Division of Infection and Immunity, Institute of Immunity and Transplantation, University College London, London, United Kingdom.
Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Front Immunol. 2018 May 9;9:1009. doi: 10.3389/fimmu.2018.01009. eCollection 2018.
NK cells have potent antitumor capacity. They are enriched in the human liver, with a large subset specialized for tissue-residence. The potential for liver-resident versus liver-infiltrating NK cells to populate, and exert antitumor functions in, human liver tumors has not been studied. We examined liver-resident and liver-infiltrating NK cells directly from human hepatocellular carcinomas (HCCs) and liver colorectal (CRC) metastases, compared with matched uninvolved liver tissue. We found that NK cells were highly prevalent in both HCC and liver CRC metastases, although at lower frequencies than unaffected liver. Up to 79% of intratumoral NK cells had the CXCR6CD69 liver-resident phenotype. Direct staining showed that liver-resident NK cells had increased NKG2D expression compared to their non-resident counterparts, but both subsets had NKG2D downregulation within liver tumors compared to uninvolved liver. Proliferation of intratumoral NK cells (identified by Ki67) was selectively impaired in those with the most marked NKG2D downregulation. Human liver tumor NK cells were functionally impaired, with reduced capacity for cytotoxicity and production of cytokines, even when compared to the hypo-functional tissue-resident NK cells in unaffected liver. Coculture of human liver NK cells with the human hepatoma cell line PLC/PRF/5, or with autologous HCC, recapitulated the defects observed in NK cells extracted from tumors, with downmodulation of NKG2D, cytokine production, and target cell cytotoxicity. Transwells and conditioned media confirmed a requirement for cell contact with PLC/PRF/5 to impose NK cell inhibition. IL-15 was able to recover antitumor functionality in NK cells inhibited by exposure to HCC cell lines or extracted directly from HCC. In summary, our data suggest that the impaired antitumor function of local NK cells reflects a combination of the tolerogenic features inherent to liver-resident NK cells together with additional contact-dependent inhibition imposed by HCC itself. The demonstration that IL-15 can recover hepatic NK cell function following tumor exposure supports its inclusion in immunotherapy strategies.
NK 细胞具有强大的抗肿瘤能力。它们在人类肝脏中丰富存在,其中一个大的亚群专门定位于组织驻留。肝固有 NK 细胞与肝浸润 NK 细胞在人类肝肿瘤中定植和发挥抗肿瘤功能的潜力尚未得到研究。我们直接从人类肝细胞癌(HCC)和肝结直肠癌(CRC)转移瘤中检查肝固有和肝浸润 NK 细胞,与匹配的未受影响的肝组织进行比较。我们发现 NK 细胞在 HCC 和肝 CRC 转移瘤中均高度普遍存在,尽管其频率低于未受影响的肝。高达 79%的肿瘤内 NK 细胞具有 CXCR6CD69 肝固有表型。直接染色显示,与非固有 NK 细胞相比,肝固有 NK 细胞具有更高的 NKG2D 表达,但与未受影响的肝相比,这两个亚群在肝肿瘤内的 NKG2D 下调。肿瘤内 NK 细胞(通过 Ki67 鉴定)的增殖选择性地在具有最明显 NKG2D 下调的细胞中受损。人肝肿瘤 NK 细胞功能受损,细胞毒性和细胞因子产生能力降低,即使与未受影响的肝中的低功能组织固有 NK 细胞相比也是如此。将人肝 NK 细胞与人肝癌细胞系 PLC/PRF/5 共培养,或与自体 HCC 共培养,可重现从肿瘤中提取的 NK 细胞中观察到的缺陷,包括 NKG2D、细胞因子产生和靶细胞细胞毒性的下调。Transwell 和条件培养基证实,与 PLC/PRF/5 的细胞接触是对 NK 细胞抑制所必需的。IL-15 能够恢复 NK 细胞在暴露于 HCC 细胞系或直接从 HCC 中提取时所受到的抗肿瘤功能。总之,我们的数据表明,局部 NK 细胞抗肿瘤功能受损反映了固有 NK 细胞固有的耐受特征与 HCC 本身施加的额外接触依赖性抑制的结合。IL-15 能够在肿瘤暴露后恢复肝 NK 细胞功能的证明支持将其纳入免疫治疗策略。