Published in:
01-12-2018 | ASO Author Reflections
ASO Author Reflections: Prolonged Immunoparalysis of NK Cells After Surgery
Authors:
Leonard Angka, MSc, Rebecca C. Auer, MD, MSc
Published in:
Annals of Surgical Oncology
|
Special Issue 3/2018
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Excerpt
Natural killer (NK) cells of the innate immune system play a central role in initial cancer immunosurveillance, and NK cell function is correlated with cancer occurrence
1 and survival in a number of malignancies, including colorectal cancer.
2 Postoperative immune suppression has long been recognized by surgeons and has been implicated in susceptibility to postoperative infections and formation of cancer metastases (reviewed by Horowitz et al.
3 and Shakhar et al.
4). While preclinical murine studies have linked reduced postoperative NK cell cytotoxicity to cancer metastases
5 and human studies have confirmed that NK cell cytotoxicity is transiently (~ 1 week) impaired following cancer surgery (reviewed by Angka et al.
6), surgeons have questioned whether the degree and duration of impairment are sufficient to permit formation of metastases in cancer patients. …