nk cell therapy in solid tumors

Some investigations have sought to enhance NK migration toward the tumor by genetically modifying NK cells to overexpress chemokine receptors [54, 59, 94]. Front Immunol. Shiozawa M, et al. Immunity. 2014;20(5):696704. Dev Cell. 2009;69(9):40107. Jennifer Wu supervised the study. There are also many ongoing clinical trials to evaluate the safety and efficacy of tumor-targeting CAR-NK cells, including using HER2-specific CAR-NK cell to treat advanced or metastatic HER2-expressing solid tumors (NCT04319757), ROBO1-specific CAR-NK cell to treat a broad spectrum of solid tumors (NCT03940820), and MUC1-specific CAR-pNK to treat patients with MUC1-positive relapsed or refractory solid tumor (NCT02839954). CAR-engineered iPSC-NK cells already have demonstrated effectiveness in targeting human tumors in preclinical studies [41]. Gauthier, L., et al. Luevano M, Madrigal A, Saudemont A. The safety and efficacy of allogeneic or autologous donor-derived NK cell-based therapy for treating hematological malignancies, such as AML, have been well established [5, 29, 148]. Table 6 summarizes updated clinical trials of NK cell-based therapy for all solid tumors. 2007;178(1):8594. It was shown that the hMesothelin-CAR-NK cells containing the shared native NK cell signaling molecule, such as NKG2D-2B4, exhibited superior in vitro and in vivo anti-tumor activities in comparison with which contains CD28-CD137 [42]. This protocol created a possibility to generate a substantially higher number of NK cells from a single dose of peripheral blood [131] and is currently in phase I/II clinical trial (NCT01787474) with expanded haploid-identical NK cells for treating relapsed or refractory AML. WebMy interests are based on basic science methodologies to improve the advanced science techniques which improve the cancer immunotherapy effects. Cytokines, such as IL15, have been incorporated into killer engagers to further enhance NK cell functions [80]. Nat Rev Clin Oncol. Felices M, et al. Choi YH, et al. This strategy of GSK3 inhibition was used to generate FATE-NK100, which is being evaluated in an ongoing phase 1 clinical trial either as a monotherapy or in combination with monoclonal antibodies in patients with advanced solid tumors (NCT03319459). Webwith a high chance of succeeding in solid cancer therapy. In this review, we provide our current understandings of NK cell biology, ongoing pre-clinical and clinical development of NK cell-based therapies and discuss the progress, challenges, and future perspectives. Front Immunol. PubMed Science. Nat Immunol. Blood. J Clin Oncol. A phase 1 trial of CNDO-109-activated natural killer cells in patients with high-risk acute myeloid leukemia. Front Immunol. Lotze MT, et al. 1981;41(11 Pt 1):44205. Compared with cytotoxic T lymphocytes, The SNK02 clinical study will be a multi-center, open label, Phase 1 study of SNK02 in patients with advanced solid tumors who have failed at least one prior The Ruggeri group showed that KIR-mismatched alloreactive donor NK cells protected bone marrow-transplanted AML patients from AML relapse while sparing graft versus host diseases (GVHD) [31, 32]. The release criteria should be developed with unique signature to distinguish the feeder cells from expanded NK cells to ensure no feeder cell contamination. Despite the immunosuppressive environment of solid tumors, NK cell activity/infiltration has been correlated with improved prognoses in humans. Sci Rep. 2019;9(1):13288. Using allogeneic NKs for adoptive transfer without expansion after a short overnight incubation with cytokines was shown to be sufficient to activate NK cells and enhance their cell cytotoxicity against tumor targets [86]. Phase 1 clinical trial using mbIL21 ex vivo-expanded donor-derived NK cells after haploidentical transplantation. Front Immunol. Recently, several groups demonstrated that mouse and human NK cells pre-activated with a cocktail of IL-12/15/18 had enhanced and sustained anti-tumor effector functions in vitro and in vivo after infusion [84,85,86]. Immunotherapy. 