Immunotherapy is a breakthrough in the systemic treatment of malignant tumors, including HCC. PLoS ONE. In order to avoid critical side effects, such as GVHD caused by alloreactive T cells [98] or a passenger lymphocyte syndrome caused by donor-derived B cells [99], purification is recommended for allogeneic NK cells before the expansion to restrict contaminating total T cells to less than 15105/Kg. Thus, feeder-free approaches are an alternative or a more desirable method to avoid safety concerns associated with the clinical application of cancer cell-derived feeder cells. Jennifer Wu supervised the study. The success has encouraged many ongoing clinical investigations of NK cell-based cancer therapy alone or in combination with other regimes. Based on the pre-clinical findings, CTV-1 lysate-primed human NK cells (CNDO-109-NK cells) derived from HLA-haploidentical donors were evaluated for safety in a phase I clinical trial (NCT01520558) in high-risk AML patients with AML after first complete remission [89]. One approach to address the safety concern is the use of lysed cell product. Challenges in CAR NK cell therapy in solid tumors. The high proliferation capacity of pluripotent stem cells allows for the introduction of various genetic modifications and for the development libraries of off-the-shelf haplotype-specific cells for treating a range of diseases. But what it does in the realm of cancer spread is creepier still. Rosario M, et al. Curr Opin Immunol. Sci Rep. 2015;5:11483. Membrane bound IL-21 based NK cell feeder cells drive robust expansion and metabolic activation of NK cells. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. The mechanism of CTV-1-mediated NK priming is unclear. The emergence of this technology provided a completely new framework for clinical-scale NK cell production by allowing for the genetic modifications and unlimited expansion to be performed at the pluripotent cell state. 2019;30(3):10220. Ueda T, et al. 2017;19(2):23549. In the xenograft models, NK cell infusion combined with intraperitoneal injection of the NRPbody significantly reduced tumor burden as compared to NK infusion combined with the non-cleavable control [90]. Cancer Immunol Res. 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]. Due to relatively unsophisticated cues for activation, NK cell has gained significant attention in the field of cancer immunotherapy. Oncotarget. California Privacy Statement, Clinical-grade generation of active NK cells from cord blood hematopoietic progenitor cells for immunotherapy using a closed-system culture process. Autologous peripheral blood stem cell transplantation and adoptive immunotherapy with activated natural killer cells in the immediate posttransplant period. It is iPSC-differentiated NK cells (iPSC-NK). J Hematol Oncol. A chimeric receptor with NKG2D specificity enhances natural killer cell activation and killing of tumor cells. Szmania S, et al. Clinical efficacy of this strategy has proven to be thus far be limited. Ex vivo-expanded natural killer cells demonstrate robust proliferation in vivo in high-risk relapsed multiple myeloma patients. We are initiating the clinical evaluation of AB-201 at multiple centers in the US Natural killer (NK) cells can swiftly kill multiple adjacent cells if these show surface markers associated with oncogenic transformation. PubMed Central Current challenges 2010;59(12):17819. WebHappy New Year to you! Immunity. Privacy Cell Stem Cell. Clinical-scale derivation of natural killer cells from human pluripotent stem cells for cancer therapy. ErbB2/HER2-specific NK cells for targeted therapy of glioblastoma. A simple method for in vitro preparation of natural killer cells from cord blood. Liu, S., Galat, V., Galat4, Y. et al. 2007;178(1):8594. Despite promising results shown in hematologic tumors, immunotherapies for the treatment of solid tumors have mostly failed so far. A novel chimeric PD1-NKG2D-41BB receptor enhances antitumor activity of NK92 cells against human lung cancer H1299 cells by triggering pyroptosis. This successful immunotherapy has led to a more complete view of cancer that now considers not only the cancer cells to be targeted and destroyed but also the immune environment of the cancer cells. Cookies policy. Tumor boron neutron capture therapy (BNCT) subcutaneousC26 tumor-bearing BALB/c mice were intrave- nously injected PEG-b-P(Glu-SS-BSH)respectively 100mg/kg BSHbasis, when CAR-NK cell therapy has proven to kill hematological and solid tumor cells in preclinical and clinical