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. Author manuscript; available in PMC: 2021 May 21.
Published in final edited form as: Integr Biol (Camb). 2020 May 21;12(5):109–121. doi: 10.1093/intbio/zyaa008

Enhancing network activation in natural killer cells: predictions from in silico modeling

Sahak Z Makaryan 1, Stacey D Finley 2,*
PMCID: PMC7480959  NIHMSID: NIHMS1621118  PMID: 32409824

Abstract

Natural killer (NK) cells are part of the innate immune system and are capable of killing diseased cells. As a result, NK cells are being used for adoptive cell therapies for cancer patients. The activation of NK cell stimulatory receptors leads to a cascade of intracellular phosphorylation reactions, which activates key signaling species that facilitate the secretion of cytolytic molecules required for cell killing. Strategies that maximize the activation of such intracellular species can increase the likelihood of NK cell killing upon contact with a cancer cell and thereby improve efficacy of NK cell-based therapies. However, due to the complexity of intracellular signaling, it is difficult to deduce a priori which strategies can enhance species activation. Therefore, we constructed a mechanistic model of the CD16, 2B4 and NKG2D signaling pathways in NK cells to simulate strategies that enhance signaling. The model predictions were fit to published data and validated with a separate dataset. Model simulations demonstrate strong network activation when the CD16 pathway is stimulated. The magnitude of species activation is most sensitive to the receptor’s initial concentration and the rate at which the receptor is activated. Co-stimulation of CD16 and NKG2D in silico required fewer ligands to achieve half-maximal activation than other combinations, suggesting co-stimulating these pathways is most effective in activating the species. We applied the model to predict the effects of perturbing the signaling network and found two strategies that can potently enhance network activation. When the availability of ligands is low, it is more influential to engineer NK cell receptors that are resistant to proteolytic cleavage. In contrast, for high ligand concentrations, inhibiting phosphatase activity leads to sustained species activation. The work presented here establishes a framework for understanding the complex, nonlinear aspects of NK cell signaling and provides detailed strategies for enhancing NK cell activation.

Keywords: immune cell signaling, mathematical model, parameter estimation

INTRODUCTION

Natural killer (NK) cells are immune cells that can eliminate cancer cells upon cell contact [13]. NK cells express a repertoire of stimulatory receptors that mediate the release of cytotoxic chemicals when stimulated by antibodies or by cells that express stimulatory ligands. The activation of such receptors induces intracellular signaling through a cascade of phosphorylation reactions, which ultimately leads to NK cell activation, the secretion of cytolytic molecules and cancer cell death. This innate ability for cancer cell elimination has spurred an interest in research [35] to better understand NK cell activation. In vitro studies [69] suggest a strong correlation between the activation of key signaling species and NK cell activation via target cell killing assays such as 51Cr-release assays as well as cytokine production via ELISA. Thus, we hypothesize that enhancing the activation of key signaling species can proportionally enhance cancer cell killing and thereby improve patient outcomes in the clinic. Given that cancer cell killing is initiated via activation of NK cell stimulatory receptors, it is important to understand how the signal propagates and activates the downstream species that contribute to target cell killing. Therefore, researchers [14, 8, 10] have studied NK cell signaling and reported which species are activated downstream of the stimulatory receptors. Such findings are crucial in understanding how NK cell activation proceeds on the molecular level.

However, due to the natural complexity and nonlinearity underpinning intracellular signaling, it is difficult to deduce how NK cell signaling can be modulated to enhance species activation. Mathematical models are valuable in these contexts in that they enable us to untangle such complicated system behavior and predict the system’s response to a wide variety of perturbations [1117]. For example, work by Das [12] demonstrated how receptor-ligand interactions impact NK cell activation and the various NK cell responses induced by strong and weak stimulatory ligands. Mesecke and colleagues [13] showed that the physical association of Src family kinases (SFK) with a stimulatory receptor is essential for NK cells to promote a cytotoxic response and that the activation of the signaling species Vav correlates with P815 tumor cell killing. Nevertheless, the question of which strategies enhance NK cell signaling (and why) remains open. Additionally, the previous models did not determine which molecular perturbations or which pathways should be co-stimulated to optimally activate the NK stimulatory network.

Here, we developed a molecularly detailed, experimentally validated mechanistic model of NK cell signaling to address the above questions. The CD16, 2B4 and NKG2D stimulatory pathways were modeled in this study as these pathways contribute to target cell lysis in different ways [4, 18, 19]. CD16 is an Fc receptor that binds to the constant region of antibodies. This implicates CD16’s activation in antibody-dependent cell-mediated cytotoxicity. Its cytoplasmic domain is associated with CD3ζ, which contains immunoreceptor tyrosine-based activation motifs (ITAM). 2B4 is part of the signaling lymphocytic activation molecule (SLAM) family of receptors, and its cytoplasmic tail contains four immunoreceptor tyrosine-based switch motifs. The ligand for 2B4, CD48, is expressed by cells of hematopoietic origin. This suggests 2B4 may play a role in regulating hematopoietic processes. NKG2D belongs to the family of C-type lectin-like receptors. It associates with the adaptor protein DAP10, which has an activation motif that is similar to the CD28 T cell co-receptor. NKG2D binds to ligands typically expressed by cells that have undergone transformation, which implicates this receptor in the elimination of tumors. We focus on the CD16, 2B4 and NKG2D pathways as these receptor pathways are well studied with respect to NK cell signaling and involve different intracellular signaling components. Other natural cytotoxicity receptors (NCRs) (e.g. NKp30, NKp46, NKp44) could have been included in this study; however, many of these receptors share similar intracellular signaling domains as CD16. Specifically, NKp30 and NKp46 signal via ITAM-containing proteins such as CD3ζ, and NKp44 signals through DAP12, which also contains a single ITAM motif [20]. Thus, to avoid redundancy in modeling similar intracellular signaling pathways, we excluded the NCRs from this work. This allows us to study NK cell signaling via three pathways that are not only stimulated under different physiological scenarios but also signal via different intracellular proteins containing different activation motifs.

Ligand binding to the CD16, 2B4 and NKG2D receptors initiates intracellular signaling. The PI3K-Akt, SLP76-Vav-Erk and PLCγ networks are all activated upon stimulation of CD16, 2B4 and NKG2D [20]. In NK cell biology, activation of the PI3K-Akt signaling axis is correlated with cell survival, while Erk activation is correlated with cell proliferation [79]. SLP76 and Vav activation are necessary for actin remodeling and the formation of the immunological synapse [21]. In addition, the knockdown of SLP76 and Vav via siRNA in NK cells has been correlated with a dampened release of intracellular calcium ions upon stimulation of NKG2D and 2B4 as well as significantly lower percent of specific lysis against P815 tumor cells [7, 8, 21]. The knockdown of these molecules is also correlated with lower production and secretion of the cytokines IFN-γ and MIP-1α. PLCγ activation induces the release of intracellular calcium ions, which subsequently contributes to cell activation, and correlates with cytokine production and target cell killing via 51Cr-release assay [5]. Indeed, activation of these signaling intermediates is necessary to activate and induce a cytotoxic response in NK cells. By studying the initial dynamics of the signaling species, we can predict NK cell responses to receptor stimulation. Although most of the downstream reactions are common between the pathways, there are some subtle differences. For example, 2B4 does not induce Akt phosphorylation [8, 10]. Additionally, 2B4 and NKG2D specifically lead to phosphorylation of the Y113 and Y128 sites on SLP76, respectively, while CD16 induces phosphorylation of both sites [8]. Also, CD16 induces ZAP70 and LAT activation, while 2B4 and NKG2D do not. Thus, these pathways are interconnected, and understanding the dynamics of the concentrations of the molecular species involved in the signaling pathways requires in-depth analyses.

