Wildfires have emerged as a critical environmental and public health challenge globally, with their rising frequency and severity largely attributed to climate change. Although wildfire smoke is well recognized for its detrimental effects on respiratory and cardiovascular health, a growing body of evidence indicates that its immunological impacts are equally consequential. Composed of a complex mixture of particulate matter, volatile gases, and organic chemicals, wildfire smoke can disrupt immune homeostasis through multiple, interconnected pathways. Recent findings underscore the susceptibility of natural killer (NK) cells—key effectors of the innate immune system—to wildfire smoke-induced dysregulation. This review synthesizes current knowledge on the immunotoxicological effects of wildfire smoke with a specific focus on NK cell biology. It examines how both acute and chronic smoke exposures alter NK cell frequency, phenotype, and cytotoxic function, and explores the mechanistic contributions of inflammation, oxidative stress, and pollutant-mediated receptor modulation. Furthermore, the review considers potential long-term consequences of NK cell impairment, including heightened vulnerability to viral infections, diminished tumor surveillance, and broader disruptions in innate–adaptive immune crosstalk. Collectively, the evidence highlights the need for targeted research to delineate the pathways by which wildfire smoke compromises NK cell-mediated immunity and to inform strategies for mitigating these risks in exposed populations.
Frumento et al. (Tue,) studied this question.