PMID- 34975342 OWN - NLM STAT- MEDLINE DCOM- 20220328 LR - 20220328 IS - 1449-2288 (Electronic) IS - 1449-2288 (Linking) VI - 18 IP - 1 DP - 2022 TI - Engineering of human mesenchymal stem cells resistant to multiple natural killer subtypes. PG - 426-440 LID - 10.7150/ijbs.64640 [doi] AB - Mesenchymal stem cells (MSCs) as a therapeutic promise are often quickly cleared by innate immune cells of the host including natural killer (NK) cells. Efforts have been made to generate immune-escaping human embryonic stem cells (hESCs) where T cell immunity is evaded by defecting beta-2-microglobulin (B2M), a common unit for human leukocyte antigen (HLA) class I, and NK cells are inhibited via ectopic expression of HLA-E or -G. However, NK subtypes vary among recipients and even at different pathologic statuses. It is necessary to dissect and optimize the efficacy of the immune-escaping cells against NK subtypes. Here, we first generated B2M knockout hESCs and differentiated them to MSCs (EMSCs) and found that NK resistance occurred with B2M(-/-) EMSCs expressing HLA-E and -G only when they were transduced via an inducible lentiviral system in a dose-dependent manner but not when they were inserted into a safe harbor. HLA-E and -G expressed at high levels together in transduced EMSCs inhibited three major NK subtypes, including NKG2A(+) /LILRB1(+) , NKG2A(+) /LILRB1(-) , and NKG2A(-) /LILRB1(+) , which was further potentiated by IFN-gamma priming. Thus, this study engineers MSCs with resistance to multiple NK subtypes and underscores that dosage matters when a transgene is used to confer a novel effect to host cells, especially for therapeutic cells to evade immune rejection. CI - (c) The author(s). FAU - Zheng, Dejin AU - Zheng D AD - Center of Reproduction, Development & Aging, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, Macau, China. AD - Ministry of Education Frontiers Science Center for Precision Oncology, University of Macau, Taipa, Macau, China. FAU - Wang, Xiaoyan AU - Wang X AD - Center of Reproduction, Development & Aging, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, Macau, China. AD - Ministry of Education Frontiers Science Center for Precision Oncology, University of Macau, Taipa, Macau, China. FAU - Zhang, Zhenwu AU - Zhang Z AD - Center of Reproduction, Development & Aging, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, Macau, China. AD - Ministry of Education Frontiers Science Center for Precision Oncology, University of Macau, Taipa, Macau, China. AD - School of Life Science and Technology, ShanghaiTech University, Shanghai, China. FAU - Li, Enqin AU - Li E AD - Center of Reproduction, Development & Aging, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, Macau, China. AD - Ministry of Education Frontiers Science Center for Precision Oncology, University of Macau, Taipa, Macau, China. FAU - Yeung, Cheungkwan AU - Yeung C AD - Center of Reproduction, Development & Aging, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, Macau, China. AD - Ministry of Education Frontiers Science Center for Precision Oncology, University of Macau, Taipa, Macau, China. FAU - Borkar, Roma AU - Borkar R AD - Center of Reproduction, Development & Aging, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, Macau, China. AD - Ministry of Education Frontiers Science Center for Precision Oncology, University of Macau, Taipa, Macau, China. FAU - Qin, Guihui AU - Qin G AD - Center of Reproduction, Development & Aging, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, Macau, China. AD - Ministry of Education Frontiers Science Center for Precision Oncology, University of Macau, Taipa, Macau, China. FAU - Wu, Yaojiong AU - Wu Y AD - The Shenzhen Key Laboratory of Health Sciences and Technology, International Graduate School at Shenzhen, Tsinghua University, Shenzhen, China. FAU - Xu, Ren-He AU - Xu RH AD - Center of Reproduction, Development & Aging, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, Macau, China. AD - Ministry of Education Frontiers Science Center for Precision Oncology, University of Macau, Taipa, Macau, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220101 PL - Australia TA - Int J Biol Sci JT - International journal of biological sciences JID - 101235568 RN - 0 (B2M protein, human) RN - 0 (beta 2-Microglobulin) SB - IM MH - Cell Line MH - Humans MH - Killer Cells, Natural/*immunology MH - Mesenchymal Stem Cells/*immunology MH - Tissue Engineering/*methods MH - beta 2-Microglobulin/*immunology PMC - PMC8692142 OTO - NOTNLM OT - Human embryonic stem cells OT - immune rejection OT - innate immunity OT - mesenchymal stem cells OT - natural killer cells COIS- Competing Interests: R.X. is a founder of ImStem Biotechnology, Inc., a stem cell company. The other authors declare no competing financial interests. EDAT- 2022/01/04 06:00 MHDA- 2022/03/29 06:00 PMCR- 2022/01/01 CRDT- 2022/01/03 05:34 PHST- 2021/07/06 00:00 [received] PHST- 2021/10/25 00:00 [accepted] PHST- 2022/01/03 05:34 [entrez] PHST- 2022/01/04 06:00 [pubmed] PHST- 2022/03/29 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - ijbsv18p0426 [pii] AID - 10.7150/ijbs.64640 [doi] PST - epublish SO - Int J Biol Sci. 2022 Jan 1;18(1):426-440. doi: 10.7150/ijbs.64640. eCollection 2022.