Background:
Immunotherapy
strategies
have
demonstrated
promising
efficacy
in
treating
various
cancers.
However,
cancer
cells
often
evade
immune
surveillance
by
reducing
their
immunogenicity,
which
limits
cell
infiltration
into
the
tumor
microenvironment.
Pyroptosis,
a
proinflammatory
form
of
programmed
death,
is
characterized
formation
plasma
membrane
pores
that
lead
to
release
intracellular
contents
and
stimulate
robust
response.
Results:
To
exploit
this
mechanism,
we
developed
hematoporphyrin
monomethyl
ether
(HMME)-loaded
nanoliposomes
capable
efficiently
accumulating
at
site.
Upon
ultrasound
irradiation,
these
nanomedicines
generate
reactive
oxygen
species
(ROS)
activate
Caspase-3,
cleaves
Gasdermin
E
(GSDME)
induces
pyroptosis.
Notably,
sonodynamic
therapy
(SDT)
based
on
nanosonosensitizers
enhanced
targeted
enrichment
chimeric
antigen
receptor
(CAR)-engineered
natural
killer
(NK)
ultrasound-irradiated
site,
significantly
improved
response,
effectively
inhibited
growth
proliferation
oral
squamous
carcinoma
(OSCC)
both
vivo
vitro.
Conclusions:
Given
NK
immunotherapy
has
an
excellent
safety
profile
with
minimal
risks
cytokine
syndrome
neurotoxicity,
approach
holds
promise
as
adjunct
cell-based
immunotherapies
through
SDT-induced
Neuro-Oncology,
Journal Year:
2023,
Volume and Issue:
25(11), P. 2058 - 2071
Published: May 6, 2023
Abstract
Background
Glioblastoma
(GB)
is
incurable
at
present
without
established
treatment
options
for
recurrent
disease.
In
this
phase
I
first-in-human
clinical
trial
we
investigated
safety
and
feasibility
of
adoptive
transfer
clonal
chimeric
antigen
receptor
(CAR)-NK
cells
(NK-92/5.28.z)
targeting
HER2,
which
expressed
elevated
levels
by
a
subset
glioblastomas.
Methods
Nine
patients
with
HER2-positive
GB
were
treated
single
doses
1
×
107,
3
or
108
irradiated
CAR-NK
injected
into
the
margins
surgical
cavity
during
relapse
surgery.
Imaging
baseline
follow-up,
peripheral
blood
lymphocyte
phenotyping
analyses
immune
architecture
multiplex
immunohistochemistry
spatial
digital
profiling
performed.
Results
There
no
dose-limiting
toxicities,
none
developed
cytokine
release
syndrome
effector
cell-associated
neurotoxicity
syndrome.
Five
showed
stable
disease
after
surgery
injection
that
lasted
7
to
37
weeks.
Four
had
progressive
Pseudoprogression
was
found
sites
in
2
patients,
suggestive
treatment-induced
response.
For
all
median
progression-free
survival
weeks,
overall
31
Furthermore,
level
CD8+
T-cell
infiltration
tumor
tissue
prior
cell
positively
correlated
time
progression.
Conclusions
Intracranial
HER2-targeted
feasible
safe
GB.
NK-92/5.28.z
determined
as
maximum
dose
subsequent
expansion
cohort
repetitive
local
injections
cells.
Clinical and Translational Medicine,
Journal Year:
2025,
Volume and Issue:
15(1)
Published: Jan. 1, 2025
Abstract
Background
Paediatric
sarcomas,
including
rhabdomyosarcoma,
Ewing
sarcoma
and
osteosarcoma,
represent
a
group
of
malignancies
that
significantly
contribute
to
cancer‐related
morbidity
mortality
in
children
young
adults.
These
cancers
share
common
challenges,
high
rates
metastasis,
recurrence
or
treatment
resistance,
leading
5‐year
survival
rate
approximately
20%
for
patients
with
advanced
disease
stages.
Despite
the
critical
need,
therapeutic
advancements
have
been
limited
over
past
three
decades.
