Rac1/ROCK-driven membrane dynamics promote Natural Killer cell cytotoxicity via necroptosis

Natural Killer (NK) cells play an important role in cancer immunosurveillance and therapy. However, the target selectivity of NK cell activity is still poorly understood. Here we used live-cell reporters to unravel differential epithelial cancer target killing by primary human NK cells. We found highly variable fraction of killing by distinct NK cell cytotoxic modes that was not determined by NK ligand expression. Rather, epithelial plasma membrane dynamics driven by ROCK-mediated blebs and/or Rac1-mediated lamellipodia promoted necrotic mode in preference to apoptotic mode of killing. Inhibition of granzyme and key necroptosis regulators RIP1, RIP3 and MLKL significantly attenuated necrotic killing, revealing a novel NK cytotoxic pathway by granzyme-induced necroptosis that conferred target selectivity. Our results not only elucidate a new NK cell effector mechanism but also suggest tissue microenvironment and oncogenic signaling pathways that promote membrane dynamics, e.g., Rac1 and Rho/ROCK, could be exploited to enhance proinflammatory NK cell killing.