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Tumor cell surface ligands recognized by Natural Killer (NK) activating and inhibitory receptors refers to a heterogeneous group of proteins that modulate NK cell activity against malignancies. NK cell function is determined by the integration of signals from a variety of activating receptors (e.g., NKG2D, DNAM-1, NKp30) and inhibitory receptors (e.g., KIRs, NKG2A, TIGIT) [Vivier et al., 2012]. Activating ligands such as MICA, MICB, and ULBPs are often upregulated on tumor cells due to genomic instability or cellular stress, serving as signals for immune recognition [Shimasaki et al., 2020]. Conversely, tumors frequently overexpress inhibitory ligands like HLA-E or PD-L1 to suppress NK cell cytotoxicity and achieve immune evasion [André et al., 2018]. Therapeutic interventions targeting this axis include checkpoint inhibitors that block inhibitory signals (e.g., monalizumab targeting the NKG2A/HLA-E interaction) and NK-cell engagers designed to stabilize the immunological synapse between NK cells and tumor ligands [Demaria et al., 2019]. Understanding the expression profile of these ligands is critical for developing personalized immunotherapy and overcoming resistance mechanisms such as ligand shedding [Schmiedel et al., 2016].
Modulation of the NK cell "rheostat" by either blocking inhibitory ligand-receptor interactions (e.g., HLA-E/NKG2A) or enhancing activating signals (e.g., MICA/NKG2D) to restore anti-tumor cytotoxicity [André et al., 2018; Shimasaki et al., 2020].
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