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Published in: Cancer Immunology, Immunotherapy 2/2017

01-02-2017 | Focussed Research Review

Immunosenescence: limitations of natural killer cell-based cancer immunotherapy

Authors: Raquel Tarazona, Beatriz Sanchez-Correa, Ignacio Casas-Avilés, Carmen Campos, Alejandra Pera, Sara Morgado, Nelson López-Sejas, Fakhri Hassouneh, Juan M. Bergua, Maria Jose Arcos, Helena Bañas, Javier G. Casado, Esther Durán, Fernando Labella, Rafael Solana

Published in: Cancer Immunology, Immunotherapy | Issue 2/2017

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Abstract

Cancer is primarily considered a disease of old age. Immunosenescence refers to the age-associated changes in the immune system, and its contribution to the increased risk of cancer in old individuals has been discussed for many years. Natural killer (NK) cells are cytotoxic innate immune cells specialized in defence against tumour and virus-infected cells. NK cell cytotoxicity is the result of a fine balance between activating and inhibitory receptors. Several activating receptors have been identified that recognize different ligands frequently found over-expressed on tumour cells or virus-infected cells. The most important NK cell inhibitory receptors interact with major histocompatibility complex class I molecules expressed on almost all nucleated cells preventing NK cell-mediated lysis of healthy cells. NK cell immunosenescence is characterized by a redistribution of NK cell subsets, a diminished expression of several activating receptors and lower per-cell cytotoxicity. Altered expression of activating receptors has also been described in young and elderly cancer patients probably due to chronic exposure to ligands on tumour cells. Thus, the effect of both age and cancer may act synergistically to diminish NK cell-mediated tumour immunosurveillance. Different strategies harnessing the power of NK cells to target tumour cells have been designed including adoptive therapy with autologous or allogeneic expanded NK cells. In addition, checkpoint blockade of inhibitory receptors and the use of agonist antibodies to stimulate activating receptors are emerging areas of research. In this context, the effect of immunosenescence should be considered to improve the efficiency of cancer immunotherapy.
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Metadata
Title
Immunosenescence: limitations of natural killer cell-based cancer immunotherapy
Authors
Raquel Tarazona
Beatriz Sanchez-Correa
Ignacio Casas-Avilés
Carmen Campos
Alejandra Pera
Sara Morgado
Nelson López-Sejas
Fakhri Hassouneh
Juan M. Bergua
Maria Jose Arcos
Helena Bañas
Javier G. Casado
Esther Durán
Fernando Labella
Rafael Solana
Publication date
01-02-2017
Publisher
Springer Berlin Heidelberg
Published in
Cancer Immunology, Immunotherapy / Issue 2/2017
Print ISSN: 0340-7004
Electronic ISSN: 1432-0851
DOI
https://doi.org/10.1007/s00262-016-1882-x

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