ReviewSurface NK receptors and their ligands on tumor cells
Introduction
For many years after their discovery natural killer (NK) cells have been defined using rather imprecise phenotypic and functional criteria. They were originally identified on a functional basis, i.e. the capability of killing certain tumor cell lines in the absence of a deliberate previous stimulation [1]. Different from T or B lymphocytes, NK cells do not express clonally-distributed receptors for antigen. They are characterized by a strong cytolytic activity against tumor or virus-infected cells as well as by the ability to release cytokines and chemokines that mediate inflammatory responses and exert a regulatory effect on the adaptive immune responses [2], [3]. Major questions regarding the molecular mechanisms by which NK cells function has long remained unanswered. However, this has dramatically changed in recent years and we now have a fairly accurate understanding of the general mechanisms that regulate NK cell function and allow them to spare normal cells and kill tumor or virus-infected cells [4], [5]. A key role was played by the identification of various receptors responsible for the process of NK cell activation or inactivation [5], [6], [7]. In this review we will briefly illustrate the surface NK receptors and their specific ligands (identified so far) that contribute to the NK-mediated immune responses.
Section snippets
Role of HLA-class I-specific inhibitory NK receptors and of HLA-class I molecules in the process of NK cell inactivation
Parallel studies in humans [8], [9], [10] and mice [11] revealed that NK cells recognize MHC-class I molecules via surface receptors delivering signals that inhibit, rather than activate, NK cell cytolytic function. When these inhibitory receptors (iNKR) are not engaged by MHC-class I molecules on target cells, this can lead to NK cell activation and target cell killing [12], [13]. This situation may occur when target cells have lost or express insufficient amounts of MHC-class I molecules, a
HLA-class I-specific inhibitory NK receptors
The CD94/NKG2A receptor recognizes the poorly polymorphic (class Ib) HLA-E molecule [19]. HLA-E surface expression is dependent on the availability of peptides derived from the leader sequence of various HLA-class I alleles. Accordingly, the HLA-E surface expression correlates with the overall expression of HLA-class I molecules on cells [20].
KIR, encoded by a diverse and rapidly evolving family of genes, recognize allelic determinants of HLA-class I molecules [21], [22] (Table 1). The
Expression of HLA-class I molecules on target cells
It is noteworthy that the failure to express one or more HLA-class I alleles can represent a major threat to host integrity. In this context, certain cytopathic viruses (e.g. herpes viruses and adenoviruses) have developed strategies to escape the control exerted by CTL [16], [17]. For example, CMV codes for different “unique short” (US) proteins that block the surface expression of HLA-class I molecules in infected cells [16], [31], [32]. This explains why NK cells (and HLA-E-restricted CTLs)
Effect of KIR-HLA-class I mismatch in an allogeneic setting: the example of haploidentical BM transplantation
While NK cells fail to attack normal cells in an autologous setting, they may kill allogeneic cells. “Alloreactive” NK cells were described by our group in late’ 80 [44]. Subsequently, it became evident that alloreactivity is due to mismatches between KIR expressed by NK cells and HLA-class I molecules expressed by allogeneic cells [9], [12], [18], [45], [46]. A paradigmatic example is represented by the haploidentical BM transplantation in which only one of the HLA-carrying chromosomes is
Activating NK receptors and their cellular ligands
Having established that NK cell inactivation elicited by the interaction between iNKR and HLA-class I molecules represents a major fail-safe mechanism to prevent NK-mediated attack to normal HLA-class I+ cells, it is evident that an activating signal must be generated when NK cells interact with potential target cells. This activation signal can be readily detected when target cells lack HLA-class I molecules [4]. The NK receptors responsible for NK cell activation in the process of natural
Natural cytotoxicity receptors and their still elusive cellular ligands
NKp46 [53], [54] and NKp30 [55] are present on both resting and activated NK cells, while NKp44 [56], [57] is expressed upon NK cell activation. They represent highly specific NK cell markers as well as the most important receptors in the NK cell-mediated tumor cell lysis [55], [58] (Fig. 1). Their surface density has been shown to correlate with the magnitude of the NK cytolytic activity against susceptible targets. NCR associate with different transmembrane-anchored polypeptides bearing
NKG2D receptor and its cellular ligands MICA/B and ULBPs
NKG2D is a homodimeric receptor expressed by NK cells and by a fraction of T lymphocytes [78] (Fig. 1). It is characterized by a lectin-like domain and, in spite of its denomination it is only distantly related to the inhibitory receptor NKG2A and does not associate with CD94. NKG2D specifically binds to stress-inducible, MHC-like molecules containing an α-domain with MHC-class I folds express at the cell surface without association with β2-microglobulin and peptide [79], [80]. These ligands
The DNAM-1 receptor and its ligands: the poliovirus receptor and nectin-2
A cell surface molecule capable of enhancing cytolytic activity and cytokine production in both T [89] and NK cells was named DNAX accessory molecule-1 (DNAM-1, CD226) [90]. More recently, Bottino et al. could identify its ligands represented by two members of the nectin family: the poliovirus receptor (PVR CD155) and nectin-2 (CD112) [64]. Both molecules can be highly expressed in tumor cell lines, including carcinomas, melanomas and neuroblastomas. In agreement with these data, the role of
Cell surface ligands for unknown receptors
While NCR represent orphan receptors, recent experimental evidence revealed a ligand for which the existence of a specific receptor has not been identified so far and can only be postulated. This molecule, termed “four Ig-like B7-homologue 3 (4Ig-B7-H3) [93], [94], belongs to the B7 family that encompasses a series of Ig-like molecules typically expressed by antigen-presenting cells. In addition to CD80 and CD86, the B7 family includes a series of B7-homologues (B7-H) [95], [96]. Some of these
Concluding remarks
It is evident that major progresses have been made during the past 15 years in the understanding of the molecular mechanisms involved in NK cell function. Thus, numerous receptors with opposing functions and many of their ligands have been identified and molecularly characterized. However, there are still relevant issues that remain to be clarified in order to better understand the NK cell physiology and possibly to exploit them in immunotherapy. For example, it will be important to identify
Acknowledgments
This work was supported by grants awarded by Associazione Italiana per la Ricerca sul Cancro (AIRC), Istituto Superiore di Sanità (ISS), Ministero della Salute, RF 2002/149, Ministero dell’Istruzione dell’Università e della Ricerca (MIUR), FIRB-MIUR progetto, cod.RBNE017B4C; Ministero dell’Università e della Ricerca Scientifica e Tecnologica (MURST), European Union FP6, LSHB-CT-2004-503319-Allostem (The European Commission is not liable for any use that may be made of the information
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