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Metabolic programs drive function of therapeutic NK cells in hypoxic tumor environments

Philippa R Kennedy, Upasana Sunil Arvindam, Shee Kwan Phung, Brianna Ettestad and 19 more

Science Advances | Oct 30, 2024 | 30 citations

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Tri-specific killer engager molecules that deliver IL-15 in the context of anti-CD16/FcγRIII were able to bypass this deficit, enhancing cytotoxicity of both fresh and preactivated NK cells in hypoxia.

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Limited oxygen (hypoxia) in solid tumors poses a challenge to successful immunotherapy with natural killer (NK) cells. NK cells have impaired cytotoxicity when cultured in hypoxia (1% oxygen) but not physiologic (>5%) or atmospheric oxygen (20%). We found that changes to cytotoxicity were regulated at the transcriptional level and accompanied by metabolic dysregulation. Dosing with interleukin-15 (IL-15) enhanced NK cell cytotoxicity in hypoxia, but preactivation with feeder cells bearing IL-21 and 4-1BBL was even better. Preactivation resulted in less perturbed metabolism in hypoxia; greater resistance to oxidative stress; and no hypoxia-induced loss of transcription factors (T-bet and Eomes), activating receptors, adhesion molecules (CD2), and cytotoxic proteins (TRAIL and FasL). There remained a deficit in CD122/IL-2Rβ when exposed to hypoxia, which affected IL-15 signaling. However, tri-specific killer engager molecules that deliver IL-15 in the context of anti-CD16/FcγRIII were able to bypass this deficit, enhancing cytotoxicity of both fresh and preactivated NK cells in hypoxia.

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Philippa R Kennedy

first | University of Minnesota | ORCID 0000-0003-0239-5440

Upasana Sunil Arvindam

middle | University of Minnesota

Shee Kwan Phung

middle | University of Minnesota | ORCID 0000-0001-9700-0151

Brianna Ettestad

middle | University of Minnesota

Xueyang Feng

middle | ORCID 0000-0003-4426-5732

Yunmin Li

middle | ORCID 0009-0004-3650-7425

Quinlan M. Kile

middle | University of Minnesota | ORCID 0000-0002-1471-8895

Peter Hinderlie

middle | University of Minnesota | ORCID 0000-0002-0816-956X

Melissa Khaw

middle | University of Minnesota | ORCID 0000-0003-4207-9151

Rih‐Sheng Huang

middle | University of Minnesota | ORCID 0000-0002-7460-8882

Marissa Kaufman

middle | University of Minnesota

Patrycja Puchalska

middle | University of Minnesota | ORCID 0000-0002-1875-1203

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BibTeX

@article{Kennedy2024Metabolic,
  title = {Metabolic programs drive function of therapeutic NK cells in hypoxic tumor environments},
  author = {Philippa R Kennedy and Upasana Sunil Arvindam and Shee Kwan Phung and Brianna Ettestad and Xueyang Feng and Yunmin Li and Quinlan M. Kile and Peter Hinderlie and Melissa Khaw and Rih‐Sheng Huang and Marissa Kaufman and Patrycja Puchalska and Amanda J. Russell and Jonah Z. Butler and Lucas Abbott and P. D. McClure and Xianghua Luo and Qiping Lu and Bruce R. Blazar and Peter A. Crawford and James Lim and Jeffrey S. Miller and Martin Felices},
  journal = {Science Advances},
  year = {2024},
  doi = {10.1126/sciadv.adn1849},
  url = {https://doi.org/10.1126/sciadv.adn1849}
}

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