Skip to main content

Advertisement

Log in

Role of natural killer cells in lung cancer

  • Review – Cancer Research
  • Published:
Journal of Cancer Research and Clinical Oncology Aims and scope Submit manuscript

Abstract

Purpose

One of the key immune cells involved in the pathogenesis of lung cancer is natural killer (NK) cells and these cells are novel targets for therapeutic applications in lung cancer. The purpose of this review is to summarize the current literature on lung cancer pathogenesis with a focus on the interaction between NK cells and smoking, how these factors are related to the pathogenesis of lung cancer and how NK cell-based immunotherapy effect lung cancer survival.

Methods

The relevant literature from PubMed and Medline databases is reviewed in this article.

Results

The cytolytic potential of NK cells are reduced in lung cancer and increasing evidence suggests that improving NK cell functioning may induce tumor regression. Recent clinical trials on NK cell-based novel therapies such as cytokines including interleukin (IL)-15, IL-12 and IL-2, NK-92 cell lines and allogenic NK cell immunotherapy showed promising results with less adverse effects on the lung cancer survival.

Conclusions

The NK cell targeting strategy has not yet been approved for lung cancer treatment. More clinical studies focusing on the role of NK cells in lung cancer pathogenesis are warranted to develop novel NK cell-based therapeutic approaches for the treatment of lung cancer.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Al Omar SY, Marshall E, Middleton D, Christmas SE (2011) Increased killer immunoglobulin-like receptor expression and functional defects in natural killer cells in lung cancer. Immunology 133(1):94–104

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Andreoli C, Bassi A, Gregg EO, Nunziata A, Puntoni R, Corsini E (2015) Effects of cigarette smoking on circulating leukocytes and plasma cytokines in monozygotic twins. Clin Chem Lab Med 53(1):57–64

    Article  CAS  PubMed  Google Scholar 

  • Anton-Culver H, Chang J, Bray F, Znaor A, Stevens L, Eser S et al (2016) Cancer burden in four countries of the Middle East Cancer Consortium (Cyprus; Jordan; Israel; Izmir Turkey) with comparison to the United States surveillance; epidemiology and end results program. Cancer Epidemiol 44:195–202

    Article  PubMed  Google Scholar 

  • Bauer S et al (1999) Activation of natural killer cells and T cells by NKG2D, a receptor for stress-inducible MICA. Science 285:727–730

    Article  CAS  PubMed  Google Scholar 

  • Boutet P et al (2009) Cutting edge: the metalloproteinase ADAM17/TNF-α-converting enzyme regulates proteolytic shedding of the MHC class I‑related chain B protein. J Immunol 182:49–53

    Article  CAS  PubMed  Google Scholar 

  • Carrega P, Morandi B, Costa R, Frumento G, Forte G, Altavilla G, Ratto GB, Mingari MC, Moretta L, Ferlazzo G (2008) Natural killer cells infiltrating human nonsmall-cell lung cancer are enriched in CD56 bright CD16(−) cells and display an impaired capability to kill tumor cells. Cancer 112(4):863–875

    Article  PubMed  Google Scholar 

  • Castriconi R, Cantoni C, Della Chiesa M, Vitale M, Marcenaro E, Conte R, Biassoni R, Bottino C, Moretta L, Moretta A (2003) Transforming growth factor beta 1 inhibits expression of NKp30 and NKG2D receptors: consequences for the NK-mediated killing of dendritic cells. Proc Natl Acad Sci USA 100(7):4120–4125

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Cooper MA, Fehniger TA, Caligiuri MA (2001) The biology of human natural killer-cell subsets. Trends Immunol 22:633–640

    Article  CAS  PubMed  Google Scholar 

  • Cui F, Ji J, Lv H, Qu D, Yu C, Yang Y, Xu Y (2013) Immune responsiveness in a mouse model of combined adoptive immunotherapy with NK and dendritic cells. J Cancer Res Ther 9(Suppl):S162–S168

    PubMed  Google Scholar 

  • De Vita F, Orditura M, Galizia G, Romano C, Roscigno A, Lieto E, Catalano G (2000) Serum interleukin-10 levels as a prognostic factor in advanced non-small cell lung cancer patients. Chest 117:365–373

    Article  PubMed  Google Scholar 

  • Deniz G, van de Veen W, Akdis M (2013) Natural killer cells in patients with allergic diseases. J Allergy Clin Immunol 132(3):527–535

    Article  CAS  PubMed  Google Scholar 

  • Ding X, Cao H, Chen X, Jin H, Liu Z, Wang G, Cai L, Li D, Niu C, Tian H, Yang L, Zhao Y, Li W, Cui J (2015) Cellular immunotherapy as maintenance therapy prolongs the survival of the patients with small cell lung cancer. J Transl Med 13:158