The
advent
chimeric
antigen
receptor
(CAR)‐based
immunotherapies
offers
promising
avenue
novel
treatments.
However,
CAR‐T
cells
faced
significant
challenges
success
treating
solid
tumours
due
issues
such
as
poor
tumour
infiltration,
immunosuppressive
microenvironments
off‐target
effects.
In
contrast,
adaptation
CAR
technology
natural
killer
(NK)
has
demonstrated
potential
both
haematological
tumours,
suggesting
new
strategy
paediatric
sarcomas.
Methods
This
study
developed
validated
CAR‐NK
cell
therapy
targeting
ephrin
type‐A
receptor‐2
(EphA2)
antigen,
which
is
highly
expressed
various
Results
expression
was
successfully
detected
on
surface
NK
post‐electroporation,
indicating
successful
transfection.
Significantly,
EphA2‐specific
enhanced
cytotoxic
activity
against
several
lines
vitro,
those
compared
unmodified
cells.
Transient
messenger
RNA
(mRNA)
transfection
safe
approach
genetic
engineering,
further
chemical
modifications
mRNA
enhancing
stability
temporal
EphA2‐CAR
cells,
thereby
promoting
prolonged
protein
expression.
Additionally,
vivo
EphA2‐CAR‐NK
showed
anti‐cancer
rhabdomyosarcoma
osteosarcoma
mouse
models.
Conclusions
provides
foundational
basis
clinical
evaluation
EphA2‐targeted
across
spectrum
anti‐tumour
effects
observed
vitro/vivo
suggests
improved
outcomes
hard‐to‐cure
Key
points
Addressing
unmet
needs
Sarcomas.
sarcoma,
exhibit
lack
progress
decades
necessitates
innovative
approaches.
Advancing
immunotherapy
Natural
modified
receptors
(CARs)
overcome
limitations
particularly
tumours.
are
associated
targeting,
reduced
effects,
safety
profiles.
EphA2
target.
EphA2,
overexpressed
multiple
identified
viable
target
CAR‐based
its
role
progression
angiogenesis.
Innovations
mRNA‐based
engineering.
demonstrates
feasibility
transient
engineer
expression,
offering
non‐integrative
safer
alternative
viral
transduction.
Enhancements
through
modifications,
can
optimise
Preclinical
efficacy
superior
cytotoxicity
vitro
demonstrate
models
osteosarcoma.
Clinical
translation
potential.
findings
establish
strong
preclinical
rationale
immunotherapeutic
option
Future
research
directions:
Combining
immune
checkpoint
inhibitors
other
immunomodulatory
agents
could
enhance
durability.
Advanced
mimicking
human
needed
refine
this
approach.
Blood,
Journal Year:
2024,
Volume and Issue:
143(25), P. 2599 - 2611
Published: March 17, 2024
Abstract
Chimeric
antigen
receptor
(CAR)-redirected
immune
cells
hold
significant
therapeutic
potential
for
oncology,
autoimmune
diseases,
transplant
medicine,
and
infections.
All
approved
CAR-T
therapies
rely
on
personalized
manufacturing
using
undirected
viral
gene
transfer,
which
results
in
nonphysiological
regulation
of
CAR-signaling
limits
their
accessibility
due
to
logistical
challenges,
high
costs
biosafety
requirements.
Random
transfer
modalities
pose
a
risk
malignant
transformation
by
insertional
mutagenesis.
Here,
we
propose
novel
approach
utilizing
CRISPR-Cas
editing
redirect
T
natural
killer
(NK)
with
CARs.
By
transferring
shorter,
truncated
CAR-transgenes
lacking
main
activation
domain
into
the
human
CD3ζ
(CD247)
gene,
functional
CAR
fusion-genes
are
generated
that
exploit
endogenous
as
CAR’s
domain.
Repurposing
this
T/NK-cell
lineage
facilitated
physiological
expression
redirection
various
cell
types,
including
conventional
cells,
TCRγ/δ
regulatory
NK
cells.