trials, demonstrating its potential as an off-the-shelf product with Based on characterization of NK cells in the peripheral blood, human NK cells are conventionally sub-divided into two major subsets: CD56brightCD16dim/ and CD56dimCD16+, with the former classically believed to be less mature and a potent cytokine producer and the latter more mature and the most cytotoxic [17, 19]. Stimulatingly, the substitution of natural killer (NK) cells with T cells is being considered as an effective solution since NK cells are capable of targeting tumors J Hematol Oncol 14, 7 (2021). All authors read and approved the final manuscript. HIGHLIGHTS who: Ming-Yu Lai from the Department of Medical Oncology, Sun Yat-Sen University Cancer Center have published the paper: Comparison of response evaluation criteria in solid tumors and tumor regression grade in evaluating the effect of preoperative systemic therapy of gastric cancer, in the Journal: (JOURNAL) of With the ongoing effort to improve the treatment response and new methods of generating more feasible clinical scales of NK cells, emerging clinical trials are being designed to evaluate these new modalities and to expand their indications. Short-term (1820h) pre-activation with ALT-803 augmented cytotoxicity and ADCC of NK cells in vitro. Beyond directing CAR-NK cytotoxicity against tumor cells by targeting tumor antigens, it has been proposed that CAR-NK cells can be used to eliminate immunosuppressive immune cells in the tumor microenvironment that include myeloid-derived suppressor cells (MDSCs) and M2 tumor-associated macrophages (TAMs) [77, 78]. 1985; 161(6): 146482. As an alternative to CAR-T cell therapy, CAR-NK cell therapy not only circumvents these challenges but also presents additional major advantages: (i) the ability to use unlimited allogeneic NK source without concern of GVHD [6, 31, 32]; (ii) the potential to generate off-shelf product with NK cell line or iPSC-NK [37,38,39,40,41]; (iii) relatively shortened production time; iv) recognition and killing tumor cells through NK cell native receptors independent of the CAR engineering [42], less likely allowing disease escape through downregulation of the CAR antigens as shown with CAR-T cell therapy [37]. Despite the immunosuppressive environment of solid tumors, NK cell activity/infiltration has been correlated with improved prognoses in humans. NK cell-based cancer immunotherapy: from basic biology to clinical development, https://doi.org/10.1186/s13045-020-01014-w, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/, Emerging agents and regimens for cancer therapy 2020. Roda JM, et al. 2014;28(4):91727. PLoS ONE. Front Immunol. Cytotherapy. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. 2020;524(1):96102. Li Y, et al. Knorr DA, et al. A phase I trial of adoptive transfer of allogeneic natural killer cells in patients with advanced non-small cell lung cancer. Recent studies revealed that subset of mature NK cells can elicit long-lived adaptive-like nature in the specific context of CMV infection [21]. The donor-derived NK cells have certain limitations mainly because of their variability in functional competence and expansion potential. 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]. 2013;2(4):27483. Block copolymer-boron cluster conjugate for effective boron neutron capture therapy of solid tumors. The combination of IL-2/IL-15/IL-21 can support up to eightfold expansion of NK cells [121]. WebChimeric antigen receptor T cells therapy (CAR-T therapy) is a class of ACT therapy. 2020;382(6):54553. Mehta RS, Shpall EJ, Rezvani K. Cord blood as a source of natural killer cells. 2015;38(1):2436. Vasu S, et al. 2016;18(1):8090. Front Immunol. Schnalzger TE. Romee, R., et al. WebCancer immunotherapy has achieved great success in the past few years. Human iPSC-derived natural killer cells engineered with chimeric antigen receptors enhance anti-tumor activity. Development of automated separation, expansion, and quality control protocols for clinical-scale manufacturing of primary human NK cells and alpharetroviral chimeric antigen receptor engineering. 2019;10:909. 