    Article  PubMed  PubMed Central  Google Scholar 

  • Esendagli G, Bruderek K, Goldmann T, Busche A, Branscheid D, Vollmer E, Brandau S (2008) Malignant and non-malignant lung tissue areas are differentially populated by natural killer cells and regulatory T cells in non-small cell lung cancer. Lung Cancer 59(1):32–40

    Article  CAS  PubMed  Google Scholar 

  • Fend L, Rusakiewicz S, Adam J, Bastien B, Caignard A, Messaoudene M et al (2016) Prognostic impact of the expression of NCR1 and NCR3 NK cell receptors and PD-L1 on advanced non-small cell lung cancer. Oncoimmunology 6(1):e1163456

    Article  PubMed  PubMed Central  Google Scholar 

  • Ferlazzo G, Thomas D, Lin SL, Goodman K, Morandi B, Muller WA, Moretta A, Münz C (2004) The abundant NK cells in human secondary lymphoid tissues require activation to express killer cell Ig-like receptors and become cytolytic. J Immunol 172(3):1455–1462

    Article  CAS  PubMed  Google Scholar 

  • Hatanaka H, Abe Y, Kamiya T, Morino F, Nagata J, Tokunaga T, Oshika Y, Suemizu H, Kijima H, Tsuchida T, Yamazaki H, Inoue H et al (2000) Clinical implications of interleukin-10 induced by non-small-cell lung cancer. Ann Oncol 11:815–819

    Article  CAS  PubMed  Google Scholar 

  • Hiraki A, Kiura K, Yamane H, Nogami N, Tabata M, Takigawa N, Ueoka H, Tanimoto M, Harada M (2002) Interleukin-12 augments cytolytic activity of peripheral blood mononuclear cells against autologous lung cancer cells in combination with IL-2. Lung Cancer 35(3):329–333

    Article  PubMed  Google Scholar 

  • Hodge G, Barnawi J, Jurisevic C, Moffat D, Holmes M, Reynolds PN, Jersmann H, Hodge S (2014) Lung cancer is associated with decreased expression of perforin, granzyme B and interferon (IFN)-γ by infiltrating lung tissue T cells, natural killer (NK) T-like and NK cells. Clin Exp Immunol 178(1):79–85

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Huang AL, Liu SG, Qi WJ, Zhao YF, Li YM, Lei B, Sheng WJ, Shen H (2014) TGF-β1 protein expression in non-small cell lung cancers is correlated with prognosis. Asian Pac J Cancer Prev 15(19):8143–8147

    Article  PubMed  Google Scholar 

  • IARC Working Group on the Evaluation of Carcinogenic Risks to Humans (2004) Tobacco smoke and involuntary smoking. IARC Monogr Eval Carcinog Risks Hum 83:1–1438

    PubMed Central  Google Scholar 

  • Jin S, Deng Y, Hao JW, Li Y, Liu B, Yu Y, Shi FD, Zhou QH (2014) NK cell phenotypic modulation in lung cancer environment. PLoS One 9(10):e109976

    Article  PubMed  PubMed Central  Google Scholar 

  • Jonges LE, Albertsson P, van Vlierberghe RL, Ensink NG, Johansson BR, van de Velde CJ et al (2001) The phenotypic heterogeneity of human natural killer cells: presence of at least 48 different subsets in the peripheral blood. Scand J Immunol 53:103–110

    Article  CAS  PubMed  Google Scholar 

  • Kim S, Iizuka K, Aguila HL et al (2000) In vivo natural killer cell activities revealed by natural killer cell-deficient mice. Proc Natl Acad Sci USA 97(6):2731–2736

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Krause SW, Gastpar R, Andreesen R, Gross C, Ullrich H, Thonigs G et al (2004) Treatment of colon and lung cancer patients with ex vivo heat shock protein 70-peptide-activated, autologous natural killer cells: a clinical phase I trial. Clin Cancer Res 10:3699–3707

    Article  CAS  PubMed  Google Scholar 

  • Li Yang L, Wang, Zhang Y (2016) Immunotherapy for lung cancer: advances and prospects. Am J Clin Exp Immunol 5(1):1–20

    PubMed  Google Scholar 

  • Lin M, Liang SZ, Wang XH et al (2017) Clinical efficacy of percutaneous cryoablation combined with allogenic NK cell immunotherapy for advanced non-small cell lung cancer. Immunol Res 65(4):880–887

