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Blood, 1 July 2004, Vol. 104, No. 1, pp. 170-177.
Prepublished online as a Blood First Edition Paper on March 11, 2004; DOI 10.1182/blood-2003-12-4438.
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IMMUNOBIOLOGY
Enhanced cytotoxicity of allogeneic NK cells with killer immunoglobulin-like receptor ligand incompatibility against melanoma and renal cell carcinoma cells
Takehito Igarashi,
Jason Wynberg,
Ramprasad Srinivasan,
Brian Becknell,
J. Phillip McCoy, Jr,
Yoshiyuki Takahashi,
Dante A. Suffredini,
W. Marston Linehan,
Michael A. Caligiuri, and
Richard W. Childs
From the Hematology Branch, Flow Cytometry Core Facility, National Heart, Lung and Blood Institute; the Urologic Oncology Branch, National Cancer Institute; National Institutes of Health, Bethesda, MD; and the Department of Internal Medicine, Division of Hematology/Oncology, The Ohio State University, Columbus.
Cellular inactivation through killer immunoglobulin-like receptors (KIRs) may allow neoplastic cells to evade host natural killer (NK) cellmediated immunity. Recently, alloreactive NK cells were shown to mediate antileukemic effects against acute myelogenous leukemia (AML) after mismatched transplantation, when KIR ligand incompatibility existed in the direction of graft-versus-host disease (GVHD). Therefore, we investigated whether solid tumor cells would have similar enhanced susceptibility to allogeneic KIR-incompatible NK cells compared with their KIR-matched autologous or allogeneic counterparts. NK populations enriched and cloned from the blood of cancer patients or healthy donors homozygous for HLA-C alleles in group 1 (C-G1) or group 2 (C-G2) were tested in vitro for cytotoxicity against Epstein-Barr virustransformed lymphoblastic cell lines (EBV-LCLs), renal cell carcinoma (RCC), and melanoma (MEL) cells with or without a matching KIR-inhibitory HLA-C ligand. Allogeneic NK cells were more cytotoxic to tumor targets mismatched for KIR ligands than their KIR ligandmatched counterparts. Bulk NK populations (CD3/CD2+/CD56+) expanded 104-fold from patients homozygous for C-G1 or C-G2 had enhanced cytotoxicity against KIR ligandmismatched tumor cells but only minimal cytotoxicity against KIR ligandmatched targets. Further, NK cell lines from C-G1 or C-G2 homozygous cancer patients or healthy donors expanded but failed to kill autologous or KIR-matched MEL and RCC cells yet had significant cytotoxicity (more than 50% lysis at 20:1 effector-target [E/T] ratio) against allogeneic KIR-mismatched tumor lines. These data suggest immunotherapeutic strategies that use KIR-incompatible allogeneic NK cells might have superior antineoplastic effects against solid tumors compared with approaches using autologous NK cells.

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