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Prepublished online as a Blood First Edition Paper on April 30, 2002; DOI 10.1182/blood-2002-02-0350.

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Submitted February 4, 2002
Accepted April 11, 2002

Natural Killer Cell Receptors: New Biology and Insights into the Graft versus Leukemia Effect

Sherif S Farag*, Todd A Fehniger, Loredana Ruggeri, Andrea Velardi, and Michael A Caligiuri

Department of Internal Medicine, Division of Hematology and Oncology, and the Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio, USA
Department of Clinical and Experimental Medicine, Division of Hematology and Clinical Immunology, University of Perugia, Perugia, Italy

* Corresponding author; email: farag-1{at}medctr.osu.edu.

Natural killer (NK) cells have held great promise for the immunotherapy of cancer for over three decades. However, to date only modest clinical success has been achieved manipulating the NK cell compartment in patients with malignant disease. Progress in the field of NK cell receptors has revolutionized our concept of how NK cells selectively recognize and lyse tumor and virally infected cells while sparing normal cells. Major families of cell surface receptors that inhibit and activate NK cells to lyse target cells have been characterized, including killer immunoglobulin-like receptors (KIR), C-type lectins, and natural cytotoxicity receptors (NCR). Further, identification of NK receptor ligands and their expression on normal and transformed cells completes the information needed to begin development of rational clinical approaches to manipulating receptor/ligand interactions for clinical benefit. Indeed, clinical data suggest that mismatch of NK receptors and ligands during allogeneic bone marrow transplant may be utilized to prevent leukemia relapse. Here, we review how NK cell receptors control natural cytotoxicity and novel approaches to manipulating NK receptor-ligand interactions for the potential benefit of patients with cancer.


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