NK cells are found in various stages of maturation in tissues such as spleen, lymph nodes, liver and lung. They show a differentiated reactivity to cytokines and effectors. Their reactivity was attributed to the different maturation state. The functional heterogeneity of NK cells of similar maturation was shown to exist on the differential expressivity of DNAM-1 (Martinet L et al. 2015).
DNAM-1 expression is uniform on NK cell progenitor cells. However, it is downregulated as NK cells mature, giving rise to DNAM-1+ and DNAM-1- NK cells in the periphery. The ratio of DNAM-1+ NK cells/ DNAM-1- NK cells decreases from birth. The DNAM-1 NK cells are apparently unable to return to a DNAM-1+ state.
DNAM-1 expression is strongly linked to effector functions of NK cells, with DNAM-1+ NK cells producing significantly more IFN-γ, IL-6, CCL5 and GM-CSF, but less MIP1α/β than their DNAM-1- NK cell counterparts after stimulation with IL-12 and IL-18 ((Martinet L et al. 2015). DNAM-1+ NK cells also contribute to greater IFN-γ secretion in vivo than DNAM-1- NK cells and are able to suppress tumor growth and metastasis more effectively in vivo.
DNAM-1 expression did not correlate with other known markers of NK cell maturation such as KLRG1 (Huntington ND et al. 2007) and CD27/CD11b (Hayakawa Yet al. 2006), with both KLRG1+ and CD27/CD11b NK cell subsets expressing similar proportions of DNAM-1+ and DNAM-1- NK cells.