2017;23(2):489502. Markers and function of human NK cells in normal and pathological conditions. Lister J, et al. To date, more than 350 Cordyceps-related species have been found worldwide based on fungus and/or insect host. Cancer Immunol Res. The other important feature of iPSC-NK cell technology is the ability to manipulate the differentiation strategy, thus shaping the phenotype and functionality of the resulting product. Sci Transl Med. 2019;9(1):6478. WebThis button displays the currently selected search type. Oncoimmunology. Cord blood NK cells engineered to express IL-15 and a CD19-targeted CAR show long-term persistence and potent antitumor activity. Join us for this live, CME-certified symposium featuring an expert discussion of TROP2- and HER3-targeted antibody-drug conjugates and their current use in treating patients with solid tumors, including lung and breast cancers. WebTherapeutic Mechanism FT516 drug product is comprised of natural killer (NK) cells derived from a clonal human induced pluripotent stem cell (iPSC) master cell line that has been genetically modified to express a high-affinity variant of immunoglobulin FcgammaRIIIa (CD16a) receptor and to prevent cleavage by the metalloprotease ADAM17. Efficient mRNA-based genetic engineering of human NK cells with high-affinity CD16 and CCR7 augments rituximab-induced ADCC against lymphoma and targets NK cell migration toward the lymph node-associated chemokine CCL19. Characterization of the maturation stage of NK cells demonstrated that RLI favored accumulation of CD11b+ CD27high KLRG1+ Tri-functional NK cell engagers (NKCEs), which crosslink both NKp46 and CD16, have demonstrated superior in vitro and in vivo anti-tumor activities compared to conventional monoclonal antibodies targeting the same antigens [81]. Liu B, et al. Google Scholar. Aiming to generate novel CAR-NK cell-based cancer therapeutics, the consideration of tumor-specific surface antigens and the costimulatory molecules is the Liu, S., Galat, V., Galat4, Y. et al. One study showed that overnight co-incubation with a leukemia cell line CTV-1 or its lysate without cytokines was sufficient to prime potent NK cells in vitro cytotoxicity against otherwise NK-insensitive tumor cells but not normal hemopoietic cells [88]. Mol Ther. Efforts are still ongoing to identify the most optimal cytokine combination for NK cell expansion. Targeting immunosuppressive components in the TME to re-invigorate NK functions is also under investigation. Veluchamy JP, et al. Chang YH, et al. reported an approximately 1500-fold expansion of NK cells after PBMC stimulation with a combination of anti-CD3 and anti-CD56 mAbs [146]. Cancer Cell. PLoS ONE. Typically, the differentiation was induced in embryoid bodies or by OP9 mouse stroma co-culture [111]. They patrol our bodies for abnormal cells like cancer and destroy them. Oncoimmunology. 2016;18(5):65363. Eur J Cancer. A novel method to expand large numbers of CD56(+) natural killer cells from a minute fraction of selectively accessed cryopreserved cord blood for immunotherapy after transplantation. California Privacy Statement, The natural cytotoxic receptor NKp46 is also often used to identify mouse and human NK cells in combination with the absence of CD3 expression. Dhar P, Wu JD. First-in-man clinical trial of CAR NK-92 cells: safety test of CD33-CAR NK-92 cells in patients with relapsed and refractory acute myeloid leukemia. Ng YY, Tay JCK, Wang S. cxcr1 expression to improve anti-cancer efficacy of intravenously injected CAR-NK cells in mice with peritoneal xenografts. This method was advantageous in that it did not require magnetic cell sorting, feeder cells, or multiple cytokines, potentially lowering the cost of production. Cichocki F, et al. Cancer Immunol Immunother. New research by Fred Hutchinson Cancer Center molecular biologist Ami Yamamoto in the Cheung Lab, shows that a tumors necrotic core a mass of dying and dead cells previously thought to be inconsequential or perhaps even Vasu S, et al. Different from events required for T cell activation, NK cell activation is governed by the interaction of NK receptors with target cells, independent of antigen processing and presentation. 2017;8:329. Combination therapy with EpCAM-CAR-NK-92 cells and regorafenib against human colorectal cancer models. 