In the present study, we use mathematical modeling to characterize and compare the signaling dynamics of the CD16, 2B4 and NKG2D pathways with respect to their magnitude of activation of the network. Furthermore, we identify which signaling species and parameters influence the magnitude of network activation and which combinations of receptor co-stimulation most potently activate the network. In silico perturbations of the stimulatory network demonstrate the strategies that effectively increase network activation, including which signaling species to target and how to modify the species. In total, the model predictions can be used for engineering NK cells with enhanced signaling, which may improve target cell killing.

METHODS

Model construction

We constructed an ordinary differential equation (ODE) model to predict the concentrations of the molecular species in the CD16, 2B4 and NKG2D pathways in NK cells (Fig. 1). The model is provided in Supplementary File S1 and the list of model species, reactions and parameters are provided in Supplementary File S2. The rates of the biochemical signaling reactions were represented using Michaelis–Menten reactions. Arriving at the current model structure was an iterative process where we fitted several model types (e.g. Michaelis–Menten kinetics versus mass action kinetics, including versus excluding the phosphatases, including versus excluding nonspecific decay rate) to the experimental data and selected the model structure that generated the lowest error between the model predictions and experimental data. We constructed the model using BioNetGen [22] and simulated it in MATLAB (MathWorks).

Figure 1.

Figure 1.

Model schematic. Reaction network for three stimulatory receptors expressed on the surface of NK cells: CD16, 2B4 and NKG2D. These receptors promote signaling species that mediate NK cell activation: SFK, Erk, Akt and PLCγ. Arrows indicate stimulation, while red crossbars indicate inhibition. Orange arrows are specific to the NKG2D pathway; blue, CD16 pathway; purple, 2B4 pathway; black, all pathways.

The final model contains 83 parameters and 36 species, including the three NK cell receptors. Each receptor binds to its ligand and forms a receptor-ligand complex that allows the receptor to become phosphorylated by basally active SFK. Then, the ligand-bound phosphorylated receptor serves as the catalyst for converting SFK from a basally active state to a fully active state (pSFK). Fully active SFK mediates the phosphorylation (activation) of a number of downstream signaling species, including LAT, ZAP70, PLCγ, Vav, SLP76, Akt, and the phosphatases SHP and SHIP. Moreover, the stimulation of 2B4 can lead to activation of the phosphatases independent of pSFK [20]. Phosphorylated ZAP70 promotes activation of LAT. The inhibitory species, phosphatases SHP and SHIP, provide negative feedback to prevent overactivation [23]. The catalysts for Erk phosphorylation are the phosphorylated forms of SLP76 and Vav. These species are upstream inputs to the MAPK pathway [12, 13].

The initial concentrations of the species in the system were extracted from the literature [2427], where their values were measured in resting primary NK cells using quantitative mass spectroscopy. These values are assumed to be at steady state since the NK cells were preincubated in cell culture media containing no stimulatory ligands for CD16, 2B4 or NKG2D. Given the timescale of our analysis (60 min following receptor stimulation), we consider the synthesis of the signaling molecules to be negligible [12, 13]. In fact, the expression of CD16 and NKG2D on the surface of primary NK cells, as measured by flow cytometry, decreases after receptor stimulation and remains unchanged in the absence of stimulatory ligands [28]. Also, there is no data to suggest the signaling molecules significantly change in concentration within a 60 min time interval in the absence of a stimulus. In total, we consider the phosphorylation and dephosphorylation reactions of the signaling species as well as a nonspecific decay term for the phosphorylated species in the system to account for degradation, dilution and other mechanisms of disappearance [58, 29].

Data collection and processing

We trained the mathematical model using experimental data extracted from the literature. The raw data and our data processing procedure are provided in Supplementary File S3. To control for variations in the experimental conditions, we only used data from published studies where (1) the antibodies used for CD16, 2B4 and NKG2D stimulation were of the same concentration (10 μg/ml) and from the same vendor, and (2) the cell types used in these studies were primary NK cells. Immunoblot images from these published studies were analyzed and processed using ImageJ [30]. Specifically, ImageJ provides a measure of the optical density for any predefined rectangular space of an image in grayscale, where the estimated optical densities range from 0 to 225 (black to white, respectively). Protein bands in western blots were analyzed to estimate their optical density. To control for immunoblot variations across the experiments, we subtracted the optical density measurement of the western blot gel background from the optical density measurements of all protein bands in the same gel. Furthermore, for a single protein, the optical density measurement of the zeroth time point was also subtracted from the optical density measurements of the remaining time points, making the initial time point a true zero. This procedure, which follows the documented ImageJ usage protocol, standardizes the experiments for comparison and controls for the background and zeroth time point measurements. In total, the model was trained to 64 data points. Additionally, the model was validated against 32 data points. The signal intensity (QpXj) of a given phosphorylated species (pX) at the jth time point is calculated as:

QpXj=ODpXjODControlj

where ODpXj and ODControlj are the optical density values of the phosphorylated species and a loading control, respectively, at the jth time point. Furthermore, the signal intensity (Qpx) was normalized to a single (reference) time point (QpXref) by calculating the percent change (%ΔpX):

%ΔpXj=QpXjQpXrefQpXref×100%.

With normalization, the signal intensity is initially zero, so the percent change at t = 0 is −100%. For each time-course dataset, we refrained from normalizing the experimental data to the time point where the maximum optical density was observed. This would introduce bias in our data processing procedure as we would be assuming the true maximum of species phosphorylation occurred at the same time point the data were collected. Similarly, we did not normalize the data using the initial time point measurement because the signal intensity measurement there is zero, and we cannot divide by zero. Instead, we normalized each time-course dataset to the time point where the median optical density was observed (see Supplementary File S3 for details) to allow the model to predict when the true maximum of species phosphorylation may occur. Thus, the reference (normalization) time point almost always corresponded to the 10-min time point. To clarify, we normalize both the experimental data and the model simulations at the same time points to effectively compare their values during parameter estimation. Also, since we are analyzing a single immunoblot image for the phosphorylation of an individual species, the data contain a single replicate for each time point. However, the authors of those experimental studies stated the immunoblot images were representative of three independent experiments and we treat the single replicate as the expected outcome.

Parameter estimation

We assume the parameters are random variables and consequently we estimate their distribution using a Bayesian perspective [31], where we maximized the posterior density (f(θ|y)) of the parameters (θ) given the data (y) via the Metropolis-Hastings algorithm [31, 32]. In particular, we are estimating 83 parameters using 64 data points (training dataset). While it is possible to estimate all 83 parameters using exactly 83 data points (or even more, up to the total number of data points available), we could possibly overfit the data. That is, we may produce a model that has low bias (small training error) but high variance (large validation error). The resulting model would have low predictive power due to its high variance. We balance the bias/variance tradeoff by using a slightly larger validation dataset at the expense of a slightly smaller training dataset.

Briefly, Bayes’ theorem describes the relationship between the posterior and prior probabilities via the formula:

f(θ|y)=f(y|θ)f(θ)f(y)f(y|θ)f(θ)

where f(y|θ) represents the data likelihood function, f(θ) is our prior knowledge on θ and f(y) is the probability of the data (which is constant since the data is given in our case). The parameters in the present model are kcat and KM, constants that represent the catalytic rate and the half-saturating constant in enzymatic reactions, respectively. The probability distribution of these two types of parameters has been observed to follow a lognormal distribution and are extensively overlapping for a wide range of eukaryotic enzymes [27]. The KM parameter can be decomposed into koff+kcatkon; however, this representation would increase the parameter search-space and over-parameterize the model. Moreover, without complete information of the distribution of each kon and koff rate constant for each reaction in the model, it is unclear where their values would lie on the positive real line. To avoid complexity, we assumed the prior probability of the model parameters are independent and drawn from an identical lognormal distribution (IID) with μ0 = 1 and σ0 = 2. That is:

f(θ)=f(θ1,,θ83)=i=183f(θi).

