Blocking expression of inhibitory receptor NKG2A overcomes tumor resistance to NK cells
Blocking expression of inhibitory receptor NKG2A overcomes tumor resistance to NK cells
A key mechanism of tumor resistance to immune cells is mediated by expression of peptide-loaded HLA-E in tumor cells, which suppresses natural killer (NK) cell activity via ligation of the NK inhibitory receptor CD94/NKG2A. Gene expression data from approximately 10,000 tumor samples showed widespread HLAE expression, with levels correlating with those of KLRC1 (NKG2A) and KLRD1 (CD94). To bypass HLA-E inhibition, we developed a way to generate highly functional NK cells lacking NKG2A. Constructs containing a single-chain variable fragment derived from an anti-NKG2A antibody were linked to endoplasmic reticulum-retention domains. After retroviral transduction in human peripheral blood NK cells, these NKG2A Protein Expression Blockers (PEBLs) abrogated NKG2A expression. The resulting NKG2Anull NK cells had higher cytotoxicity against HLA-E-expressing tumor cells. Transduction of anti-NKG2A PEBL produced more potent cytotoxicity than interference with an anti-NKG2A antibody and prevented de novo NKG2A expression, without affecting NK cell proliferation. In immunodeficient mice, NKG2Anull NK cells were significantly more powerful than NKG2A+ NK cells against HLA-E-expressing tumors. Thus, NKG2A downregulation evades the HLA-E cancer immune-checkpoint, and increases the anti-tumor activity of NK cell infusions. Because this strategy is easily adaptable to current protocols for clinical-grade immune cell processing, its clinical testing is feasible and warranted.
- National University of Singapore Singapore
Cytotoxicity, Immunologic, Gene Expression Profiling, Histocompatibility Antigens Class I, Down-Regulation, Mice, SCID, Endoplasmic Reticulum, Gene Expression Regulation, Neoplastic, Killer Cells, Natural, Mice, Protein Domains, Drug Resistance, Neoplasm, Mice, Inbred NOD, Cell Line, Tumor, Animals, Humans, Immunotherapy, K562 Cells, NK Cell Lectin-Like Receptor Subfamily C, NK Cell Lectin-Like Receptor Subfamily D, Neoplasm Transplantation
Cytotoxicity, Immunologic, Gene Expression Profiling, Histocompatibility Antigens Class I, Down-Regulation, Mice, SCID, Endoplasmic Reticulum, Gene Expression Regulation, Neoplastic, Killer Cells, Natural, Mice, Protein Domains, Drug Resistance, Neoplasm, Mice, Inbred NOD, Cell Line, Tumor, Animals, Humans, Immunotherapy, K562 Cells, NK Cell Lectin-Like Receptor Subfamily C, NK Cell Lectin-Like Receptor Subfamily D, Neoplasm Transplantation
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