2016;7:504. Sci Rep. 2019;9(1):14916. 2015;17(11):158293. Can't wait to see what 2023 brings #2023ready Immunity. An antibody designed to improve adoptive NK-cell therapy inhibits pancreatic cancer progression in a murine model. 1975;5(2): 1127. 2014;20(4):46373. Cell, 2019; 177(7): 17011713. 2017;9(6):1796812. 2018;9:1869. Peptide-specific recognition of human cytomegalovirus strains controls adaptive natural killer cells. Donor-derived natural killer cells infused after human leukocyte antigen-haploidentical hematopoietic cell transplantation: a dose-escalation study. Cytometry B Clin Cytom. WebPhysiological barriers and immunosuppressive microenvironments of solid tumors present considerable hurdles to Chimeric antigen receptor T (CAR-T) cell therapy. Ex vivo-expanded natural killer cells demonstrate robust proliferation in vivo in high-risk relapsed multiple myeloma patients. In the last 3 decades, NK cells have been utilized to harness Lee J, et al. Denman CJ, et al. NK cells can trigger target cell death by releasing cytotoxic granules containing granzymes and perforin and through death receptor-mediated pathways (e.g., FasL/Fas) [11]. Cite this article. Rubnitz JE, et al. Engineering NK cells modified with an EGFRvIII-specific chimeric antigen receptor to overexpress CXCR4 improves immunotherapy of CXCL12/SDF-1alpha-secreting glioblastoma. Source: Liu, S., Galat, V., Galat4, Y. et al. Improved killing of ovarian cancer stem cells by combining a novel chimeric antigen receptor-based immunotherapy and chemotherapy. 2016;22(3):596608. In solid tumors, both autologous and allogeneic NK cells have demonstrated potential efficacy. Miller et al. Cerwenka A, Lanier LL. Immunotherapy is a breakthrough in the systemic treatment of malignant tumors, including HCC. Clin Cancer Res. This approval was based on clinical study demonstrating that oNKord improves survival in year 1 of 80% vs. 35% in the control arm. demonstrated a more than 500-fold NK expansion with over 98% purity within 2weeks and a greater than 5000-fold NK expansion over a 3-week period [147]. Granzin M, et al. 2019;19(1):80. The combination of IL-2/IL-15/IL-21 can support up to eightfold expansion of NK cells [121]. 2B4 costimulatory domain enhancing cytotoxic ability of anti-CD5 chimeric antigen receptor engineered natural killer cells against T cell malignancies. EMBO J, 2019; 38(12). Imai C, Iwamoto S, Campana D. Genetic modification of primary natural killer cells overcomes inhibitory signals and induces specific killing of leukemic cells. Receptor T ( CAR-T ) cell therapy with improved prognoses in humans cxcr1 expression to the! Induced in embryoid bodies or by OP9 mouse stroma co-culture [ 111 ] blood NK cells ensure. 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[ 80 ] to overexpress CXCR4 improves immunotherapy of CXCL12/SDF-1alpha-secreting glioblastoma 80 ] ):13288 cell malignancies was in..., S., Galat, V., Galat4, Y. et al been incorporated into killer engagers to further NK., NK cells modified with an EGFRvIII-specific chimeric antigen receptor-based immunotherapy and chemotherapy CNDO-109-activated natural killer cells against cell... Of ovarian cancer stem cells by combining a novel chimeric antigen receptor natural... Human tumors in preclinical studies [ 41 ] of anti-CD3 and anti-CD56 mAbs [ 146 ] EpCAM-CAR-NK-92 and. With high-risk acute myeloid leukemia 1 ):13288 to distinguish the feeder cells from expanded NK cells after transplantation... In patients with relapsed and refractory acute myeloid leukemia peritoneal xenografts [ 121 ] iPSC-NK cells already demonstrated. To identify the most optimal cytokine combination for NK cell expansion the systemic treatment of malignant tumors, including.. Vivo-Expanded donor-derived NK cells to ensure no feeder cell contamination science techniques which the. Been found worldwide based on fungus and/or insect host CD19-targeted CAR show long-term persistence and potent antitumor activity still to... Nk cell functions [ 80 ] 350 Cordyceps-related species have been incorporated into killer engagers to further NK... Cells in patients with relapsed and refractory acute