The data likelihood function f(y|θ) captures the error, , between the model predictions and the experimental data, where:

ϵ=yM(θ).

We assume the error follows a normal distribution centered at zero with some noise (σ2). That is:

f(y|θ,σ2)=deff(ϵ)=f(yM(θ))N(0,σ2)

where M(θ) is the model prediction. In addition, we marginalized out the noise from f(y|θ,σ2) by assuming an inverse gamma distribution over σ2 (with hyperparameters α = 2 and β = 1) and integrating f(y|θ,σ2) with respect to σ2 to attain:

f(y|θ)=0f(y|θ,σ2)f(σ2)dσ2.

We note that the density of the data likelihood f (y|θ) is at its maximum when y=M(θ) since f(y|θ) is centered at zero. Therefore, maximizing the posterior density is equivalent to minimizing the error between the model prediction and the experimental data. The prior f(θ) serves as a penalty term that penalizes parameter values that are at the tail ends of the distribution and rewards values closer to the mode of the distribution.

We cannot solve for f (y|θ) analytically since M(θ) in the data likelihood is a nonlinear operator. Instead, we employ the MH algorithm to sample from the posterior distribution, which is the target distribution. First, we initialize θ* by randomly sampling from f(θ). Then, we sample another vector θ(i) from a proposal distribution f(θ(i)|θ*,v2)Lognormal(θ*,v2), where i is the number of iterations of the MH algorithm and we fixed ν2 = 0.1. We chose the lognormal distribution for the proposal since it has proper support over θ. Then, we compute the acceptance ratio (AR) for each iteration, where:

AR=f(y|θ(i))f(y|θ*)f(θ(i))f(θ*)f(θ*|θ(i),v2)f(θ(i)|θ*,v2).

Also, we randomly sample a number λ ~ Unif(0, 1) and compare the acceptance ratio to λ for each iteration i. If the error between the model prediction and the experimental data is smaller for θ(i) than θ*, then f(y|θ(i))f(y|θ*)>1 and AR > λ almost surely. Thus, we accept the parameter vector θ(i) by setting θ* = θ(i) and continue this process for a fixed amount of iterations. The prior distribution remains fixed over all iterations while the proposal distribution re-centers around parameters θ* that minimize the error between the model and the data.

Based on our simulations, the algorithm almost always converges to a minimum after ~5000th iteration. Thus, we simulated the algorithm for 10 000 iterations to ensure the algorithm converges before termination. The first several thousand iterations of the MH algorithm serve to maximize the posterior density, thereby converging our initial estimate of the posterior distribution closer to the true posterior distribution. This is known as the burning-in phase. Once the algorithm converges, then each θ(i) (for i sufficiently large) will be a sample from the posterior distribution. To that end, we discarded the first 9000 iterations and only kept the remaining 1000 iterations to simulate the model. Given that this approach to parameter estimation is probabilistic, we simulated the MH algorithm 200 independent times (for 10 000 iterations each) with a random initial guess θ*.

Construction of magnitude of network activation metric

We defined network activation to allow us to compare the magnitude of signaling across the three pathways (CD16, 2B4 and NKG2D). While the individual phospho-species are known to contribute to specific cellular functions involved in NK cell signaling [8, 20, 21, 29, 3335], the scope of the our work is to compare the effectiveness of stimulating one pathway versus another. Thus, we first determine which species are important to consider in terms of activation of the network.

Based on literature evidence, we determined the following five species are crucial for activating the NK cell based on experimental studies: (1) pErk, (2) pAkt, (3) pPLCγ, (4) pVav and (5) pSLP76. The magnitude of network activation must relate to the magnitude of activation of the above species. Hence, we concatenate the above species’ concentrations over time into a vector:

g(t)=(pErk(t),pAkt(t),pPLCγ(t),pVav(t),pSLP76(t)).

Since the individual phospho-species’ concentrations are continuous with respect to time t, g(t) is also continuous with respect to t and thus measurable [36]. By construction, the arc g is a function that maps the time interval (in minutes) [0,60] into 5; that is, g:[0,60]5. We used the Bochner-norm to define the magnitude of g(t) (i.e. g(t)). The Bochner-norm of g(t) is defined by:

g(t)Lp(0,60)=def(060g(t)5pdt)1p.

Since the image of g is an element of 5, and since all norms define on n form equivalence classes [37], we set p = 1 and use the L1 norm on 5 for simplicity. In addition, each component gi(t) is non-negative, has finite measure and the sum of the components of g(t), for all t ϵ [0,60], is finite. Thus, the Bochner-norm (in L1) of g(t) defined here is:

g(t)=g(t)L1(0,60)=060g(t)5dt=060i=15gi(t)dt=i=15060gi(t)dt=i=15gi(t).

Thus, we arrive at the above metric for the magnitude of network activation, which is simply the sum of the magnitude of activation of the individual phospho-species, as given by the area under the curve for the species’ concentration profile. We used the MATLAB function trapz (which uses trapezoidal numerical integration) to estimate the area under the curve for each component of g(t). We acknowledge that how much each phospho-species contributes to NK cell activation is unknown. For simplicity, we assume equal contribution from the individual species. This assumption can be adjusted as data for the contributions of each species become available.

Clustering and principal component analysis

We used the built-in MATLAB functions kmeans and pca to perform k-means clustering and principal component analysis, respectively. Briefly, k-means clustering [38] allows us to partition a given dataset into k clusters using the (default) Euclidean distance metric. Principal component analysis [39] enables us to project a given dataset on to a new coordinate system where each coordinate is a linear combination of the original variables in the dataset. Moreover, the principal components (i.e. new coordinates) are selected such that they maximize the total variance in the data. These approaches are used to determine which estimated parameter sets are similar to one another.

RESULTS

Model of NK cell signaling matches experimental data

We generated a mathematical model of NK cell signaling that includes three main pathways: CD16, 2B4 and NKG2D. When these receptors are stimulated, they activate the cell via cascades of phosphorylation reactions (Fig. 1): activation of the SFK, facilitated by the ligand-bound phosphorylated receptors, catalyzes the activation of the Akt, SLP76-Vav-Erk and PLCγ pathways. We simulated these reactions in the form of nonlinear ODEs using established Michaelis–Menten kinetics. The model is provided in Supplementary File S1. The model was calibrated to immunoblot data [58], where we quantified the temporal change in the optical density of protein bands from images of immunoblot experiments using ImageJ [30]. Specifically, we used the normalized levels of the following phosphorylated species: pSFK, pZAP70, pLAT, ppSLP76, pPLCγ, pVav, pErk, pAkt and SLP76 phosphorylated at Y113 and Y128. We calibrated the model predictions by estimating the parameter values using a Bayesian perspective [31], and by implementing the Metropolis–Hastings algorithm (see Methods section). In brief, the model parameters (83 in total) were estimated 200 times using randomized initial guesses by fitting to experimental data. Moreover, the model predictions were validated using a separate dataset. The combined error for each run can be found in Supplementary Figure S1. We proceeded with the 14 best parameter sets that provided the lowest total error and simulated the model using these sets.

