Escolar Documentos
Profissional Documentos
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Michael J. Robertson
Bone Marrow and Stem Cell Transplantation Program and Division of Hematology/Oncology, Indiana University
School of Medicine, Indianapolis
Abstract: Natural killer (NK) cells participate in virus-infected cells [1–3]. NK cells participate in innate im-
innate and adaptive immune responses to obligate mune responses that can inhibit intracellular pathogens while
intracellular pathogens and malignant tumors. Two antigen-specific T- and B-cell responses are generated [4 – 6].
major NK cell subsets have been identified in hu- Moreover, NK cells secrete cytokines, such as interferon-␥
mans: CD56dim CD16ⴙ and CD56bright CD16ⴚ. (IFN-␥), which promote the differentiation of activated CD4 T
Resting CD56dim CD16ⴙ NK cells express cells into Th1 helper effector cells [4, 5, 7]. NK cells can also
CXCR1, CXCR2, CXCR3, CXCR4, and CX3CR1 contribute to the elimination of infected cells during the effec-
but no detectable levels of CC chemokine recep- tor phase of adaptive immune responses [1–3]. NK cells can
tors on the cell surface. They migrate vigorously in recognize and destroy cancer cells that have evaded cytotoxic
response to CXCL12 and CXC3L1. In contrast, T lymphocytes (CTL) [8]. Thus, NK cells participate in innate
resting CD56bright CD16ⴚ NK cells express little and adaptive immune responses to intracellular pathogens and
CXCR1, CXCR2, and CXC3R1 but high levels of malignant tumors.
CCR5 and CCR7. Chemotaxis of CD56bright The cytolytic activity of NK cells is clearly distinguishable
CD16ⴚ NK cells is stimulated most potently by from that mediated by typical CTL: It occurs spontaneously
CCL19, CCL21, CXCL10, CXCL11, and CXCL12. (i.e., in the absence of deliberate, prior immunization) and does
Following activation, NK cells can migrate in re- not require expression of syngeneic major histocompatibility
sponse to additional CC and CXC chemokines. Cy- complex (MHC) antigens by target cells. Recently, the molec-
tolytic activity of NK cells is augmented by CCL2, ular basis for target-cell recognition by human and murine NK
CCL3, CCL4, CCL5, CCL10, and CXC3L1. More- cells has been elucidated [2, 8 –10]. Unlike CTL, NK cells do
over, proliferation of CD56dim CD16ⴙ NK cells is not appear to express one dominant receptor that dictates the
costimulated by CCL19 and CCL21. Activated NK specificity of cytolysis. Rather, triggering of NK cell cytotox-
cells produce XCL1, CCL1, CCL3, CCL4, CCL5, icity reflects a balance between activating and inhibitory sig-
CCL22, and CXCL8. Chemokines secreted by NK nals mediated by cell-surface receptors that belong to several
cells may recruit other effector cells during im- different gene families. Inhibitory MHC class I receptors have
mune responses. Furthermore, CCL3, CCL4, and a central role in current paradigms of target-cell recognition by
CCL5 produced by NK cells can inhibit in vitro NK cells [2, 8 –10]. Ligation of these inhibitory receptors by
replication of HIV. CCL3 and CXL10 expression specific MHC class I allotypes delivers a dominant-negative
appear to be required for protective NK cell re- signal to NK cells that prevents natural killing. Down-regula-
sponses in vivo to murine cytomegalovirus or tion of MHC class I molecules on the target-cell surface, which
Leishmania major, respectively. Moreover, NK commonly occurs during viral infection or neoplastic transfor-
cells participate in the in vivo rejection of trans- mation, releases the NK cell from inhibitory signals and allows
duced tumor cells that produce CCL19 or CCL21.
lysis of the aberrant target cell. Positive signals for cytolysis
Thus, chemokines appear to play an important role
are provided by ligation of several activating receptors (e.g.,
in afferent and efferent NK cell responses to in-
CD2, CD16, NKR-P1, 2B4, NKp30, NKp44, and NKp46)
fected and neoplastic cells. J. Leukoc. Biol. 71:
expressed by NK cells [2, 9, 10]. However, the contribution of
173–183; 2002.
these putative activating receptors to triggering NK cytolysis in
vivo has not been well-defined.
Key Words: chemotaxis 䡠 cytotoxicity 䡠 proliferation
Like T cells, NK cells are heterogeneous with respect to
functional activity and cell-surface antigen expression [11–14].
Two major NK cell subsets have been identified in humans.
