NKp44 (Natural Cytotoxicity Receptor 2, CD336) is a transmembrane glycoprotein belonging to the Natural Cytotoxicity Receptor (NCR) family, which includes NKp30 and NKp46. NKp44 antibodies are tools used to study or modulate the function of this receptor, which is critical for natural killer (NK) cell activation and cytotoxic responses. NKp44 is expressed on activated human NK cells, decidual NK cells, and certain innate lymphoid cells (ILCs), but not on resting NK cells or other leukocytes .
NKp44 is a 44-kDa type I transmembrane protein with:
Extracellular domain: A single V-type immunoglobulin-like domain containing a positively charged groove for ligand recognition .
Cytoplasmic tail: Contains an immunoreceptor tyrosine-based inhibitory motif (ITIM), but signaling occurs via association with the ITAM-bearing adaptor protein DAP12 .
NKp44 antibodies are used to:
Tumor cell lysis inhibition: Blocking NKp44 alone partially reduces lytic activity, but combined inhibition of NKp30/NKp46/NKp44 achieves near-complete suppression .
Immune checkpoint modulation: The mAb 14-25-9 blocks NKp44-PCNA interactions, enhancing NK cell antitumor responses in PDX models .
Redirected killing assays: Antibody cross-linking triggers cytotoxic granule release and cytokine production (e.g., IFN-γ) .
IFN-γ secretion: Dose-dependent induction in IL-2-activated NK cells (ED₅₀: 0.05–0.2 µg/mL) .
Flow cytometry: Detection of NKp44 on activated NK subsets (CD56<sup>dim</sup>CD16<sup>+</sup>, CD56<sup>bright</sup>CD16<sup>−</sup>) .
Immunohistochemistry: Localization of NKp44-expressing cells in tissues (e.g., tonsil, decidua) .
HIV gp41: Induces NKp44 ligand expression on CD4<sup>+</sup> T cells, promoting NKp44-mediated T cell decline .
HIV-3S peptide: Downregulates NKp44 ligand (NKp44L) on astrocytes, protecting them from NK cytotoxicity .
NKp44-PCNA axis: PCNA on tumor cells binds NKp44, but mAb 14-25-9 disrupts this interaction, boosting NK cell antitumor activity .
NKp44 is a 44-kD surface molecule belonging to the Natural Cytotoxicity Receptor family that functions as an activating receptor primarily expressed on activated Natural Killer cells. Unlike other activation markers, NKp44 is specifically expressed by activated NK cells but not by activated T lymphocytes or T cell clones, making it the first identified marker specific for activated human NK cells . It plays a crucial role in non-MHC-restricted tumor cell lysis and is involved in the recognition of various transformed cells while reportedly not reacting with normal tissues .
Methodologically, NKp44 function can be studied using anti-NKp44 monoclonal antibodies in redirected killing assays, where antibody-mediated cross-linking results in strong activation of target cell lysis . Masking experiments with anti-NKp44 antibodies can also determine the contribution of this receptor to NK cell-mediated killing of specific target cells. When designing such experiments, researchers should include appropriate controls such as isotype-matched antibodies and assess NKp44 expression by flow cytometry before functional assays.
NKp44 expression follows a tightly regulated pattern distinct from other activation markers. It is absent in freshly isolated peripheral blood lymphocytes but becomes progressively expressed by all NK cells after culture in IL-2 . This unique expression pattern makes NKp44 a reliable marker for activated NK cells, distinguishing it from other activation markers like CD69 or VLA.2 that can be expressed by both activated NK and T cells .
For researchers investigating NKp44 regulation, time-course experiments monitoring expression during NK cell activation are recommended using flow cytometry with anti-NKp44 antibodies. These experiments should include multiple time points after IL-2 stimulation (typically 24, 48, 72, and 96 hours) to capture the dynamic expression pattern. Additionally, comparing NKp44 expression in response to different cytokines (IL-2, IL-15, IL-21) can provide insights into the specific regulatory mechanisms controlling this receptor.
NKp44 interacts with a large and heterogeneous panel of ligands (collectively termed NKp44L) that include:
Surface-expressed glycoproteins and proteoglycans
Nuclear proteins that can be exposed outside the cell
Molecules released in the extracellular space or carried in extracellular vesicles
Soluble plasma glycoproteins, including secreted growth factors
These ligands can be induced upon tumor transformation or viral infection but may also be expressed in normal cells and tissues . The complexity of NKp44L complicates their study, requiring multiple complementary approaches such as mass spectrometry, surface plasmon resonance, and cell-based binding assays to identify and characterize them fully.