Interestingly, in initial simulations, we found that the 14 parameter sets led to different responses with respect to network activation. To determine the dominant behavior generated by the model, we clustered the network activation predicted by the 14 sets using the ‘kmeans’ and ‘pca’ functions in MATLAB (see Methods section). Our results are shown in Supplementary Figure S2, where we identified three unique clusters that correspond to the degree of species activation (i.e. response) predicted by the model. To ensure that the model predictions agree with experimental observations, we discarded the parameter sets that yielded predictions inconsistent with NK cell signaling and cytotoxicity studies [59, 29, 34, 40]. Specifically, we removed parameter sets that induced a low amount of species activation (i.e. <1% of the species’ initial concentration was activated) and that did not show a dose-dependent response when the ligand concentrations were changed.

This refined the 14 parameter sets down to five, which are found in the medium response cluster in Supplementary Figure S2. Specifically, the parameter sets in this cluster are parameter sets 3, 5, 6, 12 and 13 in Supplementary Figure S1. The parameter distributions for the best set (i.e. lowest total error) of the five (parameter set 3 in Supplementary Figure S1) are shown in Supplementary Figure S3 using the final 1000 iterations, illustrating that the parameters are well behaved: the distributions are unimodal, and the values lie within a tight range. We used the last 1000 iterations from parameter estimation to simulate the model. In addition, the posterior distribution of the parameters can be found plotted with the prior distribution in Supplementary Figure S4Supplementary Figure S7. Since the Metropolis–Hastings algorithm is a Monte Carlo Markov Chain (MCMC) algorithm, we provide diagnostic information in the form of trace plots to demonstrate that the parameters are identifiable. Supplementary Figures S8 and Supplementary Figure S9 show the traces for the best parameter set, and the traces for the remaining four sets in the cluster are shown in Supplementary Figure S10 and Supplementary Figure S11. Collectively, the parameters in each set (i.e. independent MCMCs) do converge, but at different iterations. There are parameters that converge as early as the 2000th iteration, while most converge closer to the 5000th iteration, and only very few require >5000 iterations to converge. The dashed lines in Supplementary Figures S8 and Supplementary Figure S9 indicate the cutoff (9000th iteration). The left side is considered the burning-in phase, and those values were discarded, while the values on the right side were kept for model simulation.

The simulated concentration profiles are consistent with the training data (Fig. 2AH). These results demonstrate the model predictions are in accord with the experimental data for mono-stimulation of CD16 (blue lines), 2B4 (purple lines) and NKG2D (orange lines). This is expected, since those data were used in model training to determine the parameter values.

Figure 2.

Figure 2.

Model calibration and validation. The model was fit to experimental data for (A) pSFK, (B) pZAP70, (C) pSLP76, (D) pLAT, (E) pPLCγ, (F) pVav, (G) pErk and (H) pAkt. The model predictions were validated against separate data for (I) pErk, (J) pAkt, (K) pPLCγ and (L) pVav under co-stimulation of 2B4 and NKG2D. Blue: CD16 pathway; purple: 2B4 pathway; orange: NKG2D pathway; Green and Brown: 2B4 and NKG2D co-stimulation from separate experiments. Note that the green and brown lines represent independent western blot experiments that only differ in the time-points of data collection. Solid lines: mean model predictions from 1000 parameter estimates. Shaded area: standard deviation of mean model predictions. Squares, circles and triangles: experimental data.

To validate the model, we compared the model predictions to separate experimental data not used during training. In particular, we quantified the optical density of intracellular species from immunoblot images when 2B4 and NKG2D were simultaneously stimulated at equal ligand concentrations [7, 9, 29, 34, 40]. The results from model validation are shown in Fig. 2IL. The model captures the signaling dynamics of several species upon co-stimulation of 2B4 and NKG2D.

We note that to perform parameter estimation, we separated the time-course datasets into two groups based on which datasets involved mono-stimulation of the receptors and which involved co-stimulation. Currently, we have 21 datasets: 15 involving mono-stimulation and the remaining six sets involving co-stimulation. We designated the mono-stimulation datasets to be used for model calibration, keeping the co-stimulation datasets for model validation. Although the results from parameter estimation can be sensitive to which datasets are used for model training versus model testing, the total number of combinations of selecting 15 datasets for training from full set of 21 datasets is quite large (21!15!6!=54264). Also, this does not include the other possible combinations that can result from a different partitioning method. For instance, using 10 datasets for training and 11 for validation would yield 352 716 different combinations. To investigate the effects of using a different combination of the datasets for parameter estimation, we randomly selected 10 different combinations of the 54 264 possible combinations arising from our original partitioning of the datasets (15 for training and 6 for validation) and estimated the parameters for each combination using the MH algorithm for 20 independent runs (for 10 000 iterations each). Our results (Supplementary Figure S12) indicate that our original selection of training versus testing datasets yielded a better fit as both the training and validation errors were much lower in value. Thus, we proceeded to analyze the model dynamics using the parameter estimates from our initial model calibration approach. Altogether, this validated model allows us to perform simulations and make meaningful comparisons amongst the pathways.

Baseline network activation is greatest when the CD16 pathway is stimulated

In addition to the amount of activation of the phosphorylated species, we were interested in quantifying the magnitude of activation of the network induced by each pathway. Here, we use the norm of the vector-valued function g(t), where each component of this vector is the time evolution of the concentration of the five species considered to be necessary for NK cell activation (pErk, pAkt, pPLCγ, pVav and pSLP76 (see Methods for derivation)). The model was simulated for 60 min using 6.67 × 10−2 μM of ligand, the same concentration used in the experimental studies to train and validate the model [59, 29, 34, 40]. We used the last 1,000 iterations from the best set obtained from parameter estimation.

The magnitude of network activation is greatest for the CD16 pathway compared to stimulation of 2B4 and NKG2D at equal ligand concentrations (Fig. 3). Interestingly, each pathway activates the network differently (Supplementary Figure S13). For example, CD16 induces more activation of pSLP76 (Supplementary Figure S13A), whereas stimulation of the NKG2D pathway activates pVav (Supplementary Figure S13B) and pPLCγ (Supplementary Figure S13C) to a greater extent. In contrast, the pathways show no significant difference with respect to pErk (Supplementary Figure S13D) and pAkt (Supplementary Figure S13E) activation. These results support our systems-level evaluation of the network, as focusing on a single species does not fully represent the effects of stimulating an NK receptor. The baseline model is useful in allowing us to quantitatively interpret the results from the experimental studies used to train the model, where the signaling species concentrations were not measured directly. Overall, the baseline model predicts CD16 stimulation leads to a greater activation of the stimulatory network and that the magnitude of activation of the phosphorylated species varies depending on the pathway being stimulated.

Figure 3.

Figure 3.

Baseline network activation of individual receptors. The magnitude of network activation induced by mono-stimulation of NKG2D (orange), CD16 (blue) and 2B4 (purple). Bars represent the mean model prediction from the 1000 parameter estimates and the error bars represent one standard deviation.

Receptor characteristics significantly influence the network activation

The stimulation of NK cell receptors with ligands (model input) leads to activation of the signaling species (model output). Ultimately, we wish to understand the output of the system as a function of its input. To achieve this, we varied the ligand concentration in silico from 6.67 × 10−5 μM up to 66.7 μM and simulated the model for 60 min to observe how the magnitude of network activation changes. Such a wide range is typically implemented in experimental studies as it allows researchers to understand how a system behaves as its input changes in magnitude [15]. As such, our results in Figure 4 show how the predicted magnitude of network activation changes as ligand concentrations change. We present the mean model prediction (solid line) using the final 1000 iterations from the best parameter set, along with its standard deviation (shaded area).

Figure 4.

Figure 4.