In
in-frame
fusion
eliminated
TCR
surface
expression,
reducing
graft-versus-host
disease
allogeneic
off-the-shelf
settings.
CD3ζ-CD19-CAR-T
exhibited
comparable
leukemia
control
TCRα
chain
constant
(TRAC)-replaced
lentivirus-transduced
vivo.
Tuning
CD3ζ-CAR-expression
levels
significantly
improved
vivo
efficacy.
Notably,
enabled
without
impairing
canonical
functions.
Thus,
is
promising
platform
development
redirected
lymphocytes.
Signal Transduction and Targeted Therapy,
Journal Year:
2024,
Volume and Issue:
9(1)
Published: Nov. 8, 2024
Abstract
Natural
killer
(NK)
cells,
initially
identified
for
their
rapid
virus-infected
and
leukemia
cell
killing
tumor
destruction,
are
pivotal
in
immunity.
They
exhibit
multifaceted
roles
cancer,
viral
infections,
autoimmunity,
pregnancy,
wound
healing,
more.
Derived
from
a
common
lymphoid
progenitor,
they
lack
CD3,
B-cell,
or
T-cell
receptors
but
wield
high
cytotoxicity
via
perforin
granzymes.
NK
cells
orchestrate
immune
responses,
secreting
inflammatory
IFNγ
immunosuppressive
TGFβ
IL-10.
CD56
dim
bright
execute
cytotoxicity,
while
also
regulate
However,
beyond
the
dichotomy,
detailed
phenotypic
diversity
reveals
many
functional
subsets
that
may
not
be
optimal
cancer
immunotherapy.
In
this
review,
we
provide
comprehensive
snapshots
of
cells’
functions
states
activation
inhibitions
angiogenesis,
pregnancy
fertility,
aging,
senescence
mediated
by
complex
signaling
ligand-receptor
interactions,
including
impact
environment.
As
use
engineered
immunotherapy
accelerates,
often
footsteps
T-cell-derived
engineering,
examine
interactions
with
other
effectors
relevant
limitations
microenvironment,
intending
to
understand
how
enhance
cytolytic
activities
specifically
Frontiers in Immunology,
Journal Year:
2024,
Volume and Issue:
15
Published: April 25, 2024
Chimeric
antigen
receptor-natural
killer
(CAR-NK)
cell
therapy
is
a
novel
immunotherapy
targeting
cancer
cells
via
the
generation
of
chimeric
receptors
on
NK
which
recognize
specific
antigens.
CAR-NK
gaining
attention
nowadays
owing
to
ability
release
potent
cytotoxicity
against
without
side
effects
such
as
cytokine
syndrome
(CRS),
neurotoxicity
and
graft-versus-host
disease
(GvHD).
do
not
require
priming,
thus
enabling
them
be
used
“off-the-shelf”
therapy.
Nonetheless,
still
possesses
several
challenges
in
eliminating
reside
hypoxic
immunosuppressive
tumor
microenvironment.
Therefore,
this
review
envisioned
explore
current
advancements
limitations
well
discuss
strategies
overcome
faced
by
This
also
aims
dissect
status
clinical
trials
future
recommendations
for
improving
effectiveness
safety
Advanced Science,
Journal Year:
2023,
Volume and Issue:
10(35)
Published: Oct. 31, 2023
Abstract
Chimeric
antigen
receptor
T‐cell
(CAR‐T)
therapy
has
emerged
as
a
highly
efficacious
treatment
modality
for
refractory
and
relapsed
hematopoietic
malignancies
in
recent
years.
Furthermore,
CAR
technologies
cancer
immunotherapy
have
expanded
from
CAR‐T
to
CAR‐natural
killer
cell
(CAR‐NK),
CAR‐cytokine‐induced
(CAR‐CIK),
CAR‐macrophage
(CAR‐MΦ)
therapy.
Nevertheless,
the
high
cost
complex
manufacturing
processes
of
ex
vivo
generation
autologous
products
hampered
broader
application.
