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NKG2A inhibition promotes NK cell-CD8+ T cell interactions in support of improved anticancer immunity in ovarian carcinoma


ABSTRACT: Natural killer (NK) cells contribute to tumor immunosurveillance, yet their phenotypic and functional heterogeneity and impact on anti-tumor immunity remain incompletely understood. Here, using an integrated set of transcriptomic, spatial, and functional assays, we demonstrate that advanced non-small cell lung carcinoma (NSCLC), which is generally considered an immunologically “hot” tumor – contains elevated levels of intratumoral cytotoxic NK1 (CD56dim) and NK3 subsets, which exhibit robust clinically relevant effector functions, localze preferentially within tumor cores, and spatially interact with CD8+ T cells in mature tertiary lymphoid structures (mTLSs). In contrast, the NK cell compartment of immunological “cold” tumors such as high-grade serous ovarian carcinoma (HGSOC) – which generally contains immature TLSs and ICI-resistant TCF1-TIM3+CD8+ CTLs – is enriched in functionally exhausted NK2 (CD56bright) NK cells expressing high levels of TIM3 and NKG2A. Functional studies in HGSOC patient samples and syngeneic mouse models reveal that bidirectional crosstalk between NK cells and CD8⁺ T cells is essential for anti-tumor immunity, and that disrupting this interaction—via CD8⁺ T cell or NK cell depletion—promotes NK cell exhaustion and CD8⁺ T cell dysfunction. Importantly, blockade of NKG2A restores NK cytotoxicity and promotes CD8⁺ T cell effector responses, and when combined with PD1 inhibition, significantly enhances survival in murine HGSOC models. Our findings highlight the NKG2A–HLA-E axis as a clinically actionable checkpoint in tumors with impaired NK cell–mediated immunity, and delineate the spatial and functional interplay between NK cells and CD8⁺ T cells as a determinant of anti-tumor immune efficacy.

ORGANISM(S): Homo sapiens

PROVIDER: GSE320142 | GEO | 2026/02/26

REPOSITORIES: GEO

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