NK cell recruitment and exercise: Potential immunotherapeutic role of shear stress and endothelial health.

Abstract:

:Positive cancer patient outcomes, including increased time to recurrent events, have been associated with increased counts and function of natural killer (NK) cells. NK cell counts and function are elevated following acute exercise, and the generally accepted mechanism of increased recruitment suggests that binding of epinephrine releases NK cells from endothelial tissue via decreases in adhesion molecules following. I propose that blood flow-induced shear stress may also play a role in NK cell recruitment from the endothelium. Additionally, shear stress may play a role in improving NK cell function by decreasing oxidative stress. The relationship between shear stress and NK cell count and function can be tested by utilizing exercise and local heating with cuff inflation. If shear stress does play an important role, NK cell count and function will be improved in the non-cuffed exercise group, but not the cuffed limb. This paper will explore the mechanisms potentially explaining exercise-induced improvements in NK cell count and function, and propose a model for investigating these mechanisms. This mechanistic insight could aid in providing a novel, safe, relatively inexpensive, and non-invasive target for immunotherapy in cancer patients.

journal_name

Med Hypotheses

journal_title

Medical hypotheses

authors

Evans W

doi

10.1016/j.mehy.2017.10.015

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

170-173

eissn

0306-9877

issn

1532-2777

pii

S0306-9877(17)30845-9

journal_volume

109

pub_type

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