When designing experiments to investigate NKp44-ligand interactions, researchers should consider both membrane-bound and soluble ligands, as well as proteins that might be released during cellular stress or death. Various tumor types may express different NKp44 ligands, necessitating comprehensive screening approaches to identify the relevant ligands in specific experimental contexts.
Upon engagement, NKp44 initiates signaling through its association with KARAP/DAP12, which becomes tyrosine phosphorylated upon NK cell stimulation . This differs from other NCRs like NKp46, which associates with CD3ζ for signal transduction . The NKp44-DAP12 interaction triggers a signaling cascade involving tyrosine kinases that ultimately leads to cytotoxic activity and cytokine production.
To study NKp44 signaling, researchers can employ:
Western blotting with phospho-specific antibodies to detect activation of downstream signaling molecules
Immunoprecipitation of NKp44 complexes followed by analysis of associated proteins
Inhibitor studies to determine requirements for specific kinases
CRISPR/Cas9-mediated knockout of pathway components
When designing such experiments, it's essential to include appropriate controls, such as isotype control antibodies and unstimulated NK cells. Time-course analyses (30 seconds to 30 minutes post-stimulation) can capture the dynamic nature of signaling events, while comparison with signaling through other NK receptors can identify NKp44-specific pathways.
Multiple complementary methods can accurately assess NKp44 expression:
Flow cytometry:
Gold standard for quantifying expression on a per-cell basis
Use fluorochrome-conjugated anti-NKp44 antibodies
Co-stain with markers for NK cells (CD56, CD16) and activation status (CD69)
Include isotype controls and FcR blocking to prevent non-specific binding
Quantitative PCR:
Measures NKp44 mRNA expression
Useful for kinetic studies and correlation with protein expression
Requires appropriate housekeeping genes for normalization
Western blotting:
Detects total NKp44 protein levels
Can assess post-translational modifications
Less quantitative than flow cytometry for surface expression
Immunohistochemistry/Immunofluorescence:
Visualizes NKp44+ cells in tissue context
Can reveal spatial relationships with other cell types
Requires optimization of fixation and antigen retrieval methods
Each method has specific advantages and limitations. Flow cytometry provides the most quantitative assessment of surface expression, while mRNA analysis can detect early changes in expression. For comprehensive analysis, combining multiple methods is recommended to distinguish between transcriptional regulation, protein synthesis, and surface localization of NKp44.
Optimal design of NKp44-based CARs requires careful consideration of multiple structural elements. Based on research findings, the most effective NKp44-CAR constructs incorporate:
Antigen recognition domain: Extracellular immunoglobulin-like domain of NKp44
Hinge region: Native NKp44 hinge performs better than CD8α hinge
Transmembrane domain: CD8α transmembrane domain
Co-stimulatory domain: 4-1BB signaling domain performs better than CD28
Table 1: Comparison of NKp44-CAR Construct Designs and Their Performance
CAR Design | Extracellular Domain | Hinge | Transmembrane | Co-stimulatory Domain | Signaling Domain | Relative Performance |
---|---|---|---|---|---|---|
1G CAR | NKp44 Ig-like | NKp44 | NKp44 | None | CD3ζ | Moderate |
1G CAR | NKp44 Ig-like | CD8α | NKp44 | None | CD3ζ | Poor |
2G CAR | NKp44 Ig-like | NKp44 | CD8α | CD28 | CD3ζ | Good |
2G CAR | NKp44 Ig-like | NKp44 | CD8α | 4-1BB | CD3ζ | Excellent |
Notably, replacement of the extracellular hinge domain of NKp44 with that of CD8α results in diminished CAR function, highlighting the importance of the native NKp44 hinge for optimal performance . Among second-generation constructs, those incorporating the 4-1BB co-stimulatory domain show superior proliferation upon antigen exposure and better tumor control compared to constructs with the CD28 co-stimulatory domain .