    Article  PubMed  Google Scholar 

  • Lowry LE, Zehring WA (2017) Potentiation of natural killer cells for cancer immunotherapy: a review of literature. Front Immunol 8:1061

    Article  PubMed  PubMed Central  Google Scholar 

  • Loza MJ, Perussia B (2004) The IL‑12 signature: NK cell terminal CD56+ high stage and effector functions. J Immunol 172:88–96

    Article  CAS  PubMed  Google Scholar 

  • Lu LM, Zavitz CC, Chen B, Kianpour S, Wan Y, Stämpfli MR (2007) Cigarette smoke impairs NK cell-dependent tumor immune surveillance. J Immunol 178(2):936–943

    Article  CAS  PubMed  Google Scholar 

  • Luna JI, Grossenbacher SK, Murphy WJ, Canter RJ (2017) Targeting cancer stem cells with natural killer cell immunotherapy. Expert Opin Biol Ther 17(3):313–324

    Article  CAS  PubMed  Google Scholar 

  • Luppi P, Lain KY, Jeyabalan A, DeLoia JA (2007) The effects of cigarette smoking on circulating maternal leukocytes during pregnancy. Clin Immunol 122(2):214–219

    Article  CAS  PubMed  Google Scholar 

  • Marcus A, Gowen BG, Thompson TW, Iannello A, Ardolino M, Deng W, Wang L, Shifrin N, Raulet DH (2014) Recognition of tumors by the innate immune system and natural killer cells. Adv Immunol 122:91–128

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mian MF, Lauzon NM, Stampfli MR, Mossman KL, Ashkar AA (2008) Impairment of human NK cell cytotoxic activity and cytokine release by cigarette smoke. J Leukoc Biol 83:74–784

    Article  Google Scholar 

  • Mian MF, Pek EA, Mossman KL, St€ampfli MR, Ashkar AA (2009a) Exposure to cigarette smoke suppresses IL-15 generation and its regulatory NK cell functions in poly I: C-augmented human PBMCs. Mol Immunol 46:3108e16

    Google Scholar 

  • Mian MF, Pek EA, Mossman KL, Stampfli MR, Ashkar AA (2009b) Exposure to cigarette smoke suppresses IL-15 generation and its regulatory NK cell functions in poly I:C-augmented human PBMCs. Mol Immunol 46:3108–3116

    Article  CAS  PubMed  Google Scholar 

  • Mian MF, Steampfli MR, Mossman KL, Ashkar AA (2009c) Cigarette smoke attenuation of poly I: C-induced innate antiviral responses in human PBMC is mainly due to inhibition of IFNbeta production. Mol Immunol 46:825e9

    Google Scholar 

  • Miller JS, Morishima C, McNeel DG, Patel MR, Kohrt HE, Thompson JA et al (2017) A first-in-human phase 1 study of subcutaneous outpatient recombinant human IL-15 (rhIL-15) in adults with advanced solid tumors. Clin Cancer Res. https://doi.org/10.1158/1078-0432.CCR-17-2451

    Google Scholar 

  • Morgensztern D, Campo MJ, Dahlberg SE, Doebele RC, Garon E, Gerber DE et al (2015) Molecularly targeted therapies in non small cell lung cancer annual update 2014. J Thorac Oncol 10(101):S1–S63

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Moszczyński P, Zabiński Z, Moszczyński P Jr, Rutowski J, Słowiński S, Tabarowski Z (2001) Immunological findings in cigarette smokers. Toxicol Lett 118(3):121–127

    Article  PubMed  Google Scholar 

  • Motz GT, Eppert BL, Wortham BW, Amos-Kroohs RM, Flury JL, Wesselkamper SC, Borchers MT (2010) Chronic cigarette smoke exposure primes NK cell activation in a mouse model of chronic obstructive pulmonary disease. J Immunol 184:4460–4469

    Article  CAS  PubMed  Google Scholar 

  • National Cancer Institute (2014) Surveillance, epidemiology and end results programme. Cancer stat facts: lung and bronchus cancer. https://seer.cancer.gov/statfacts/html/lungb.html. Accessed Nov 2017

  • Ndhlovu LC, Lopez-Vergès S, Barbour JD, Jones RB, Jha AR, Long BR, Schoeffler EC, Fujita T, Nixon DF, Lanier LL (2012) Tim-3 marks human natural killer cell maturation and suppresses cell-mediated cytotoxicity. Blood 119(16):3734–3743

