Early-Stage IL-15 Signaling Paradoxically Subverts Human NK Cell Maturation and KIR Acquisition (#265)
Interleukin (IL)-15 is essential for human NK cell development and KIR acquisition. However, despite the presence of high amounts of IL-15, most NK cells derived in vitro from CD34+ hematopoietic progenitor cells (HPCs) or reconstituted in vivo following hematopoietic stem cell transplantation (HSCT) are hypomature and lack KIRs. We hypothesized that the timing of IL-15 exposure impacts NK cell maturation and KIR acquisition. Human blood CD34+ HPCs were cultured ex vivo with OP9-DL1 stroma and with FLT3 ligand (FL), c-KIT ligand (KL), and IL-3 for two weeks followed by FL and KL without IL-3 for two more weeks. IL-15 was also added either continuously (15-C) starting at day 0 (d0) or delayed (15-D) starting at d14. At d28, the 15-D NK cells produced more IFN-γ, killed more K562 target cells, and expressed significantly more KIRs than 15-C NK cells. 15-D NK cells also more closely matched ex vivo isolated NK cells by epigenetic and transcriptional profiling. At d14, we identified a Lin-NKp46+CD161+CD94+KIR- NK precursor population in both conditions, but only precursors from 15-D cultures generated KIR+ NK cells in single cell cloning assays. Epigenetic and transcriptional analyses of this precursor population highlighted distinct patterns in the two conditions and suggested intrinsic priming for KIR acquisition and maturation in 15-D NK precursors. Mechanistically, chemical inhibition of factors downstream of IL-15 (AKT, MEK/ERK, mTOR, STAT3, and STAT5) during only the first two weeks of 15-C cultures revealed that mTOR inhibition uniquely restored NK cell function and KIR acquisition. Together, these findings reveal a previously unknown developmental window during which IL-15 signaling through mTOR can paradoxically suppress human NK cell maturation and KIR acquisition. The observed inhibitory effects of early IL-15 signaling have important implications for the design and generation of NK cell adoptive therapies and for optimizing NK cell functions following HSCT.