RT Journal Article T1 High-grade serous ovarian tumor cells modulate NK cell function to create an immune-tolerant microenvironment. A1 Gonzalez, Veronica D A1 Huang, Ying-Wen A1 Delgado-Gonzalez, Antonio A1 Chen, Shih-Yu A1 Donoso, Kenyi A1 Sachs, Karen A1 Gentles, Andrew J A1 Allard, Grace M A1 Kolahi, Kevin S A1 Howitt, Brooke E A1 Porpiglia, Ermelinda A1 Fantl, Wendy J K1 CD9 K1 HGSC K1 NK cells K1 NK immunotherapy K1 T cells K1 cytokine production K1 cytotoxicity K1 decidual-like K1 epithelial tumor K1 epithelial-mesenchymal K1 high-grade serous carcinoma K1 immune infiltrate K1 immune tolerance K1 trogocytosis K1 tubo-ovarian tumor AB Tubo-ovarian high-grade serous carcinoma (HGSC) is unresponsive to immune checkpoint blockade despite significant frequencies of exhausted T cells. Here we apply mass cytometry and uncover decidual-like natural killer (dl-NK) cell subpopulations (CD56+CD9+CXCR3+KIR+CD3-CD16-) in newly diagnosed HGSC samples that correlate with both tumor and transitioning epithelial-mesenchymal cell abundance. We show different combinatorial expression patterns of ligands for activating and inhibitory NK receptors within three HGSC tumor compartments: epithelial (E), transitioning epithelial-mesenchymal (EV), and mesenchymal (vimentin expressing [V]), with a more inhibitory ligand phenotype in V cells. In cocultures, NK-92 natural killer cells acquire CD9 from HGSC tumor cells by trogocytosis, resulting in reduced anti-tumor cytokine production and cytotoxicity. Cytotoxicity in these cocultures is restored with a CD9-blocking antibody or CD9 CRISPR knockout, thereby identifying mechanisms of immune suppression in HGSC. CD9 is widely expressed in HGSC tumors and so represents an important new therapeutic target with immediate relevance for NK immunotherapy. YR 2021 FD 2021 LK https://hdl.handle.net/10668/27816 UL https://hdl.handle.net/10668/27816 LA en DS RISalud RD Apr 8, 2025