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CD56bright NK cells exhibit potent antitumor responses following IL-15 priming
Julia A. Wagner, … , Hing C. Wong, Todd A. Fehniger
Julia A. Wagner, … , Hing C. Wong, Todd A. Fehniger
Published October 3, 2017
Citation Information: J Clin Invest. 2017;127(11):4042-4058. https://doi.org/10.1172/JCI90387.
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Research Article Immunology Oncology

CD56bright NK cells exhibit potent antitumor responses following IL-15 priming

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Abstract

NK cells, lymphocytes of the innate immune system, are important for defense against infectious pathogens and cancer. Classically, the CD56dim NK cell subset is thought to mediate antitumor responses, whereas the CD56bright subset is involved in immunomodulation. Here, we challenge this paradigm by demonstrating that brief priming with IL-15 markedly enhanced the antitumor response of CD56bright NK cells. Priming improved multiple CD56bright cell functions: degranulation, cytotoxicity, and cytokine production. Primed CD56bright cells from leukemia patients demonstrated enhanced responses to autologous blasts in vitro, and primed CD56bright cells controlled leukemia cells in vivo in a murine xenograft model. Primed CD56bright cells from multiple myeloma (MM) patients displayed superior responses to autologous myeloma targets, and furthermore, CD56bright NK cells from MM patients primed with the IL-15 receptor agonist ALT-803 in vivo displayed enhanced ex vivo functional responses to MM targets. Effector mechanisms contributing to IL-15–based priming included improved cytotoxic protein expression, target cell conjugation, and LFA-1–, CD2-, and NKG2D-dependent activation of NK cells. Finally, IL-15 robustly stimulated the PI3K/Akt/mTOR and MEK/ERK pathways in CD56bright compared with CD56dim NK cells, and blockade of these pathways attenuated antitumor responses. These findings identify CD56bright NK cells as potent antitumor effectors that warrant further investigation as a cancer immunotherapy.

Authors

Julia A. Wagner, Maximillian Rosario, Rizwan Romee, Melissa M. Berrien-Elliott, Stephanie E. Schneider, Jeffrey W. Leong, Ryan P. Sullivan, Brea A. Jewell, Michelle Becker-Hapak, Timothy Schappe, Sara Abdel-Latif, Aaron R. Ireland, Devika Jaishankar, Justin A. King, Ravi Vij, Dennis Clement, Jodie Goodridge, Karl-Johan Malmberg, Hing C. Wong, Todd A. Fehniger

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Figure 2

Responses of IL-15–primed CD56dim NK cells are influenced by maturity status.

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Responses of IL-15–primed CD56dim NK cells
                        are i...
Control and primed NK cells were assessed for the expression of 33 markers using mass cytometry following stimulation with K562 tumor targets in a functional assay. (A) Density plots from a representative donor of control and primed NK cells in the tSNE1/2 fields demonstrating the proportion of NK cells that are CD56bright (B), immature CD56dim (Imm), or mature CD56dim (Mat). Percentages of NK cells belonging to the different groups are indicated in parentheses. Cell maturity state was determined according to expression of CD56, NKG2A, KIR, and CD57. Immature CD56dim NK cells were primarily NKG2A+KIR–CD57–, whereas mature CD56dim NK cells were primarily NKG2A+KIR+CD57+ or NKG2A–KIR+CD57+. (B) Median expression of the indicated markers (CD56, NKG2A, KIR2DL2/3, CD57) is shown for the same representative donor, demonstrating that maturity marker expression is unchanged by priming. (C) Summary data show mean ± SEM percentage of CD107a+, IFN-γ+, and TNF+ control or primed CD56bright, CD56dim (immature + mature), immature CD56dim, and mature CD56dim NK cells from n = 8 normal donors, 3 independent experiments. (D) Summary data show mean ± SEM fold change of primed relative to control percentage CD107a+, IFN-γ+, and TNF+ CD56bright, CD56dim (immature + mature), immature CD56dim, and mature CD56dim NK cells from n = 8 normal donors, 3 independent experiments. Data were compared using a 1-way repeated-measures ANOVA with (C) Bonferroni’s multiple-comparisons testing of indicated groups or (D) Tukey’s multiple-comparisons testing. *P < 0.05, ***P < 0.001.

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