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https://healthcaretoday.com.my/harnessing-the-power-of-natural-killer-cells-in-cancer-immunotherapy.html

Harnessing the power of natural killer cells in cancer immunotherapy

January 28, 2025
Healthcaretoday, Dr Kheng Kien Soo, natural killer cells, NK cells, cancer immunotherapy, immune system, cancer research, cancer treatment, cell therapy, oncology, cancer awareness, cancer care, fighting cancer, cancer fighter, cancer survivor,
Healthcaretoday, Dr Kheng Kien Soo, natural killer cells, NK cells, cancer immunotherapy, immune system, cancer research, cancer treatment, cell therapy, oncology, cancer awareness, cancer care, fighting cancer, cancer fighter, cancer survivor,
By Dr Kheng Kien Soo, Family physician,
anti-ageing /aesthetician;
Clinic Dr Kheng,
​Kota Kinabalu, Sabah
In the human body exist an intricate immune system that consists of a network of organ, cells, and proteins that work together to protect the body from invaders (germs, viruses, bacteria) and also protects its own cells. One key aspect of the immune system is the Natural Killer cells or more commonly known as the NK cells. 

What are Natural Killer cells?
Natural Killer cells or NK cells are a type of lymphocyte (a type of white blood cell), a broad category of cells that includes T cell and B cell. They are part of the innate immune system that guards the body from infections and diseases. NK cells are highly specialized and cytotoxic cells that are able to differentiate between the healthy and infected cells without prior exposure to antigen.

Characteristics of the NK cells
NK cells can be characterized by several key features:
  1. Large granules: NK cells contain large granules called cytotoxins that are able to kill the infected cells.
  2. High levels of CD16: NK cells express high level of CD16, a receptor that binds to the antibodies attached to the infected cells.
  3. Ability to recognized infected/diseased cells: NK cells are able to recognize the infected cells due to the changes of receptor expression (MHC-1) on the surface of the infected cells.
  4. Ability to release chemical mediators: NK cells are able to release cytokines and chemokine to help recruit immune cells to the infection site.

Function of the NK cells
NK cell has several key functions that are important in the body:
  1. Cytotoxic activity: NK cell is able to kill the infected cell by releasing cytotoxins such as granzymes and perforin.
  2. Antitumor activity: NK cell is able to kill any cancerous cells with similar mechanism as above to prevent the spread of the tumor.
  3. Modulation of immune response: NK cells modulate immune response by releasing chemical mediators like cytokines and chemokines to help the body combat infections through the help of other immune cells.
  4. Virus control: NK cells can recognize and kill virus infected cells to control viral infections.

Dysfunction of NK cells
Given the crucial role of NK cells, an impaired NK cell function would lead to dysfunctional immune response.
  1. Cancer: NK cells are not working properly in cancer patients which makes them more susceptible to tumor progression.
  2. Autoimmune disease: Some immune diseases are attributed to NK cells dysfunction where they attack normal healthy cells directly or indirectly through immune modulation.
  3. Viral infections: Prolonged exposure to viral infections could cause NK cells to be exhausted impairing the immune response. 

NK cells in cancer treatment
Cancer cells are normal cells that have undergone mutation. However, cancer patients often have dysfunctional immune system which lead to uncontrolled growth of abnormal cells. 

NK cells can be found in our blood where they make up 5-15% of the lymphocytes. To obtain the NK cells, it needs to be extracted from the blood.

Sources of NK cells
In therapy, NK cells can be isolated from two sources; autologous (own blood) and allogeneic (donor’s blood). Autologous means that the NK cells are obtained from the patient itself while allogeneic means that the NK cells are obtained from an unrelated donor. There are key points to consider for both approaches.

Autologous (Own blood)
  1. NK cells isolated from cancer patient are blind to the cancer cells. The NK cells cannot detect and kill the cancer cells.
  2. Cancer patients’ NK cells are lost due to chemotherapy or radiotherapy. The number of cells obtained after culture is not enough for therapy.
  3. As the NK cells are obtained from patient’s own body, there would be no rejection upon NK cells administration.

Allogeneic (From donor)
  1. NK cells extracted from young, healthy donor who has healthy and functioning NK cells.
  2. Younger and healthy people have higher number of NK cells which can be further cultured to reach required number for therapy.
  3. Allogeneic NK cells are safe to be used with no rejection.

NK cells in our immune system eliminate cancer cells and virus-infected cells. Their ability to target cells without any prior introduction to the pathogens is crucial for a quick immune response. They also modulate immune response through the release of chemical mediators to signal other immune cells in the event of inflammation or infections. In cancer therapy, the source of NK cells plays a role in determining the efficacy of the treatment. Overall, NK cells are vital in maintaining a healthy immune system.
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