, granzyme B, 2B4), CMV (NKG2C, CD57, KIRs), and EBV (NKG2A, NKG2D, CD16, 2B4). NK cells also produce high amounts of IFN-gamma and have memory-like properties if they re-encounter a known viral pathogen.4

 

Tumor control

In conjunction with cytotoxic T lymphocytes, NK cells are at the forefront of anti-tumor immune responses.5 NK cells secrete cytolytic granules containing the pore-forming protein perforin to opsonize target cells via induction of nonselective transport across the plasma membranes.6 NK secreted granules also contain granzymes A/B, which trigger apoptotic cascades in target cells. NK cells can also induce tumor cell death through death receptor pathways and cytokine secretion.7 As tumor cells acquire escape mechanisms to blunt and re-orient immune responses, NK cells may lose their efficacy against them. In immuno-oncology research, the potential of NK cells is being exploited as they can be expanded and manipulated (CAR-NK cells) for cell therapy transplant.8, 9

Homeostasis

Besides their cytotoxic role in viral and tumor control, NK cells are capable of homeostatic functions, balancing clearance and tolerance. Killer immunoglobulin-like receptors (KIR) allow NK cells to recognize the self through the binding of HLA molecules.10 During pregnancy, NK cells partner with M2 polarized macrophages. NK cells also promote tolerance during pregnancy and participate in trophoblast invasion and spiral artery development, benefiting both the mother and child.11

 

Learn more about multicolor flow cytometry panels for the assessment of activating and inhibitory receptor expression in NK cells.

 

 
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References

  1. Vivier E, Artis D, Colonna M, et al. Innate lymphoid cells: 10 years on. Cell. 2018;174(5):1054-1066. doi:10.1016/j.cell.2018.07.017 

  2. Abel AM, Yang C, Thakar MS, Malarkannan S. Natural killer cells: development, maturation, and clinical utilization. Front Immunol. 2018;9:1869. doi:10.3389/fimmu.2018.01869

  3. Poznanski SM, Ashkar AA. What defines NK cell functional fate: phenotype or metabolism? Front Immunol. 2019;10:1414. doi:10.3389/fimmu.2019.01414

  4. Wilk AJ, Blish CA. Diversification of human NK cells: Lessons from deep profiling. J Leukoc Biol. 2018;103(4):629-641. doi:10.1002/JLB.6RI0917-390R

  5. Fu B, Tian Z, Wei H. Subsets of human natural killer cells and their regulatory effects. Immunology. 2014;141(4):483-489. doi:10.1111/imm.12224

  6. Hodgins JJ, Khan ST, Park MM, Auer RC, Ardolino M. Killers 2.0: NK cell therapies at the forefront of cancer control. J Clin Invest. 2019;129(9):3499-3510. doi:10.1172/JCI129338

  7. Osińska I, Popko K, Demkow U. Perforin: an important player in immune response. Cent Eur J Immunol. 2014;39(1):109-115. doi:10.5114/ceji.2014.42135

  8. Marcus A, Gowen BG, Thompson TW, et al. Recognition of tumors by the innate immune system and natural killer cells. Adv Immunol. 2014;122:91-128. doi:10.1016/B978-0-12-800267-4.00003-1

  9. Gonzalez-Rodriguez AP, Villa-Álvarez M, Sordo-Bahamonde C, Lorenzo-Herrero S, Gonzalez S. NK cells in the treatment of hematological malignancies. J Clin Med. 2019;8(10):1557. doi:10.3390/jcm8101557

  10. Boudreau JE, Hsu KC. Natural killer cell education in human health and disease. Curr Opin Immunol. 2018;50:102-111. doi:10.1016/j.coi.2017.11.003

  11. Faas MM, de Vos P. Uterine NK cells and macrophages in pregnancy. Placenta. 2017;56:44-52. doi:10.1016/j.placenta.2017.03.001

 

Tools for NK Cell Characterization
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For Research Use Only. Not for use in diagnostic or therapeutic procedures.

BD flow cytometers are Class 1 Laser Products.

Alexa Fluor is a trademark of Life Technologies.