Network activation as a function of ligand stimulation. The mean value (solid line) of the magnitude of network activation from the 1000 parameter estimates, along with one standard deviation (shaded area), is shown for stimulation of CD16 (blue), 2B4 (purple) and NKG2D (orange).

The model predicts that, in general, the magnitude of network activation increases as more ligands are introduced into the system (Fig. 4). For all ligand concentrations we simulated, the model predicts that the magnitude of network activation is always greater when either the CD16 or NKG2D pathways are stimulated, compared to the stimulation of 2B4. Our results suggest that mono-stimulation of 2B4 induces weak activation of the stimulatory network. Interestingly, for all three pathways, the magnitude in network activation ceases to increase at high ligand concentrations. To better understand this observation, we calculated the estimated KD (equilibrium constant) between the ligand and the receptor from the parameter estimates. For CD16 and NKG2D, the estimated KD values are 4.2 μM and 2.02 μM, respectively. In contrast, the estimated KD value for 2B4 and its ligand is 0.46 μM. Note that as the ligand concentration becomes larger than the KD of the interaction in Fig. 4, the magnitude of network activation becomes insensitive to further stimulation. This suggests that using high ligand concentrations to induce NK cell activation is not advantageous as the model predicts the response begins to plateau once the concentration of the ligand becomes larger than the KD.

We observed an unexpected sharp peak in network activation (Fig. 4; purple star) at ~0.3μM of ligand during stimulation of 2B4. Given the detailed nature of the model, we could apply it to investigate the cause of the peak. The ligand concentration at which the peak occurs is numerically close in value to the concentration of 2B4 receptor in the model (0.353 μM). Thus, we simulated the model using different concentrations of 2B4 to determine if the peak in network activation is due the receptor’s concentration (Supplementary Figure S14A). Indeed, the concentration of 2B4 sets the upper bound for network activation since we observe more network activation when we increase the receptor’s concentration accordingly. In addition, network activation induced by 2B4 is maximal when the ligand concentration reaches the same level as the receptor.

Similar to 2B4-mediated network activation, the model predicts a peak in NKG2D-mediated network activation (Fig. 4; orange star). Again, the peak occurs when the ligand concentration is approximately the same as the concentration of NKG2D in the model (0.303 μM). We simulated the model using different concentrations of NKG2D as we did above (Supplementary Figure S14B). We observed that the concentration of NKG2D sets the upper bound on network activation, where the peaks occur when the concentration of ligand is near the concentration of the receptor.

In the case of NKG2D, unlike 2B4, there is a notable decrease in network activation once the ligand concentration is greater than the concentration of the receptor (Fig. 4; orange star). To better understand this observation, we varied the parameters regulating NKG2D phosphorylation and dephosphorylation. The model predicts that the catalytic rate constant for phospho-NKG2D dephosphorylation (kcat_pNKG2D_pSHP in the model) is responsible for this behavior. Namely, once we increased the value of this parameter by 10-fold (Supplementary Figure S14C) or 100-fold (Supplementary Figure S14D) from its baseline value (~14.75 min−1), the decrease in network activation gradually disappears (compare Supplementary Figure S14C and D to Supplementary Figure S14B). Note that although the maximum in network activation does not change, its shifts to the right, requiring more ligands to reach maximal network activation (compare dashed line in Supplementary Figures S14B and D).

Given the mechanistic detail of the model, we can explain the decrease in network activation observed upon mono-stimulation of NKG2D (Fig. 4; orange star). As the ligand concentration increases, the velocity of phospho-NKG2D activation increases proportionally due to Michaelis-Menten kinetics. Based on the numerical value of kcat_pNKG2D_pSHP, the rate of dephosphorylation of phospho-NKG2D will be slow (or fast) if the parameter is small (or large). Furthermore, if the rate of dephosphorylation is slow, then the concentration of phospho-NKG2D will increase rapidly as the ligand concentration increases, and since there is a first-order decay reaction for the phospho-species in our model, phospho-NKG2D will degrade proportionally to its concentration. Thus, when phospho-NKG2D activation is too fast, it will also decay rapidly, which will impede downstream signaling. This is why when the ligand concentration becomes too large, it has a suboptimal effect on network activation. Contrastingly, if the rate of dephosphorylation is fast relative to NKG2D phosphorylation, then the concentration of phospho-NKG2D will increase very slowly as the ligand concentration increases. This, in turn, produces a smooth, monotonic increase in network activation (Supplementary Figure S14D).

Overall, these results suggest the maximal response of network activation is positively correlated with the initial concentrations of the receptors. That is, the greater the initial concentration of the receptor, the greater the maximal response. Moreover, the ligand concentration required to attain the maximal response is sensitive to the rate of receptor activation, where faster receptor activation means fewer ligands are needed to reach maximal activation and the receptor pathway is more potent. In addition, the KD of the interaction between the ligand and the receptor influences the ligand concentration at which network activation becomes insensitive to further increases in the ligand concentration. Specifically, a smaller value of KD means that fewer ligands are required to reach an equilibrium in the response. Taken together, the results presented here underscore the model’s utility in explaining and characterizing the system’s response to variations in input intensity. The model predicts that the NK receptor that: (1) has a high initial concentration, (2) has a lower KD with its ligand and (3) has a faster rate of activation will more potently activate the intracellular signaling network that mediates NK cell activation, as compared to other receptors. These criteria can be used to guide experiments for engineering NK cells with enhanced signaling.

Co-stimulation of CD16 and NKG2D potently activates the network

The impact on network activation induced by the co-stimulation of NK cell receptors has not been completely characterized. This knowledge gap obscures our understanding of how signals from multiple pathways are integrated and influence the downstream species. Thus, we simulated the model to better understand how co-stimulation affects network activation in a dose-dependent manner. Similar to the previous section, we varied the ligand concentration from 6.67 × 10−5 up to 66.7 μM and simulated the model for 60 min to observe how the magnitude of network activation changes.

Interestingly, the co-stimulation of CD16 and NKG2D (Fig. 5A, red line) achieves greater network activation when compared to other combinations at equal ligand concentrations. With the exception of 2B4 and NKG2D co-stimulation (Fig. 5A, magenta line), all combinations attain maximal network activation (116 μM × min). In addition, we wanted to determine how much ligand is required to reach half-maximal network activation (Fig. 5A, dashed line), akin to half-maximal effective concentration (EC50). We applied the model to predict the ligand concentration needed to reach this level of network activation for each combination (Fig. 5B). The co-stimulation of CD16 and NKG2D (Fig. 5B, red bar) required 26, 27 and 51% fewer ligands on average compared to the ligand concentration needed for half-maximal activation with co-stimulation of all pathways (Fig. 5B, black bar), 2B4 and NKG2D (Fig. 5B, magenta bar) and CD16 and 2B4 (Fig. 5B, green bar), respectively. At first glance, one may think that stimulating all pathways together would require the lowest ligand concentration to reach half-maximal network activation. However, since phospho-2B4 can activate phosphatases in addition to the kinase pSFK (Fig. 1), co-stimulation of all three pathways is less effective than the co-stimulation of CD16 and NKG2D due to more phosphatase activation. In summary, we found that the co-stimulation CD16 and NKG2D in silico is more potent in activating the stimulatory network than all other combinations.

Figure 5.

Figure 5.

Receptor co-stimulation. Each receptor combination is stimulated with varying concentrations of ligands. (A) The co-stimulation of 2B4 and NKG2D (magenta), CD16 and 2B4 (green), CD16 and NKG2D (red) as well as the stimulation of all three receptors (black) are shown. The solid line represents the mean value from the 1000 parameter estimates and the shaded area is one standard deviation. Network activation was scaled onto a range of [0,100] by normalizing the network activation by the maximum value across all three pathways. (B) The ligand concentration required to reach half-maximal activation (dashed line in (A)). Bars represent the mean model prediction from the 1000 parameter estimates and the error bars represent one standard deviation.

