ASH Clinical News December 2014 | Page 60

NATURAL KILLER CELLS A first line of defense against cancer1 In multiple myeloma, Natural Killer Cells scan the body in search of myeloma cells and once recognized, may become activated to exert cytotoxicity against these cells while sparing normal cells.2-6 However, as a consequence of multiple myeloma, immune function declines significantly over time and mechanisms of immune evasion and immunosuppression impair Natural Killer Cell activity.2,5,7-14 Directly enhancing Natural Killer Cell activity is a fundamentally different approach under investigation for multiple myeloma. SLAMF7, along with KIR and CD137, are among cell surface proteins that have been implicated in regulating Natural Killer Cell activity.15-17 A CLOSER LOOK AT NATURAL KILLER CELL-MEDIATED CYTOTOXICITY: Once a malignant cell is recognized, Natural Killer Cells can release cytotoxic granules, among other mechanisms, to elicit targeted cell death18-20 Natural Killer Cell Natural Killer Cell cytotoxic granules Myeloma cell Cytotoxic Granule Release19 Myeloma cell Targeted Cell Death19