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pende D, Cantoni C, Rivera P, Vitale M, Castriconi R, Marcenaro S, Nanni M, Biassoni R, Bottino C, Moretta A, Moretta L (2001) Role of NKG2D in tumor cell lysis mediated by human NK cells: cooperation with natural cytotoxicity receptors and capability of recognizing tumors of nonepithelial origin. Eur J Immunol 31(4):1076–1086

    Article  CAS  PubMed  Google Scholar 

  • Peter ME, Krammer PH (2003) The CD95(APO-1/Fas) DISC and beyond. Cell Death Differ 10(1):26–35

    Article  CAS  PubMed  Google Scholar 

  • Platonova S, Cherfils-Vicini J, Damotte D, Crozet L, Vieillard V, Validire P (2011) Profound coordinated alterations of intratumoral NK cell phenotype and function in lung carcinoma. Cancer Res 71(16):5412–5422

    Article  CAS  PubMed  Google Scholar 

  • Poli A, Michel T, Theresine M, Andres E, Hentges F, Zimmer J (2009) CD56bright natural killer (NK) cells: an important NK cell subset. Immunology 126:458–465

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Romee R et al (2013) NK cell CD16 surface expression and function is regulated by a disintegrin and metalloprotease‑17 (ADAM17). Blood 121:3599–3608

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Schneider T, Kimpfler S, Warth A, Schnabel PA, Dienemann H, Schadendorf D, Hoffmann H, Umansky V (2011) Foxp3(+) regulatory T cells and natural killer cells distinctly infiltrate primary tumors and draining lymph nodes in pulmonary adenocarcinoma. J Thorac Oncol 6(3):432–438

    Article  PubMed  Google Scholar 

  • Sopori M (2002) Effects of cigarette smoke on the immune system. Nat Rev Immunol 2(5):372–377

    Article  CAS  PubMed  Google Scholar 

  • Sopori ML, Gairola CC, DeLucia AJ, Bryant LR, Cherian S (1985) Immune responsiveness of monkeys exposed chronically to cigarette smoke. Clin Immunol Immunopathol 36(3):338

    Article  CAS  PubMed  Google Scholar 

  • Specht HM, Pelzel J, Hautmann H, Huber RM, Schossow B, Molls M, Multhoff G (2014) P67. Targeted natural killer (NK) cell based adoptive immunotherapy for the treatment of patients with non-small cell lung cancer (NSCLC) after radiochemotherapy (RCT)—clinical application of NK cells activated by heat shock protein 70 (Hsp70). J Immunother Cancer 2(Suppl 2):P41

    Article  PubMed Central  Google Scholar 

  • Tonn T, Schwabe D, Klingemann HG et al (2013) Treatment of patients with advanced cancer with the natural killer cell line NK-92. Cytotherapy 15(12):1563–1570

    Article  CAS  PubMed  Google Scholar 

  • Villegas FR, Coca S, Villarrubia VG, Jime´nez R, Chillo´n MJ et al (2002) Prognostic significance of tumor infiltrating natural killer cells subset CD57 inpatients with squamous cell lung cancer. Lung Cancer 35:23–28

    Article  PubMed  Google Scholar 

  • Vivier E, Raulet DH, Moretta A, Caligiuri MA, Zitvogel L, Lanier LL, Yokoyama WM, Ugolini S (2011) Innate or adaptive immunity? The example of natural killer cells. Science 331:44

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • World Health Organization (2012) International Agency for Research on Cancer. GLOBOCAN 2012: Estimated cancer incidence, mortality and prevalence worldwide in 2012 http://globocan.iarc.fr/Pages/fact_sheets_cancer.aspx. Accessed Nov 2017

  • Xu L, Huang Y, Tan L, Yu W, Chen D, Lu C, He J, Wu G, Liu X, Zhang Y (2015) Increased Tim-3 expression in peripheral NK cells predicts a poorer prognosis and Tim-3 blockade improves NK cell-mediated cytotoxicity in human lung adenocarcinoma. Int Immunopharmacol 29(2):635–641

    Article  CAS  PubMed  Google Scholar 

  • Zhang G, Zhao H, Wu J, Li J, Xiang Y, Wang G, Wu L, Jiao S (2014) Adoptive immunotherapy for non-small cell lung cancer by NK and cytotoxic T lymphocytes mixed effector cells: retrospective clinical observation. Int Immunopharmacol 21(2):396–405

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ayşe Bilge Öztürk.

Ethics declarations

Conflict of interest

Authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Aktaş, O.N., Öztürk, A.B., Erman, B. et al. Role of natural killer cells in lung cancer. J Cancer Res Clin Oncol 144, 997–1003 (2018). https://doi.org/10.1007/s00432-018-2635-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00432-018-2635-3

Keywords

Navigation