NKp44-CAR T cells demonstrate remarkable versatility in targeting multiple tumor types, offering a potential advantage over single-antigen targeted approaches. Research has demonstrated efficacy against:
Table 2: NKp44-CAR T Cell Efficacy Against Different Tumor Types
This broad spectrum of activity suggests that NKp44-CAR T cells may represent a promising platform for developing "universal" CAR-T therapies capable of targeting multiple tumor types, potentially addressing the challenge of tumor heterogeneity and antigen escape that limits current single-antigen targeted approaches .
NKp44-CAR T cells demonstrate distinct advantages compared to conventional single-antigen targeted CAR-T approaches:
Broader tumor recognition: NKp44-CAR T cells exhibit activity against multiple types of neoplastic cells including hematological malignancies and solid tumors, suggesting potential as a "universal" CAR platform .
Efficacy comparison:
Second-generation NKp44-CAR T cells with 4-1BB co-stimulatory domain show superior tumor control compared to first-generation CARs and second-generation CARs with CD28 co-stimulatory domain
NKp44-CAR T cells exhibit significantly better tumor control in long-term co-culture assays compared with activated NK cells and NK cells transduced with identical NKp44-CAR
Proliferative capacity:
When evaluating the efficacy of NKp44-CAR T cells, researchers should include appropriate controls and assess multiple parameters including cytokine production, cytotoxicity, proliferation, and long-term tumor control. The ability to target ligands induced upon malignant transformation across multiple tumor types represents a significant advantage over single-target approaches.
A comprehensive assessment of NKp44-CAR T cell performance requires multiple complementary assays:
Cytotoxicity assays:
Short-term (4-6 hours): Standard chromium release assay or flow cytometry-based killing assays
Long-term (7-10 days): Colorimetric assays (e.g., Cell Counting Kit-8) to measure residual viable target cells
Real-time cell analysis: Continuous monitoring of target cell viability using impedance-based systems (e.g., iCELLigence)
Cytokine secretion assays:
Quantification of IFN-γ, TNF-α, and other cytokines in co-culture supernatants using ELISA or cytometric bead array
Intracellular cytokine staining to identify cytokine-producing cells by flow cytometry
Multiplex cytokine analysis for comprehensive cytokine profiling
Proliferation and persistence:
CFSE dilution assay to track cell division
Long-term co-culture with target cells to assess sustained activity
Phenotypic analysis of memory/exhaustion markers over time
In vivo models:
Xenograft models using immunodeficient mice
Bioluminescence imaging to track tumor growth kinetically
Analysis of CAR T cell persistence in peripheral blood and tumor tissue
These assays should be performed at multiple effector-to-target ratios (typically 4:1, 2:1, and 1:1) to establish dose-response relationships . When interpreting results, consider comparing the performance of different CAR constructs against the same targets and using non-transduced T cells and irrelevant CAR-T cells as controls.
Optimizing NKp44-CAR T cell production involves several critical considerations:
Vector selection and design:
Lentiviral vectors generally provide efficient and stable gene transfer
Include reporter genes (e.g., GFP) to track transduction efficiency
Optimize promoter selection for consistent CAR expression
T cell isolation and activation:
Use negative selection to obtain untouched T cells
Activate with anti-CD3/CD28 beads or soluble antibodies
Consider the timing of activation relative to transduction (typically 24-48 hours)
Transduction protocol:
Optimize viral titer and multiplicity of infection
Consider multiple transduction rounds for higher expression
Include polybrene or other enhancers of transduction efficiency
Expansion conditions:
Supplement media with IL-2 (100-300 IU/ml)
Consider adding other cytokines (IL-7, IL-15) for optimal expansion
Monitor cell density and replenish media regularly
Quality control assessments:
CAR expression by flow cytometry (>50% expression typically desired)
Viability (>85% viable cells)
Phenotypic analysis (CD4/CD8 ratio, memory/effector status)
Functional testing against positive control targets
For research applications, smaller-scale production in standard culture flasks or G-Rex vessels is typically sufficient, whereas preclinical validation may require bioreactor-based approaches. Cryopreservation protocols should be optimized to maintain CAR expression and functionality upon thawing.
