NK cell defects: implication in acute myeloid leukemia

Acute Myeloid Leukemia (AML) is a complex disease with rapid progression and poor/unsatisfactory outcomes. In the past few years, the focus has been on developing newer therapies for AML; however, relapse remains a significant problem. Natural Killer cells have strong anti-tumor potential against AM...

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Main Authors: Selma Z. D’Silva, Meenakshi Singh, Andrea S. Pinto
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1112059/full
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author Selma Z. D’Silva
Meenakshi Singh
Meenakshi Singh
Andrea S. Pinto
author_facet Selma Z. D’Silva
Meenakshi Singh
Meenakshi Singh
Andrea S. Pinto
author_sort Selma Z. D’Silva
collection DOAJ
description Acute Myeloid Leukemia (AML) is a complex disease with rapid progression and poor/unsatisfactory outcomes. In the past few years, the focus has been on developing newer therapies for AML; however, relapse remains a significant problem. Natural Killer cells have strong anti-tumor potential against AML. This NK-mediated cytotoxicity is often restricted by cellular defects caused by disease-associated mechanisms, which can lead to disease progression. A stark feature of AML is the low/no expression of the cognate HLA ligands for the activating KIR receptors, due to which these tumor cells evade NK-mediated lysis. Recently, different Natural Killer cell therapies have been implicated in treating AML, such as the adoptive NK cell transfer, Chimeric antigen receptor-modified NK (CAR-NK) cell therapy, antibodies, cytokine, and drug treatment. However, the data available is scarce, and the outcomes vary between different transplant settings and different types of leukemia. Moreover, remission achieved by some of these therapies is only for a short time. In this mini-review, we will discuss the role of NK cell defects in AML progression, particularly the expression of different cell surface markers, the available NK cell therapies, and the results from various preclinical and clinical trials.
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spelling doaj.art-eb7b2c191d1b46598cb350753341cfdf2023-05-09T05:26:09ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-05-011410.3389/fimmu.2023.11120591112059NK cell defects: implication in acute myeloid leukemiaSelma Z. D’Silva0Meenakshi Singh1Meenakshi Singh2Andrea S. Pinto3Transplant Immunology and Immunogenetics Lab, Advanced Centre for Treatment, Education and Research in Cancer (ACTREC), Tata Memorial Centre, Navi Mumbai, IndiaTransplant Immunology and Immunogenetics Lab, Advanced Centre for Treatment, Education and Research in Cancer (ACTREC), Tata Memorial Centre, Navi Mumbai, IndiaHomi Bhabha National Institute, Mumbai, IndiaTransplant Immunology and Immunogenetics Lab, Advanced Centre for Treatment, Education and Research in Cancer (ACTREC), Tata Memorial Centre, Navi Mumbai, IndiaAcute Myeloid Leukemia (AML) is a complex disease with rapid progression and poor/unsatisfactory outcomes. In the past few years, the focus has been on developing newer therapies for AML; however, relapse remains a significant problem. Natural Killer cells have strong anti-tumor potential against AML. This NK-mediated cytotoxicity is often restricted by cellular defects caused by disease-associated mechanisms, which can lead to disease progression. A stark feature of AML is the low/no expression of the cognate HLA ligands for the activating KIR receptors, due to which these tumor cells evade NK-mediated lysis. Recently, different Natural Killer cell therapies have been implicated in treating AML, such as the adoptive NK cell transfer, Chimeric antigen receptor-modified NK (CAR-NK) cell therapy, antibodies, cytokine, and drug treatment. However, the data available is scarce, and the outcomes vary between different transplant settings and different types of leukemia. Moreover, remission achieved by some of these therapies is only for a short time. In this mini-review, we will discuss the role of NK cell defects in AML progression, particularly the expression of different cell surface markers, the available NK cell therapies, and the results from various preclinical and clinical trials.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1112059/fullnatural killer cellsimmunotherapyAMLCAR-NKBiKEsTriKEs
spellingShingle Selma Z. D’Silva
Meenakshi Singh
Meenakshi Singh
Andrea S. Pinto
NK cell defects: implication in acute myeloid leukemia
Frontiers in Immunology
natural killer cells
immunotherapy
AML
CAR-NK
BiKEs
TriKEs
title NK cell defects: implication in acute myeloid leukemia
title_full NK cell defects: implication in acute myeloid leukemia
title_fullStr NK cell defects: implication in acute myeloid leukemia
title_full_unstemmed NK cell defects: implication in acute myeloid leukemia
title_short NK cell defects: implication in acute myeloid leukemia
title_sort nk cell defects implication in acute myeloid leukemia
topic natural killer cells
immunotherapy
AML
CAR-NK
BiKEs
TriKEs
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1112059/full
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