Review Article

Hematological Malignancies Escape from NK Cell Innate Immune Surveillance: Mechanisms and Therapeutic Implications

Table 1

Mechanisms of escape, receptor, and ligand involved and type of hematological malignancy.

Mechanisms of escapeReceptor in NK cellsLigand in tumor cellsHematological malignancy typeReferences

NK-cell quantitative deficiencyMDS[5, 11]

Increased expression of inhibitory receptorsUpregulation of HLA class IAML[1214]
CLL
LAL
[14, 15]
[14]
MM[16]
Lymphoma[17]

Decreased activation by decreased expression of activating receptor or their ligandsNKp30AML[8, 1820]
NKp46NKG2DCLL[21]
NCR-ligandAML
LGL[8]
sMICA and sMICBCLL[22]
CML[23]
MM
ALL[24]
DNAM1NKG2D on tumor cellsCMML[25]
[26]
CD94/NKG2CAML
[27]
2B4/CD244AML
[27]
CD16AML
MM[27]
MM[28, 29]
[28, 29]

Impaired NK cell differentiation signalingCML[30]
PVPersonal data

Impaired cytokine productionElevated TNFMDS[31]
Elevated PDGFMPS[32]
Elevated TGFb[33]
Decreased IL1AML[34]
IL2 and IFN ALL[34]

Abbreviations: MDS: myelodysplastic syndrome; MPS: myeloproliferative syndrome; ALL: acute lymphoid leukemia; AML: acute myeloid leukemia; CML: chronic myeloid leukemia; MM: multiple myeloma; CMML: myelomonocytic leukemia; LGL: large granular lymphoma; PV: polycythemia vera; sMICA: stress-induced molecule HLA class-I chain-related A; IL: interleukin; IFN : interferon-gamma.