INTRODUCTION CD56dim NK cells, comprising about 90% of peripheral blood
NK cells, express the CD16 antigen at high density but rela-
Natural killer (NK) cells, such as T and B cells, are one of the
major lymphocyte subsets that have been identified in all
vertebrate species examined [1–3]. Unlike T and B lympho-
cytes, however, NK cells do not productively rearrange T-cell Correspondence: Michael J. Robertson, M.D., Bone Marrow and Stem Cell
Transplantation Program, 1044 W. Walnut Street, Room R4-202, Indianapolis,
receptor or immunoglobulin genes and do not appear to express IN 46202. E-mail: mjrobert@iupui.edu
highly variable, antigen-specific receptors. Nevertheless, NK Received November 1, 2001; revised November 29, 2001; accepted Novem-
cells can discriminate between normal cells and neoplastic or ber 30, 2001.
XCR1 NR NR NR
CCR1 0b 0 0 [30, 35]
CCR2 0 0 0 [30, 35, 37]
CCR3 0 0 0 [30, 35]
CCR4 ⫹/⫺ 0 0 [30, 35]
CCR5 0 ⫹ 0 [30, 35, 37]
CCR6 0 0 0 [30, 35]
CCR7 0 ⫹ ⫹/⫺ [30, 35]
CCR8 NR NR 0 [35]
CCR9 0 0 NR [30]
CCR10 NR NR NR
CCR11 NR NR NR
CXCR1 ⫹ 0 ⫹ [30–32]
CXCR2 ⫹ 0 ⫹ [30–32]
CXCR3 ⫹ ⫹ ⫹/⫺ [30, 35, 104]
CXCR4 ⫹ ⫹ ⫹ [30, 35]
CXCR5 0 0 0 [30, 35]
CXCR6 0 0 NR [30]
CX3CR1 ⫹ ⫹/⫺ ⫹ [30, 33–35]
a
Unfractionated human peripheral blood NK cell preparations are expected to contain ⬃10% CD56bright NK cells and ⬃90% CD56dim NK cells.
b
⫹, positive results reported; 0, negative results reported; ⫹/⫺, equivocal or contradictory results reported; NR, results not reported.
CXCL10, and CXCL11) and CXCR4 (CXCL12) [30, 35, 36, Resting human NK cells also migrate in response to several
39, 42, 49]. Furthermore, chemotaxis of resting NK cells is CC chemokines, including CCL2, CCL3, CCL4, CCL5, CCL7,
stimulated by XCL1 and CX3CL1 [30, 35, 50]. Although and CCL8 [35, 36, 44, 51], although known receptors for the
CXCR1 and CXCR2 appear to be expressed by most resting latter are generally undetectable on most resting NK cells [30,
human NK cells [30 –32], the responsiveness of the latter to 35, 37]. However, results with the CC chemokines are not
CXCL1 or CXCL8 is a subject of controversy. Some investiga- consistent in the published literature: Some investigators have
tors have shown that resting NK cells can migrate in response demonstrated positive findings using activated but not resting
to CXCL1 [35] or CXCL8 [30]; other investigators have found NK cells [44, 47]. It is possible that some of the known CC
these chemokines to have inconsistent, donor-dependent ef- chemokine receptors are actually expressed on the surface of
fects on resting NK cells [36]. Furthermore, CXCL8 may not resting NK cells but at levels below the limits of detection by
stimulate the chemotaxis of human NK cells that have been routine flow cytometry. Alternatively, resting NK cells may
activated in vitro [35, 47]. express as-yet uncharacterized novel receptors for some of the
XCL1 Polyclonal human and murine NK cells; human NK clones IL-2; IL-2 ⫹ SC [45, 50, 54]
CCL1 Polyclonal human NK cells IL-2 [35, 52]
CCL2 Polyclonal human NK cells and NK clones IL-2; IL-2 ⫹ SC [35, 44, 47]
CCL3 Human NK clones IL-2 [47, 105]
CCL4 Human NK clones IL-2 [47]
CCL5 Human NK clones IL-2 [47, 105]
CCL7 Polyclonal human NK cells and NK clones IL-2; IL-2 ⫹ SC [44, 47]
CCL8 Polyclonal human NK cells and NK clones IL-2; IL-2 ⫹ SC [44, 47]
CCL17 Polyclonal human NK cells IL-2 [35, 52]
CCL19 Polyclonal human NK cells; NKL cellsb IL-2; LCM ⫹ lono [35, 40, 42]
CCL21 Polyclonal human NK cells; NKL cells IL-2; LCM ⫹ lono [40, 42]
CCL22 Polyclonal human NK cells IL-2; IL-2 ⫹ SC [35, 52, 53]
CXCL1 Polyclonal human NK cells IL-2 [35]
CXCL8 Polyclonal human NK cells IL-2 [46]
CXCL10 Polyclonal human NK cells IL-2 [35, 45]
CXCL12 Polyclonal human NK cells; NKL cells IL-2 [35, 40]
CX3CL1 Polyclonal human NK cells IL-2 [35]
a
SC, stimulator cells (e.g., irradiated B lymphoblastoid cell lines); LCM ⫹ lono, leukocyte conditioned medium plus ionomycin.
b
NKL is an IL-2-dependent neoplastic human NK cell line [106].