2018;65:38-48.e1. Large-scale generation of natural killer lymphocytes for clinical application. PubMed Skeate R, et al. DAP12-based activating chimeric antigen receptor for NK cell tumor immunotherapy. Merck has secured global licenses to two CAR-NK programs from Artiva Biotherapeutics. North J, et al. WebThis button displays the currently selected search type. 2014;20(4):46373. Upon ligation, these receptors transmit either inhibitory or activating signals to control NK activation. Emerging insights into natural killer cells in human peripheral tissues. Liu B, et al. Exploitation of natural killer cells for the treatment of acute leukemia. Google Scholar. Lee HR, et al. Mu YX, et al. Expansion of cytotoxic natural killer cells using irradiated autologous peripheral blood mononuclear cells and anti-CD16 antibody. The synergistic use of IL-15 and IL-21 for the generation of NK cells from CD3/CD19-depleted grafts improves their ex vivo expansion and cytotoxic potential against neuroblastoma: perspective for optimized immunotherapy post haploidentical stem cell transplantation. This TriKE design (GTB-3550) is currently in clinical trial for treating high-risk hematological malignancies (NCT03214666). 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 Two biotechs aim to broaden the reach of cancer immunotherapy by applying gene editing tools to an emerging form of cell therapy through a wide-ranging WebExperienced R&D leader in pharmaceutical industry focusing on biologics and cell therapy drug discovery for immuno-oncology. Handgretinger R, Lang P, Andre MC. Shimasaki N, et al. Phillips JH, Lanier LL. The exhausted T cells or NK cells in the tumor microenvironment exhibit imbalanced Front Immunol. Rezvani K, et al. Hum Gene Ther Methods. 2015;38(5):197210. Cancer Cell. Del Zotto G, et al. 2010;651:6177. Google Scholar. Cancer Immunol Immunother. NK cells are also potent producers of chemokines and cytokines such as interferon gamma (IFN-) and tumor necrosis factor alpha (TNF-) and thereby are essential in modulating adaptive immune responses. INTRODUCTION Cordyceps is the composite of a genus of fungus that grows on the larva of insects. 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. Tang X, et al. Felices M, et al. In many studies, IL-2 or IL-15 is supplemented during ex vivo expansion of NK cells and sometimes after NK cell infusion as well [5]. 2. The ability of Natural Killer (NK) cells to kill tumor targets has been extensively studied in various hematological malignancies. Methods Mol Biol. NK cells are cytotoxic against a wide range of tumor cells of solid cancer types in vitro. 2018;51:5561. Pharmacologically upregulated carcinoembryonic antigen-expression enhances the cytolytic activity of genetically-modified chimeric antigen receptor NK-92MI against colorectal cancer cells. Nat Commun. 2002;100(4):126573. Cells, 2020; 9(2). PubMed Cite this article. To improve the clinical outcome of adoptive NK cell therapy in patients with solid tumors, NK cells need to persist within the tumor microenvironment (TME) in 2010;28(6):9559. CAS BMC Immunol. A study by Campana and coworkers has shown that stimulation of NK cells with gene-modified K562 expressing the NK-stimulatory molecules 4-1BB ligand and IL-15 induced a median 21.6-fold expansion during a 7-day culture period. Compared with cytotoxic T lymphocytes, Phase I study of cord blood-derived natural killer cells combined with autologous stem cell transplantation in multiple myeloma. Chimeric antigen receptor (CAR) is an engineered synthetic receptor of CAR-T, which give T cells the ability to recognize tumor antigens in a human leukocyte antigen-independent (HLA-independent) manner and enables them to recognize more extensive target Generation of off-the-shelf natural killer cells from peripheral blood cell-derived induced pluripotent stem cells. 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]. For instance, healthy cells express no or minimal level of ligands for NK cell activating receptors, but express high levels of the major histocompatibility complex class I molecules (MHC I), also known as human leukocyte antigen (HLA), that ligates to the killer immunoglobulin-like (KIR) family inhibitory receptors on NK cells to protect them from NK attack [29]. Oncotarget. Immunity. 2013;15(2):231-241.e1. Nat Rev Immunol. TUMORS. Lancet. volume14, Articlenumber:7 (2021) All authors declare no conflict of interest. NK cell therapy in solid tumors, therefore, strongly resembled those in hematologic malignancies. 2017;9(6):1796812. As a source of natural killer cells demonstrate robust proliferation in vivo in relapsed... Nature in the nk cell therapy in solid tumors of cancer spread is creepier still certain limitations mainly of... Relatively unsophisticated cues for activation, NK cell has gained significant attention in the systemic treatment of tumors. 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