Rigorous evaluation of NKp44-antibody specificity requires multiple control strategies:
Cell type controls:
Resting NK cells (NKp44-negative)
IL-2 activated NK cells (NKp44-positive)
T cells and other lymphocytes (NKp44-negative)
NKp44-transfected cell lines versus parental cells
Antibody controls:
Isotype-matched control antibodies at equivalent concentrations
Multiple anti-NKp44 clones targeting different epitopes
Blocking with unconjugated antibody before adding conjugated detection antibody
F(ab')2 fragments to exclude Fc receptor-mediated effects
Experimental controls:
Pre-incubation with FcR blocking reagents
Competitive binding with recombinant NKp44 protein
Secondary-only controls (for indirect detection methods)
Fluorescence-minus-one (FMO) controls for flow cytometry
Validation approaches:
Correlation with NKp44 mRNA expression
siRNA or CRISPR knockdown of NKp44
Western blot analysis alongside flow cytometry
Implement systematic titration of antibodies to determine optimal concentrations and assess potential cross-reactivity with other surface molecules. Document batch-to-batch variation in antibody performance, as this can significantly impact experimental results.
Distinguishing NKp44-specific effects from other NK activating pathways requires targeted experimental approaches:
Receptor-specific stimulation:
Use plate-bound or cross-linked anti-NKp44 antibodies for specific triggering
Compare with antibodies targeting other NK activating receptors (NKp46, NKG2D)
Utilize cell lines expressing defined NKp44 ligands but lacking ligands for other NK receptors
Blocking strategies:
Selective blocking with F(ab')2 fragments of anti-NKp44 antibodies
Combined blocking of multiple receptors to assess synergistic effects
Use of receptor-specific antagonists or competitive inhibitors
Genetic approaches:
siRNA or CRISPR-mediated knockdown of NKp44
Transfection with dominant-negative forms of signaling adapters
Expression of chimeric receptors containing NKp44 extracellular domain with distinct signaling domains
Signaling analysis:
Assessment of DAP12 phosphorylation (NKp44-specific)
Comparison with CD3ζ phosphorylation (NKp46-associated)
Differential inhibition of specific downstream pathways
Successful application of NKp44 antibodies in immunohistochemistry (IHC) requires attention to several critical factors:
Tissue preparation and fixation:
Optimize fixation protocols to preserve NKp44 epitopes (mild formalin fixation typically works best)
Consider heat-induced epitope retrieval in citrate or EDTA buffer
Compare frozen versus FFPE sections for optimal staining
Process tissues promptly to minimize autolysis
Antibody selection and validation:
Choose clones specifically validated for IHC applications
Determine optimal antibody concentration through titration
Validate on tissues with known NKp44-positive cells (e.g., tonsil with activated NK cells)
Test multiple detection systems (e.g., HRP, AP) for optimal signal-to-noise ratio
Protocol optimization:
Include blocking steps to reduce background staining
Optimize antibody incubation time and temperature
Consider signal amplification for tissues with low expression
Implement stringent washing steps to reduce non-specific binding
Controls and interpretation:
Include positive control tissues in each staining run
Use isotype control antibodies on serial sections
Implement double staining with NK markers (CD56, CD16) for confirmation
Consider quantitative image analysis for objective assessment
Remember that NKp44 is expressed only on activated NK cells, so detection in tissues may be limited to sites of active immune responses. The specific microanatomical localization of NKp44-positive cells can provide valuable information about NK cell activation status in different tissue compartments.
Optimization of co-culture conditions is critical for reliable assessment of NKp44-CAR T cell function:
Media and supplements:
Cell preparation:
Co-culture parameters:
Data collection:
Sample collection timing should be consistent across experiments
For impedance-based assays, establish appropriate sampling intervals
For endpoint assays, determine optimal termination time points
Include technical replicates (minimum triplicates)
When developing a new assay, perform preliminary time-course and dose-response experiments to identify optimal conditions. Document detailed protocols including cell preparation, media composition, and incubation conditions to ensure reproducibility across experiments.
Validating the specificity of NKp44-CAR T cell responses requires multiple complementary approaches:
Target cell panel characterization:
Screen diverse cell lines for sensitivity to NKp44-CAR T cells
Include NKp44 ligand-positive and negative cell lines
Test normal cell counterparts to assess tumor specificity
Quantify NKp44 ligand expression levels on target cells
Molecular validation:
Knockdown/knockout of suspected NKp44 ligands in target cells
Overexpression of NKp44 ligands in resistant cells
Competitive inhibition with soluble NKp44 protein
Blocking with anti-NKp44 antibodies
CAR-specific controls:
Compare with non-transduced T cells from the same donor
Use T cells expressing irrelevant CARs (e.g., CD19-CAR)
Test CAR constructs with mutated NKp44 binding domains
Employ CAR constructs with non-functional signaling domains
Functional validation:
Correlate cytotoxicity with NKp44 ligand expression levels
Compare cytokine release profiles against different targets
Assess activation marker upregulation upon target recognition
Evaluate CAR downregulation after target encounter
These approaches should be implemented systematically to establish that observed responses are specifically mediated through the NKp44-CAR and its interaction with cognate ligands on target cells. This comprehensive validation is essential for distinguishing CAR-specific effects from non-specific T cell responses or allogeneic reactions.
