Innate immune system comprises primarily of monocytes, macrophages, granulocytes, natural killer (NK) cells and dendritic cells (DCs).
Monocytes
Monocytes are the largest immune cells in the blood. They patrol the body and provide the first line of defense against bacterial and fungal intruders, launch inflammation via cytokine secretion and trigger adaptive immunity. Types of monocytes include classical or inflammatory monocytes characterized by CD14+ CD16− (humans), CCR2+ Ly6Chi (mice) and patrolling monocytes expressing CD14lo CD16+ (humans), CCR2lo Ly6Clo (mice).2
Macrophages
A hallmark of macrophages is their phagocytic capabilities supporting the clearance of intruders and priming immune responses. However, macrophages also enable other essential homeostatic functions such as metabolism.3 Macrophages are highly involved in tumor development and progression as tumor associated macrophages (TAMs) secrete factors inducing immune tolerance towards tumor cells. They are therefore of great interest in immuno-oncology and are central to investigations evaluating the impact of therapy on the tumor microenvironment (TME). Two main types of macrophages are described based on their stimuli induced polarization—M1 and M2. M1 macrophages are pro-inflammatory, promote an oxidative state with reactive oxygen species (ROS) production, and secrete inflammatory cytokines and chemokines, e.g., IL-1, IL-6, IL-12, TNF-α, CXCL9, CXCL10. M2 macrophages are considered immunosuppressive and secrete anti-inflammatory factors such as IL-10 and TGF-β.4
Granulocytes
Granulocytes are cells rich in cytoplasmic granules and include basophils5, neutrophils6,7, eosinophils8 and mast cells.9 Granulocytic cells support an array of protective functions including phagocytosis (neutrophils) defense against parasites (basophils) and as effectors in allergy (mast cells) and modulate host responses during immunotherapy.
Natural killer cell
Natural killer (NK) cells are generally categorized as innate immune cells, however they are similar to lymphocytes in their morphology and in the expression of lymphoid markers. Characteristic markers of NK cells include CD16, CD56 in human and NK1.1 in mice.10, 11
Dendritic cells
Dendritic cells (DCs), as professional antigen presenting cells, link innate and adaptive immunity by processing and presenting antigens to adaptive immune cells T and B lymphocytes. Three main types of dendritic cells are described:
- Plasmacytoid dendritic cells (pDCs) specialize in the recognition of viruses and tumor cells
- Type 1 classical dendritic cells (cDC1) recognize intracellular pathogens and trigger CD8 T cells and Th1 CD4 T cell responses
- Type 2 classical dendritic cells (cDC2) trigger CD4 T cell responses while in contact with intracellular pathogens, parasites, allergens, fungi and extracellular bacteria
Conventional markers of dendritic cells include CD11c, BDCA-1/2, CD123.12, 13