Immune checkpoints are vital molecules that regulate T-cell function by activation or inhibition. Among the
immune checkpoint molecules, the B7-family
proteins are significantly involved in the immune escape of
tumor cells. By binding to inhibitory receptors, they can suppress T-cell-mediated immunity. B7-family
proteins are found at various stages of tumor microenvironment formation and promote
tumorigenesis and
tumor progression. B7-H6 (encoded by gene NCR3LG1) is a prominent member of the family. It has unique immunogenic properties and is involved in natural killer (NK) cell immunosurveillance by binding to the
NKp30 receptor. High B7-H6 expression in certain
tumor types and shortage of or low expression in healthy cells - except in cases of inflammatory or microbial stimulation - have made the
protein an attractive target of research activities in recent years. The avoidance of NK-mediated B7-H6 detection is a mechanism through which
tumor cells escape immune surveillance. The stimulation of
tumorigenesis occurs by suppressing
caspase cascade initiation and anti-apoptosis activity stimulation via the STAT3 pathway. The B7-H6-NKp30 complex on the
tumor membrane activates the NK cells and releases both
tumor necrosis factor alpha (TNF-α) and
interferon gamma (IFN-γ). B7-H6 is highly expressed in a wide range of
tumor cells, including
glioma, hematologic malignant
tumors, and
breast cancer cells. Clinical examination of
cancer patients indicated that the expression of B7-H6 is related to distant
metastasis status and permits postoperative prognosis. Because of its unique properties, B7-H6 has a high potential be utilized as a
biological marker for
cancer diagnosis and prognosis, as well as a target for novel treatment options.