Interpreting donor-to-donor variability in NKp44-CAR T cell performance requires systematic analysis:
Source of variability:
Intrinsic T cell factors (differentiation state, exhaustion profile)
Genetic factors (polymorphisms affecting T cell function)
Technical factors (transduction efficiency, expansion conditions)
Pre-existing immunity to potential NKp44 ligands
Analytical approaches:
Normalize data to CAR expression level when comparing across donors
Calculate fold-change relative to non-transduced T cells from the same donor
Use paired statistical tests when comparing different constructs with the same donor cells
Consider categorizing donors as high, medium, or low responders
Correlation analysis:
Correlate performance with donor T cell phenotype (CD4/CD8 ratio, memory/naïve distribution)
Assess relationship between transduction efficiency and functional outcomes
Investigate correlation between expansion kinetics and final product efficacy
Examine association between donor age/sex and CAR T cell function
Reporting standards:
Report donor number and characteristics (age range, sex distribution)
State clearly how many independent donors were tested
Present individual donor data points alongside means/medians
Specify donor selection criteria and exclusion justifications
When identifying optimal NKp44-CAR constructs, prioritize those that perform consistently across multiple donors rather than those showing exceptional performance with high variability. Consider implementing standardized functional assays with reference standards to facilitate cross-study comparisons.
Appropriate statistical analysis of NKp44-CAR efficacy data depends on experimental design and data characteristics:
For comparing multiple CAR constructs:
One-way ANOVA with post-hoc tests (Tukey's or Bonferroni) for normally distributed data
Kruskal-Wallis with Dunn's post-hoc test for non-parametric data
Repeated measures ANOVA when testing multiple constructs with cells from the same donors
Mixed effects models to account for both fixed (CAR design) and random (donor) effects
For dose-response relationships:
Non-linear regression for E:T ratio titrations
Calculate EC50 values to compare potency
Area under the curve analysis for comprehensive assessment
Two-way ANOVA to compare dose-response curves between CAR constructs
For time-course experiments:
Repeated measures ANOVA or mixed effects models
Area under the curve analysis for cumulative effects
Growth curve modeling for tumor control studies
Survival analysis for time-to-event data
Sample size and power:
Conduct power analysis based on preliminary data
For donor variability studies, typically 6-10 donors minimum
For target cell screening, at least 3-5 biological replicates
Technical replicates (typically triplicates) for each condition
When reporting results, include precise p-values, appropriate error bars (SD for technical variation, SEM for biological variation), and clear indication of statistical tests used. Apply multiple testing corrections when making numerous comparisons to control false discovery rates.
Addressing discrepancies between in vitro and in vivo NKp44-CAR efficacy requires systematic investigation:
Microenvironmental factors:
Test CAR function in the presence of immunosuppressive factors (TGF-β, IL-10, PGE2)
Evaluate performance in hypoxic conditions mimicking the tumor microenvironment
Assess the impact of tumor-associated stromal cells on CAR function
Consider extracellular matrix interactions absent in standard in vitro assays
Persistence and trafficking:
Evaluate CAR T cell persistence using serial sampling in vivo
Assess tumor infiltration capacity using immunohistochemistry or flow cytometry
Examine expression of relevant chemokine receptors and adhesion molecules
Monitor CAR expression stability over time in vivo
Target antigen considerations:
Verify NKp44 ligand expression in in vivo tumor samples
Assess heterogeneity of ligand expression across the tumor
Investigate potential antigen downregulation or shedding in vivo
Consider competition with endogenous NK cells for ligand binding
Experimental approaches:
Develop 3D culture models to better recapitulate the tumor microenvironment
Implement ex vivo analysis of CAR T cells recovered from tumors
Consider humanized mouse models to evaluate interactions with human immune components
Use patient-derived xenografts to better represent clinical tumors
When reporting discrepancies, clearly describe both the in vitro and in vivo experimental conditions, discuss potential mechanisms underlying the differences, and propose strategies to improve the predictive value of preclinical models for clinical translation.