There
is
an
urgent
need
develop
efficient
economical
paradigm
shift
exploring
new
sourcing
strategies
engineering
approaches
toward
generating
CAR‐engineered
immune
cells
benefit
patients.
Currently,
researchers
are
actively
investigating
various
optimize
preparation
these
potent
immunotherapeutic
agents.
In
this
work,
latest
research
progress
summarized.
Perspectives
on
future
provided,
approaches,
diverse
sources
used
their
development
focused
upon.
Cancers,
Journal Year:
2024,
Volume and Issue:
16(2), P. 388 - 388
Published: Jan. 16, 2024
Colorectal
carcinoma
(CRC)
presents
a
formidable
medical
challenge,
demanding
innovative
therapeutic
strategies.
Chimeric
antigen
receptor
(CAR)
natural
killer
(NK)
cell
therapy
has
emerged
as
promising
alternative
to
CAR
T-cell
for
cancer.
A
suitable
tumor
target
on
CRC
is
carcinoembryonic
(CEA),
given
its
widespread
expression
and
role
in
tumorigenesis
metastasis.
CEA
known
be
prolifically
shed
from
cells
soluble
form,
thus
hindering
recognition
of
tumors
migration
through
the
TME.
We
have
developed
next-generation
construct
exclusively
targeting
cell-associated
CEA,
incorporating
PD1-checkpoint
inhibitor
CCR4
chemokine
enhance
homing
infiltration
CAR-NK-92
line
TME,
which
does
not
induce
fratricidal
killing
CAR-NK-92-cells.
To
evaluate
this
approach,
we
harnessed
intricate
3D
multicellular
spheroid
models
(MCTS),
emulate
key
elements
Our
results
demonstrate
effective
cytotoxicity
CEA-CAR-NK-92
against
colorectal
lines
MCTS
models.
Importantly,
minimal
off-target
activity
non-cancerous
underscores
precision
therapy.
Furthermore,
integration
augments
by
recognizing
ligands,
CCL17
CCL22.
Notably,
our
design
no
significant
trogocytosis-induced
fratricide.
In
summary,
proposed
CEA-targeting
CAR-NK
could
offer
solution
treatment,
combining
efficacy
tailored
approach.
Frontiers in Immunology,
Journal Year:
2023,
Volume and Issue:
14
Published: Nov. 10, 2023
Head
and
neck
squamous
cell
carcinoma
(HNSCC)
is
a
major
challenge
for
current
therapies.
CAR-T
cells
have
shown
promising
results
in
blood
cancers,
however,
their
effectiveness
against
solid
tumors
remains
hurdle.
Recently,
CD44v6-directed
demonstrated
efficacy
controlling
tumor
growth
multiple
myeloma
such
as
HNSCC,
lung
ovarian
adenocarcinomas.
Apart
from
cells,
CAR-NK
offer
safe
allogenic
alternative
to
autologous
therapy.
In
this
paper,
we
investigated
the
capacity
of
redirected
CD44v6
execute
cytotoxicity
HNSCC.
Anti-CD44v6
were
generated
healthy
donor
peripheral
blood-derived
NK
using
gamma
retroviral
vectors
(gRVs).
The
transduction
was
optimized
by
exploring
virus
envelope
proteins
derived
baboon
endogenous
(BaEV),
feline
leukemia
(FeLV,
termed
RD114-TR)
gibbon
ape
(GaLV),
respectively.
BaEV
pseudotyped
gRVs
induced
highest
rate
compared
RD114-TR
GaLV
envelopes
measured
EGFP
surface
CAR
expression
transduced
cells.
showed
two-
threefold
increase
killing
various
HNSCC
lines
unmodified,
cytokine-expanded
primary
effective
eliminating
with
high
low
levels.
Overall,
improved
holds
promise
therapeutic
option
treatment
However,
further
preclinical
trials
are
necessary
test
vivo
safety,
well
optimize
regimen
anti-CD44v6
tumors.