In silico perturbations highlight the role of phospho-receptors and phosphatases in enhancing network activation

Mathematical models are instrumental in studying the trajectory of dynamical systems, especially when perturbations are considered. For example, model parameters can be varied to understand the system’s response to specific alterations. Therefore, we simulated the following perturbations to understand which changes augment network activation: (1) decreasing the rate of pSFK deactivation, (2) inhibiting pSHP activity, (3) increasing receptor-ligand affinity and (4) decreasing the decay rate of the phospho-receptors.

The first perturbation is inspired by experimental results [41, 42] where a mutation of the activation-loop tyrosine (Y394) of lymphocyte-specific protein kinase (LCK), a member of the SFK, disables the kinase from being inactivated in the context of T cell receptor signaling. This mutation evidently enhances T cell activation. Likewise, inhibiting the rate at which pSFK is deactivated (i.e. decreasing kcat_pSFK_pSHP) in the model may increase NK cell network activation by the same reasoning. It is known that phosphatases play an integral role in inhibiting NK cell activation [33, 4345] by dephosphorylating the downstream species. Therefore, inhibiting phosphatase activity (i.e. decreasing kcat_pX_pSHP, where pX is a substrate for pSHP) is another mechanism that can increase network activation. Moreover, increasing the binding affinity between the ligand and the receptor should increase the velocity at which the receptor-ligand complex is formed, and thereby allow signaling to proceed more rapidly and possibly increase the magnitude of network activation. We simulated this effect by decreasing the koff constant between the receptor and the ligand in the model. Finally, we decreased the decay rate of the phospho-receptors (i.e. kdeg), as another means of modulating the network activation. This is inspired by Spran et al. [28], where they inhibited the shedding of CD16 receptors by introducing a point-wise amino acid mutation (S197P) that renders the receptor insusceptible to ADAM17-mediated cleavage. This engineered receptor induced more perforin degranulation upon stimulation, which is a downstream response of network activation. Although each of the perturbations should increase network activation in their own right, it is not obvious which perturbation (and to which extent) is the best approach. Thus, we simulated each case to determine which method is optimal for augmenting the magnitude of network activation.

We varied the parameters regulating the four perturbations from their baseline values up to 10-fold. The model was simulated for 60 min using various ligand concentrations. As before, we used the last 1000 iterations from the best parameter set to simulate the model. Moreover, we simulated each perturbation separately for each pathway in order to observe any differences (or similarities) in the effects each perturbation imposes on each pathway. The simulated results can be found in Fig. 6, where the percent change in network activation from baseline via mono-stimulation of NKG2D (Fig. 6AC), CD16 (Fig. 6DF) and 2B4 (Fig. 6GI) is plotted as a function of the change in the strength of the perturbation. The circles, triangles, squares and diamonds in Fig. 6 correspond to decreasing pSFK deactivation, inhibiting pSHP activity, increasing ligand affinity and inhibiting phospho-receptor decay, respectively.

Figure 6.

Figure 6.

Perturbations to the stimulatory network. The percent change of the magnitude of network activation from baseline for stimulation of NKG2D (A–C), CD16 (D–F) and 2B4 (G–I) is shown. The perturbations were simulated using a ligand concentration of 6.67 × 10−4 μM (left column), 6.67 × 10−2 μM (middle column) and 6.67 μM (right column). Circles: decreasing pSFK deactivation rate; triangles: decreasing pSHP activity; squares: increasing receptor-ligand affinity; diamonds: decreasing phospho-receptor decay rate; and Marker: mean value from 1000 parameter estimates. Error bars: one standard deviation.

The model provides detailed insight into the effects of perturbing the signaling network. Firstly, when the ligand concentration is low (Fig. 6A, D and G), the percent change in network activation is more sensitive to phospho-receptor decay (diamonds). In contrast, when the ligand concentration is moderate (Fig. 6B, E and H) to high (Fig. 6C, F and I), the percent change in network activation is influenced more by phosphatase activity (triangles). These results hold true for all pathways, suggesting the perturbations qualitatively impact the pathways in a similar manner. Interestingly, when considering the NKG2D and CD16 pathways, the relative effect of the perturbations decreases as the concentration of the input increases (compare Fig. 6C to Fig. 6B and compare Fig. 6F to Fig. 6E). Surprisingly, the relative impact of decreasing pSFK deactivation (circles) and increasing ligand affinity (squares) on network activation is almost negligible. In some cases, increasing ligand affinity can even decrease network activation.

These data suggest network activation is tightly controlled by the phospho-receptors and the phosphatases. Based on the model predictions, when input levels are low, it is more important to engineer receptors that are resistant to proteolytic cleavage, as this enables the activated receptor to induce continued intracellular signaling. Alternatively, when the input to the system is plentiful, inhibiting phospho-receptor decay is not influential since the large concentration of input can enable continued intracellular signaling. In this scenario, it is more influential to inhibit phosphatase activity, which allows the phospho-species to remain activated, thereby increasing the magnitude of species activation. In summary, the model predicts that the phospho-receptors and phosphatases strongly regulate the magnitude of network activation, and that the optimal strategy for enhancing network activation is dependent on the level of stimulation. Thus, our simulations provide quantitative insight into mechanisms that can augment the activation of the stimulatory network in NK cells.

DISCUSSION

In the present study, we constructed a mathematical model of a subset of the signaling pathways that mediate NK cell stimulation. We interrogated the model to understand (1) how the stimulatory network is influenced by the different pathways, (2) which signaling species and parameters directly influence the magnitude of network activation, (3) which combination of receptors are more potent in activating the stimulatory network and (4) how the network can be perturbed to enhance activation.

Our baseline model predictions demonstrate network activation is sensitive to both the receptor concentrations as well as the rate of receptor activation relative to deactivation. Specifically, the receptor concentrations influence the maximal value for network activation, whereas the rate of receptor activation influences the ligand concentration needed to attain this maximal response. From our perturbation studies, we observed that the phospho-receptors and the phosphatases control the system’s response to NK cell receptor stimulation. Inhibiting phospho-receptor decay is particularly important for enhancing network activation when the input to the system is scarce. Alternatively, when the input is abundant, it is more important to inhibit phosphatase activity. In the case where NK cells are directed to recognize specific tumor-associated antigen via engineered receptors such as chimeric antigen receptors (CARs), our simulations suggest engineering receptors to be resistant to proteolytic cleavage, as the antigen may not be abundantly expressed on the tumor cell surface. In monoclonal antibody therapies, which can expose NK cells to a large concentration of input, the model simulations indicate that preincubation of NK cells with pan-SHP inhibitors may unbridle NK cell signaling and allow for a strong response. Thus, our computational modeling of NK cell stimulation is highly valuable and particularly useful. Besides the large amount of time and resources needed to complete such studies via experimentation alone, many of the nonlinear properties embedded in the signaling network would be difficult to capture and effectively characterize without knowledge of the parameters regulating the system. Instead, when there is a healthy union between data and modeling, our understanding of biology benefits the most.