Troubleshooting low or variable NKp44-CAR expression requires systematic investigation of multiple factors:
Vector and construct issues:
Verify plasmid sequence integrity
Assess vector titer and quality
Test alternative promoters (e.g., EF1α vs. CMV)
Evaluate codon optimization of the NKp44 domain
Consider the impact of CAR size on packaging efficiency
Transduction protocol:
Optimize timing of T cell activation before transduction
Test different multiplicities of infection
Consider multiple transduction rounds
Evaluate alternative transduction enhancers
Assess impact of cell density during transduction
Cell-intrinsic factors:
Compare expression in CD4+ versus CD8+ T cell subsets
Evaluate impact of donor variability
Assess T cell activation status at time of transduction
Monitor potential CAR silencing during expansion
Detection methodology:
Use multiple detection antibodies targeting different CAR components
Compare direct (anti-NKp44) versus indirect (anti-Fc tag) detection
Implement protein-level confirmation (Western blot) alongside flow cytometry
Consider mRNA quantification to distinguish transcriptional from translational issues
Experimental approaches:
Implement cell sorting to isolate high-expressors
Consider inducible vector systems for controlled expression
Test bicistronic vectors with reporters to track transduced cells
Evaluate CAR protein stability through pulse-chase experiments
When optimization fails to achieve adequate expression, consider redesigning the CAR construct with alternative hinge/transmembrane domains, as the structural configuration significantly impacts surface expression of NKp44-based CARs .
Multiple factors affect the reproducibility of NKp44-CAR T cell manufacturing for research applications:
Starting material variability:
Donor-to-donor heterogeneity in T cell composition
Cryopreservation effects on T cell subsets
Prior activation status of T cells
Standardize isolation methods and pre-activation protocols
Transduction process:
Vector lot-to-lot variability
Consistency in activation reagents
Timing of transduction relative to activation
Standardize vector production and quality control testing
Culture conditions:
Media composition and lot variation
Cytokine concentrations and schedule
Cell density during expansion
Vessel type and gas exchange parameters
Implement controlled-rate expansion protocols
Quality control:
CAR expression level measurement standardization
Viability assessment methods
Functional testing protocols
Implement comprehensive release criteria with accepted ranges
Documentation practices:
Detailed standard operating procedures
Comprehensive batch records
Electronic data management systems
Training and competency assessment for personnel
To enhance reproducibility, implement automation where possible, establish quality control checkpoints throughout the manufacturing process, and use reference standards to calibrate assays across production runs. Regular proficiency testing and inter-laboratory standardization can further improve consistency for multi-center research collaborations.
Natural Killer (NK) cells are a type of lymphocyte critical to the innate immune system. They play a significant role in the body’s defense against tumors and virally infected cells. One of the key receptors on NK cells is the NKp44 receptor, also known as Natural Killer Cell p44-Related Protein or CD336. This receptor is involved in the activation and regulation of NK cell functions.
NKp44 is a transmembrane glycoprotein characterized by a single extracellular V-type Ig-like domain and a cytoplasmic tail containing an Immunoreceptor Tyrosine-based Inhibitory Motif (ITIM) but no known activating signaling motifs . It is encoded by the NCR2 gene and is expressed on activated NK cells. The receptor is involved in recognizing and binding to specific ligands on target cells, leading to the activation of NK cell cytotoxicity and cytokine production.
The Mouse Anti-Human NKp44 antibody is a monoclonal antibody developed to specifically detect human NKp44. This antibody is used in various research applications, including flow cytometry, immunohistochemistry, and functional assays . It is produced by immunizing mice with human NKp44 protein and then isolating the specific antibody-producing hybridoma cells.
The Mouse Anti-Human NKp44 antibody is widely used in research to study NK cell biology and the role of NKp44 in immune responses. It has been shown to induce IFN-gamma secretion in human NK cells activated with recombinant human IL-2 in a dose-dependent manner . This makes it a valuable tool for investigating the mechanisms of NK cell activation and the potential therapeutic applications of targeting NKp44 in cancer and infectious diseases.