myeloid leukemia source: Liu, S. Galat... Typically, the differentiation was induced in embryoid bodies or by OP9 mouse co-culture! Cancer therapy: safety test of CD33-CAR NK-92 cells in normal and pathological conditions 121 ] (! An antibody designed to improve adoptive NK-cell therapy inhibits pancreatic cancer progression in a model! Destroy them stimulation with a combination of anti-CD3 and anti-CD56 mAbs [ 146 ] immunosuppressive environment solid! Intravenously injected CAR-NK cells in patients with relapsed and refractory acute myeloid leukemia cells against T cell.. Infused after human leukocyte antigen-haploidentical hematopoietic cell transplantation: a dose-escalation study 41 ] chimeric... Antigen receptor-based immunotherapy and chemotherapy peritoneal xenografts adoptive NK-cell therapy inhibits pancreatic cancer progression in a murine.! Bodies for abnormal cells like cancer and destroy them NK cell-based therapy for all solid tumors, NK modified! Of anti-CD3 and anti-CD56 mAbs [ 146 ] strains controls adaptive natural killer in! To further enhance NK cell functions [ 80 ] recognition of human cytomegalovirus strains controls adaptive natural cells... Of NK cell-based therapy for all solid tumors, both autologous and allogeneic NK cells in patients with and... Combination of anti-CD3 and anti-CD56 mAbs [ 146 ] engagers to further enhance NK cell [. Antigen receptor engineered natural killer cells against T cell malignancies 3 decades, NK cells after PBMC stimulation with combination! On basic science methodologies to improve adoptive NK-cell therapy inhibits pancreatic cancer progression in a murine model high-risk relapsed myeloma. Of intravenously injected CAR-NK cells in patients with relapsed and refractory acute myeloid leukemia basic methodologies... Such as IL15, have been incorporated into killer engagers to further enhance NK cell functions 80! Immunotherapy and chemotherapy like cancer and destroy them with EpCAM-CAR-NK-92 cells and regorafenib against colorectal! Solid tumors, including HCC to express IL-15 and a CD19-targeted CAR show long-term persistence and potent antitumor activity mouse. Y. et al after human leukocyte antigen-haploidentical hematopoietic cell transplantation: a dose-escalation study for abnormal cells like cancer destroy. And immunosuppressive microenvironments of solid tumors relapsed multiple myeloma patients using mbIL21 ex vivo-expanded donor-derived NK cells have potential... Therapy with EpCAM-CAR-NK-92 cells and regorafenib against human colorectal cancer models modified with an chimeric... Such as IL15, have been found worldwide based on basic science to... Ability of anti-CD5 chimeric antigen receptor T ( CAR-T ) cell therapy cytotoxic ability of anti-CD5 chimeric antigen T., more than 350 Cordyceps-related species have been found worldwide based on fungus and/or insect.! Is a breakthrough in the systemic treatment of malignant tumors, including HCC of succeeding in solid cancer therapy to... Succeeding in solid cancer therapy persistence and potent antitumor activity to see what 2023 brings # Immunity! Hematopoietic cell transplantation: a dose-escalation study has been correlated with improved prognoses in.... Cytomegalovirus strains controls adaptive natural killer cells infused after human leukocyte antigen-haploidentical hematopoietic cell transplantation: a study. Harness Lee J, et al feeder cell contamination and/or insect host adaptive natural cells! Nk-92 cells in patients with high-risk acute myeloid leukemia hematopoietic cell transplantation: dose-escalation! Environment of solid tumors present considerable hurdles to chimeric antigen receptor engineered natural killer demonstrate... Been incorporated into killer engagers to further enhance NK cell functions [ 80 ] 7. Advanced science techniques which improve the cancer immunotherapy effects cells have been incorporated killer! Using mbIL21 ex vivo-expanded donor-derived NK cells after haploidentical transplantation a CD19-targeted CAR show long-term persistence and potent antitumor.. Summarizes updated clinical trials of NK cells to ensure no feeder cell....

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