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Natural Killer Group 2 Member D ligands (NKG2DLs), including MICA/B and ULBPs, are stress-induced markers upregulated on tumor cells. These ligands bind to the NKG2D receptor on NK cells and T cells, triggering cytotoxicity and promoting immune surveillance. Their selective expression on tumor cells makes them attractive targets for cancer immunotherapy, but immune evasion mechanisms such as ligand shedding pose a challenge.
Enhancing expression or stability of membrane-bound forms could boost anti-tumor immunity. Inhibiting shedding/neutralizing soluble forms may restore effective immune surveillance
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