Strategies to induce natural killer cell tolerance in xenotransplantation

Eliminating major xenoantigens in pig cells has drastically reduced human antibody-mediated hyperacute xenograft rejection (HXR). Despite these advancements, acute xenograft rejection (AXR) remains one of the major obstacles to clinical xenotransplantation, mediated by innate immune cells, including...

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Main Authors: Kevin J. Lopez, Arthur A. Cross-Najafi, Kristine Farag, Benjamin Obando, Deepthi Thadasina, Abdulkadir Isidan, Yujin Park, Wenjun Zhang, Burcin Ekser, Ping Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.941880/full
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author Kevin J. Lopez
Arthur A. Cross-Najafi
Kristine Farag
Benjamin Obando
Deepthi Thadasina
Abdulkadir Isidan
Yujin Park
Wenjun Zhang
Burcin Ekser
Ping Li
author_facet Kevin J. Lopez
Arthur A. Cross-Najafi
Kristine Farag
Benjamin Obando
Deepthi Thadasina
Abdulkadir Isidan
Yujin Park
Wenjun Zhang
Burcin Ekser
Ping Li
author_sort Kevin J. Lopez
collection DOAJ
description Eliminating major xenoantigens in pig cells has drastically reduced human antibody-mediated hyperacute xenograft rejection (HXR). Despite these advancements, acute xenograft rejection (AXR) remains one of the major obstacles to clinical xenotransplantation, mediated by innate immune cells, including macrophages, neutrophils, and natural killer (NK) cells. NK cells play an ‘effector’ role by releasing cytotoxicity granules against xenogeneic cells and an ‘affecter’ role on other immune cells through cytokine secretion. We highlight the key receptor-ligand interactions that determine the NK cell response to target cells, focusing on the regulation of NK cell activating receptor (NKG2D, DNAM1) and inhibitory receptor (KIR2DL1-4, NKG2A, and LIR-1) signaling pathways. Inhibition of NK cell activity may protect xenografts from cytotoxicity. Recent successful approaches to reducing NK cell-mediated HXR and AXR are reviewed, including genetic modifications of porcine xenografts aimed at improving pig-to-human compatibility. Future directions to promote xenograft acceptance are discussed, including NK cell tolerance in pregnancy and NK cell evasion in viral infection.
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spelling doaj.art-c3af84d9af5e4799b616044637c492742022-12-22T02:15:52ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-08-011310.3389/fimmu.2022.941880941880Strategies to induce natural killer cell tolerance in xenotransplantationKevin J. LopezArthur A. Cross-NajafiKristine FaragBenjamin ObandoDeepthi ThadasinaAbdulkadir IsidanYujin ParkWenjun ZhangBurcin EkserPing LiEliminating major xenoantigens in pig cells has drastically reduced human antibody-mediated hyperacute xenograft rejection (HXR). Despite these advancements, acute xenograft rejection (AXR) remains one of the major obstacles to clinical xenotransplantation, mediated by innate immune cells, including macrophages, neutrophils, and natural killer (NK) cells. NK cells play an ‘effector’ role by releasing cytotoxicity granules against xenogeneic cells and an ‘affecter’ role on other immune cells through cytokine secretion. We highlight the key receptor-ligand interactions that determine the NK cell response to target cells, focusing on the regulation of NK cell activating receptor (NKG2D, DNAM1) and inhibitory receptor (KIR2DL1-4, NKG2A, and LIR-1) signaling pathways. Inhibition of NK cell activity may protect xenografts from cytotoxicity. Recent successful approaches to reducing NK cell-mediated HXR and AXR are reviewed, including genetic modifications of porcine xenografts aimed at improving pig-to-human compatibility. Future directions to promote xenograft acceptance are discussed, including NK cell tolerance in pregnancy and NK cell evasion in viral infection.https://www.frontiersin.org/articles/10.3389/fimmu.2022.941880/fullNK cellsNK cell tolerancexenotransplantxenotranplantationtolerance
spellingShingle Kevin J. Lopez
Arthur A. Cross-Najafi
Kristine Farag
Benjamin Obando
Deepthi Thadasina
Abdulkadir Isidan
Yujin Park
Wenjun Zhang
Burcin Ekser
Ping Li
Strategies to induce natural killer cell tolerance in xenotransplantation
Frontiers in Immunology
NK cells
NK cell tolerance
xenotransplant
xenotranplantation
tolerance
title Strategies to induce natural killer cell tolerance in xenotransplantation
title_full Strategies to induce natural killer cell tolerance in xenotransplantation
title_fullStr Strategies to induce natural killer cell tolerance in xenotransplantation
title_full_unstemmed Strategies to induce natural killer cell tolerance in xenotransplantation
title_short Strategies to induce natural killer cell tolerance in xenotransplantation
title_sort strategies to induce natural killer cell tolerance in xenotransplantation
topic NK cells
NK cell tolerance
xenotransplant
xenotranplantation
tolerance
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.941880/full
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