Our modeling results provide a robust quantitative framework to study the effects of co-stimulation of NK cell receptors. These predictions are relevant for developing immunotherapeutic strategies. Researchers in recent years have designed CARs for NK cells that include intracellular signaling domains of CD16, 2B4 and NKG2D for antitumor therapy [46, 47]. Those studies found that CARs comprised of CD16, 2B4 and NKG2D signaling domains together outperformed activation induced by the individual receptors. In addition, CAR-NK cell immunotherapies [48, 49] that include intracellular domains from both CD16 and NKG2D are shown to be effective in eliminating tumors in preclinical studies. Through continued success in the preclinical stage, a few CAR-NK cell immunotherapies have entered clinical trials as potential therapeutics for cancer patients [50, 51]. Excitingly, our model predicts that co-stimulation of CD16 and NKG2D activate the network strongly both individually and collectively. We infer from our results that CARs that express the signaling domains of CD16 (CD3ζ) and NKG2D (DAP10) may promote strong activation of the signaling network. Although the model presented here was not trained on data from CARs, our results are in accord with those found by researchers in immunotherapy. This demonstrates the model’s utility in predicting which strategies can augment NK cell signaling. Importantly, the modeling predictions go beyond observations from published experimental studies by providing detailed predictions about the magnitude of activation across a range of ligand concentrations and insight as to why certain combinations work better than others. We note that the focus of the current work is to predict how NK cell signaling can be maximized, one aspect of cell activation. The predictions complement strategies that enhance on-target specificity to tumor cells, such as through the use of CARs with extracellular domains specific to tumor antigens. This can help mitigate the deleterious effects of off-target NK cell activation.

We acknowledge some limitations that may affect the model predictions. Firstly, our model includes three important stimulatory receptors; however, several others could have been considered as well. Additionally, although multiple sites of phosphorylation and dephosphorylation can exist for each species, we have not included this level of detail in the model. This would increase the specificity of our model, but it would be at the expense of model simplicity. Since we are interested in understanding and comparing the dynamics between multiple pathways, we sought to retain a simplified model in order to effectively compare the pathways. In the future, researchers can adopt and improve the current model by considering site specific reactions and their importance in particular aspects of NK cell stimulation. Finally, although the initial concentrations of the signaling species were derived from literature [2427], we expect that these values may differ based on the specific NK cell line or the donor for primary NK cells. Future research can address these limitations, building upon the work presented here. In addition, questions within tumor immunology, in particular tumor and NK cell dynamics, can be studied by integrating the present signaling model with a cell-based model. Mahasa and coworkers [14] provide an example of such a model that incorporates intracellular and intercellular dynamics.

Despite these limitations, our mathematical model is relevant in understanding NK cell signaling and how the stimulatory network can be enhanced. The results presented here lend support for multiple strategies to enhance cell signaling, including (1) the co-stimulation of specific receptor combinations, which is relevant to the design of engineered receptors (e.g. CARs), and (2) modifying such engineered receptors to be degradation-resistant to promote continued signaling. We propose that the most useful experiment to corroborate and extend the work presented here would be to engineer NK cells with CARs co-expressing the intracellular signaling domains of CD16 and NKG2D, while also using site-directed mutagenesis to inhibit proteolytic cleavage or shedding of the receptor from the cell surface. The model predicts these modifications to the NK cell would lead to greater species activation. NK cells with the modifications outlined here, could then be tested to determine if there is increased activation of the intracellular signaling species included in the model and, subsequently, if there is a greater release of cytotoxic molecules. In conclusion, our work provides strategies and insight into engineering NK cells for enhanced killing effects.

Supplementary Material

Supplementary Material- 1
Supplementary Material- 2
Supplementary Material- 3
Supplementary Material - 4

INSIGHT BOX.

We constructed an experimentally validated, mechanistic model of three natural killer cell signaling pathways (CD16, 2B4 and NKG2D) to provide insight on how to enhance activation of key cytotoxicity-mediating species. The receptor concentrations and their rate of activation influence the maximum level of species activation and the amount of stimulus needed to attain maximal activation, respectively. The co-stimulation of CD16 and NKG2D most effectively activates the signaling species compared to other combinations. The model predicts strategies to enhance species activation: when ligand concentration is low, one should inhibit receptor degradation; when ligands are abundant, inhibiting phosphatase activity is more effective. Our work provides a framework for understanding NK cell signaling and how to improve NK cell cytotoxicity for immunotherapies.

ACKNOWLEDGMENTS

We immensely appreciate the Finley research group for critical evaluation of this manuscript as well as improvements to the model code. This work was supported a Viterbi/Graduate School Merit Fellowship (to S.Z.M).

Footnotes

SUPPLEMENTARY DATA

Supplementary data is available at INTBIO Journal online.

