NK cells kill cells they do not recognize with 3 different mechanisms: Apoptosis (cell shrink until it implodes into smaller pieces), Necrosis (cell rupture, bursting out all internal structures) and Pyroptosis (cell perforated with holes, leaking out all internal structures)
NK Cells use cell surface markers to initiate recognition. Healthy cells contain markers to inhibit NK cell killing. Infected/cancer cells do not have those markers to stop NK cell killing. Some may even contain markers that trigger NK cell killing. NK cells are also able to alert other immune cells, e.g. T cells and antigen presenting cells (APC), to the presence of “invaders”.
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