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Natural killer (NK) cell replacement involves supplementing or replacing a patient’s NK cells to enhance anti-tumor or anti-viral immunity. NK cells are cytotoxic lymphocytes crucial for innate immunity, killing infected and cancerous cells. The therapy involves infusion of donor-derived or expanded patient-derived NK cells. Their mechanism includes direct target cell lysis via granule exocytosis and death receptor pathways, regulated by activating and inhibitory receptor balance. Clinical considerations include ensuring NK cell persistence, avoiding off-target effects, and overcoming tumor evasion mechanisms.
Direct lysis via granule exocytosis & death receptor pathways; enhancement of ADCC; cytokine-mediated immune modulation.
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