REFERENCES

  • 1.Bryceson YT, Ljunggren H-G. Natural killer cells: Biology, physiology and medicine—Part 1. J Innate Immun 2011; 3:213–5. [DOI] [PubMed] [Google Scholar]
  • 2.Bryceson YT, Ljunggren H-G. Natural killer cells: Biology, physiology and medicine—Part 2. J Innate Immun 2011; 3:327–8. [DOI] [PubMed] [Google Scholar]
  • 3.Guillerey C, Huntington ND, Smyth MJ. Targeting natural killer cells in cancer immunotherapy. Nat Immunol 2016;17:1025–36. [DOI] [PubMed] [Google Scholar]
  • 4.Theorell J, Gustavsson A-L, Tesi B et al. Immunomodulatory activity of commonly used drugs on Fc-receptor-mediated human natural killer cell activation. Cancer Immunol Immunother 2014;63:627–41. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5.Billadeau DD, Upshaw JL, Schoon RA et al. NKG2D-DAP10 triggers human NK cell-mediated killing via a Syk-independent regulatory pathway. Nat Immunol 2003;4:557–64. [DOI] [PubMed] [Google Scholar]
  • 6.Ting AT, Karnitz LM, Schoon RA. Fc7 receptor activation induces the tyrosine phosphorylation of both phospholipase C (PLC)-y1 and PLC-y2 in natural killer cells. 1992;5:1751–55. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 7.Kim HS, Das A, Gross CC et al. Synergistic signals for natural cytotoxicity are required to overcome inhibition by c-Cbl ubiquitin ligase. Immunity 2010;32:175–86. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 8.Kim HS, Long EO. Complementary phosphorylation sites in the adaptor protein SLP-76 promote synergistic activation of natural killer cells. Sci Signal 2012;5:ra49–9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 9.Kwon H-J, Choi G-E, Ryu S et al. Stepwise phosphorylation of p65 promotes NF-κB activation and NK cell responses during target cell recognition. Nat Commun 2016;7:11686. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 10.Kwon H-J, Kim HS. Signaling for synergistic activation of natural killer cells. Immune Netw 2012;12:240. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 11.Pappalardo F, Palladini A, Pennisi M et al. Mathematical and computational models in tumor immunology. Math Model Nat Phenom 2012;7:186–203. [Google Scholar]
  • 12.Das J Activation or tolerance of natural killer cells is modulated by ligand quality in a nonmonotonic manner. Biophys J 2010;99:2028–37. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 13.Mesecke S, Urlaub D, Busch H et al. Integration of activating and inhibitory receptor signaling by regulated phosphorylation of Vav1 in immune cells. Sci Signal 2011;4:ra36–6. [DOI] [PubMed] [Google Scholar]
  • 14.Mahasa KJ, Ouifki R, Eladdadi A et al. Mathematical model of tumor-immune surveillance. J Theor Biol 2016;404:312–30. [DOI] [PubMed] [Google Scholar]
  • 15.Hoffman F, Gavaghan D, Osborne J et al. A mathematical model of antibody-dependent cellular cytotoxicity (ADCC). J Theor Biol 2018;436:39–50. [DOI] [PubMed] [Google Scholar]
  • 16.Scherbakova A, Lust H, Everaus H et al. A mathematical model of natural killer cell activity. Cytometry A 2013;83A:585–91. [DOI] [PubMed] [Google Scholar]
  • 17.Sternberg-Simon M, Mehr R. Modeling natural killer cell repertoire development and activation dynamics. 2013, pp. 132–47. http://www.worldscientific.com/doi/abs/10.1142/9789814520829_0008 (25 June 2018, date last accessed)
  • 18.Chen R, Relouzat F, Roncagalli R et al. Molecular dissection of 2B4 signaling: implications for signal transduction by SLAM-related receptors. Mol Cell Biol 2004;24:5144–56. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 19.Gilfillan S, Ho EL, Cella M et al. NKG2D recruits two distinct adapters to trigger NK cell activation and costimulation. Nat Immunol 2002;3:1150–5. [DOI] [PubMed] [Google Scholar]
  • 20.Long EO, Sik Kim H, Liu D et al. Controlling natural killer cell responses: integration of signals for activation and inhibition. Annu Rev Immunol 2013;31:227–58. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 21.Barda-Saad M, Shirasu N, Pauker MH et al. Cooperative interactions at the SLP-76 complex are critical for actin polymerization. EMBO J 2010;29:2315–28. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 22.Harris LA, Hogg JS, Tapia J-J et al. BioNetGen 2.2: advances in rule-based modeling. Bioinformatics 2016;32:3366–8. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 23.Szewczuk LM, Tarrant MK, Cole PA. Protein phosphorylation by semisynthesis: from paper to practice. Methods Enzymol 2009;462:1–24. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 24.Northrup SH, Erickson HP. Kinetics of protein-protein association explained by Brownian dynamics computer simulation. Proc Natl Acad Sci 1992;89:3338–42. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 25.Schlosshauer M, Baker D. Realistic protein-protein association rates from a simple diffusional model neglecting long-range interactions, free energy barriers, and landscape ruggedness. Protein Sci 13:1660–9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 26.Kim M-S, Pinto SM, Getnet D et al. A draft map of the human proteome. Nature 2014;509:575–81. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 27.Bar-Even A, Noor E, Savir Y et al. The moderately efficient enzyme: evolutionary and physicochemical trends shaping enzyme parameters. Biochemistry 2011;50:4402–10. [DOI] [PubMed] [Google Scholar]
  • 28.Srpan K, Ambrose A, Karampatzakis A et al. Shedding of CD16 disassembles the NK cell immune synapse and boosts serial engagement of target cells. J Cell Biol 2018;217:3267–83. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 29.Dong Z, Davidson D, Pérez-Quintero LA et al. The adaptor SAP controls NK cell activation by regulating the enzymes Vav-1 and SHIP-1 and by enhancing conjugates with target cells. Immunity 2012;36:974–85. [DOI] [PubMed] [Google Scholar]
  • 30.Schneider CA, Rasband WS, Eliceiri KW. NIH image to ImageJ: 25 years of image analysis. Nat Methods 2012;9:671–5. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 31.Stuart AM. Inverse problems: a Bayesian perspective. Acta Numer 2010;19:451–559. [Google Scholar]
  • 32.Ghasemi O, Lindsey ML, Yang T et al. Bayesian parameter estimation for nonlinear modelling of biological pathways. BMC Syst Biol 2011;5:S9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 33.Binstadt BA, Billadeau DD, Jevremović D et al. SLP-76 is a direct substrate of SHP-1 recruited to killer cell inhibitory receptors. J Biol Chem 1998;273:27518–23. [DOI] [PubMed] [Google Scholar]
  • 34.Pérez-Quintero L-A, Roncagalli R, Guo H et al. EAT-2, a SAP-like adaptor, controls NK cell activation through phospholipase Cγ, Ca++, and Erk, leading to granule polarization. J Exp Med 2014;211:727–42. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 35.Barber DF, Faure M, Long EO. LFA-1 contributes an early signal for NK cell cytotoxicity. J Immunol 2004;173:3653–9. [DOI] [PubMed] [Google Scholar]
  • 36.Rudin W Real and Complex Analysis (McGraw-Hill international editions Mathematics series) 3rd ed. New York, NY, McGraw-Hill, 2013, 416. [Google Scholar]
  • 37.Clarke F Functional Analysis, Calculus of Variations and Optimal Control (Graduate Texts in Mathematics). London and New York, NY, Springer, 2013, 591. [Google Scholar]
  • 38.Arthur D, Vassilvitskii S. K-means++: the advantages of careful seeding. Proceedings of the 18th Annual ACM-SIAM Symposium on Discrete Algorithms 2007. [Google Scholar]
  • 39.Pearson K LIII. On lines and planes of closest fit to systems of points in space. 1901. https://zenodo.org/record/1430636#XbteQpJKjUo (31 October 2019, date last accessed) [Google Scholar]
  • 40.Kwon H-J, Kwon SJ, Lee H et al. NK cell function triggered by multiple activating receptors is negatively regulated by glycogen synthase kinase-3β. Cell Signal 2015;27:1731–41. [DOI] [PubMed] [Google Scholar]
  • 41.Rohrs JA, Wang P, Finley SD. Predictive model of lymphocyte-specific protein tyrosine kinase (LCK) autoregulation. Cell Mol Bioeng 2016;9:351–67. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 42.Rohrs JA, Makaryan SZ, Finley SD. Constructing predictive cancer systems biology models. bioRxiv 2018;360800. [Google Scholar]
  • 43.Binstadt BA, Brumbaugh KM, Dick CJ et al. Sequential involvement of Lck and SHP-1 with MHC-recognizing receptors on NK cells inhibits FcR-initiated tyrosine kinase activation. Immunity 1996;5:629–38. [DOI] [PubMed] [Google Scholar]
  • 44.Frank C, Burkhardt C, Imhof D et al. Effective Dephosphorylation of Src substrates by SHP-1. J Biol Chem 2004;279:11375–83. [DOI] [PubMed] [Google Scholar]
  • 45.Lorenz U SHP-1 and SHP-2 in T cells: two phosphatases functioning at many levels. Immunol Rev 2009;228:342–59. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 46.Altvater B, Landmeier S, Pscherer S et al. 2B4 (CD244) signaling by recombinant antigen-specific chimeric receptors costimulates natural killer cell activation to leukemia and neuroblastoma cells. Clin Cancer Res 2009;15:4857–66. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 47.Li Y, Hermanson DL, Moriarity BS et al. Human iPSC-derived natural killer cells engineered with chimeric antigen receptors enhance anti-tumor activity. Cell Stem Cell 2018. https://linkinghub.elsevier.com/retrieve/pii/S1934590918302844 (1 August 2018, date last accessed). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 48.Glienke W, Esser R, Priesner C et al. Advantages and applications of CAR-expressing natural killer cells. Front Pharmacol 2015;6 http://journal.frontiersin.org/Article/10.3389/fphar.2015.00021/abstract (25 June 2018, date last accessed). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 49.Romanski A, Uherek C, Bug G et al. CD19-CAR engineered NK-92 cells are sufficient to overcome NK cell resistance in B-cell malignancies. J Cell Mol Med 2016;20:1287–94. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 50.Bollino D, Webb TJ. Chimeric antigen receptor–engineered natural killer and natural killer T cells for cancer immunotherapy. Transl Res 2017;187:32–43. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 51.Tang X, Yang L, Li Z et al. First-in-man clinical trial of CAR NK-92 cells: safety test of CD33-CAR NK-92 cells in patients with relapsed and refractory acute myeloid leukemia. Am J Cancer Res 2018;8:1083–9. [PMC free article] [PubMed] [Google Scholar]

Associated Data

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Supplementary Materials

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