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Tumor cell surface ligands recognized by Natural Killer (NK) activating and inhibitory receptors (NK cell ligands)

Target
NK cell ligands
Molecular classification
MHC class I-like proteins, Cell surface glycoproteins, Immune checkpoint ligands, Stress-induced proteins, Adhesion molecules
01

Overview

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].

Other names
Natural Killer cell ligandsNK cell receptor ligandsTumor-associated NK ligandsNKLsNK activating and inhibitory ligands
02

Mechanism of action

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].

03

Biological functions

Immune surveillanceCell-mediated cytotoxicityCytokine productionImmune evasionApoptosis induction
04

Disease associations

CancerViral infectionAutoimmune disease
05

Safety considerations

Autoimmune-related adverse events (irAEs)Cytokine release syndrome (CRS)On-target off-tumor toxicity against healthy tissues expressing stress-induced ligandsImmune evasion via proteolytic shedding of activating ligands
06

Interacting drugs

Monalizumab

6 more in the full profile.

07

Biomarkers

MICA/B surface expressionHLA-E expressionSoluble MICA (sMICA) levelsULBP1-6 expressionCD155/TIGIT expression ratio

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