Functional Reconstitution of Natural Killer Cells in Allogeneic Hematopoietic Stem Cell Transplantation

Frontiers in Immunology
Md Ashik UllahSiok-Keen Tey

Abstract

Natural killer (NK) cells are the first lymphocyte population to reconstitute following allogeneic hematopoietic stem cell transplantation (HSCT) and are important in mediating immunity against both leukemia and pathogens. Although NK cell numbers generally reconstitute within a month, the acquisition of mature NK cell phenotype and full functional competency can take 6 months or more, and is influenced by graft composition, concurrent pharmacologic immunosuppression, graft-versus-host disease, and other clinical factors. In addition, cytomegalovirus infection and reactivation have a dominant effect on NK cell memory imprinting following allogeneic HSCT just as it does in healthy individuals. Our understanding of NK cell education and licensing has evolved in the years since the "missing self" hypothesis for NK-mediated graft-versus-leukemia effect was first put forward. For example, we now know that NK cell "re-education" can occur, and that unlicensed NK cells can be more protective than licensed NK cells in certain settings, thus raising new questions about how best to harness graft-versus-leukemia effect. Here, we review current understanding of the functional reconstitution of NK cells and NK cell education following allog...Continue Reading

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Citations

Dec 8, 2017·JCI Insight·Annelise Y MahMegan A Cooper
Sep 22, 2017·International Reviews of Immunology·Carolina SchäferLeandro J Carreño
Mar 5, 2020·Cancer Immunology, Immunotherapy : CII·Raquel TarazonaRafael Solana
Jun 20, 2020·American Journal of Respiratory Cell and Molecular Biology·Tim FlerlagePaul G Thomas
May 13, 2020·Immune Network·Min Hwa ShinKyung-Mi Lee
Apr 1, 2020·Frontiers in Immunology·Ute V SollochJürgen Sauter
Apr 12, 2017·Frontiers in Immunology·Raphael CarapitoSeiamak Bahram
Jun 6, 2017·Frontiers in Immunology·Bercelin ManiangouKatia Gagne
Feb 25, 2017·Frontiers in Immunology·Camille KhairallahMyriam Capone
Jan 12, 2019·Frontiers in Immunology·Wei Du, Xuefang Cao
Jun 2, 2020·Frontiers in Immunology·Aline PfefferleKarl-Johan Malmberg
Nov 11, 2020·European Journal of Immunology·Anthony G MansourLei Cao
Mar 6, 2018·Biology of Blood and Marrow Transplantation : Journal of the American Society for Blood and Marrow Transplantation·Moniek A de WitteJeffrey S Miller

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