Oyer JL, et al. Some investigations have sought to enhance NK migration toward the tumor by genetically modifying NK cells to overexpress chemokine receptors [54, 59, 94]. Cytokine-free directed differentiation of human pluripotent stem cells efficiently produces hemogenic endothelium with lymphoid potential. 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 2020;382(6):54553. Article 2007;178(1):8594. 2002;100(4):126573. Clin Cancer Res. NKp44-NKp44 ligand interactions in the regulation of natural killer cells and other innate lymphoid cells in humans. 2008;44(1):4653. Cytotherapy. Natural cytotoxic reactivity of mouse lymphoid cells against syngeneic acid allogeneic tumors. Google Scholar. Ojo EO, et al. 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. further showed the impact of effective lymphodepleting pre-conditioning on in vivo NK cell expansion and persistence, as patients who received less intense pre-conditioning failed to display NK cell engraftment [5]. Phase I clinical trial of autologous NK cell therapy using novel expansion method in patients with advanced digestive cancer. They showed that infusion of NK cells from HLA-haploidentical donors combined with subcutaneous IL-2 administration after a pre-conditioning regimen of high-dose cyclophosphamide and fludarabine resulted in successful in vivo expansion of donor NK cells and the induction of complete remission in 5 out of 19 patients with poor-prognosis acute myeloid leukemia (AML) [5]. Despite promising results shown in hematologic tumors, immunotherapies for the treatment of solid tumors have mostly failed so far. PubMed Central 2023 BioMed Central Ltd unless otherwise stated. Cytotherapy. 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]. Granzin M, et al. Bioactive principles from Cordyceps sinensis: A potent food supplement A review M.G. It remains to be determined how NRPbody will interact with a more complex and realistic immune contexture in the TME which consists of more than NK cells, as CXCL16 was shown in other tumor models to correlate with the infiltration of monocytes and M2-macrophages as well [92, 93]. Han J, et al. 2009;69(9):40107. 2015;38(1):2436. GPC3 is Mol Ther. NK cell-based cancer immunotherapy: from basic biology to clinical development. Bryceson YT, et al. Clin Cancer Res. Sci Rep. 2017;7(1):11075. volume14, Articlenumber:7 (2021) In mouse, the lack of CD3 and the presence of NK1.1 are canonical criterion for distinguishing NK cells. Nat Commun. CAS Upon ligation, these receptors transmit either inhibitory or activating signals to control NK activation. A chimeric receptor with NKG2D specificity enhances natural killer cell activation and killing of tumor cells. Zhang P, et al. Sci Rep. 2019;9(1):13288. Clinical-grade generation of active NK cells from cord blood hematopoietic progenitor cells for immunotherapy using a closed-system culture process. Lee et al. Conversely, tumorigenic cells or virally infected cells have downregulated MHC I expression but upregulated levels of ligands for NK cell activating receptors and thus trigger NK cell activation due to the lack of inhibitory signals and/or the presence of activating signals [11]. Most recent studies showed that ex vivostimulation of human NK cells with the combination of IL-15/IL-18/IL-27 can achieve 17-fold expansion [122], and that the combination of IL-2 with IL-18 can achieve approximately 500-fold expansion over two-week period [123]. Natural killer (NK) cells are large granular lymphocytes with surface markers CD3 CD56 + NKp46 + in humans. Front Immunol. Imai K, et al. Eur J Immunol. WebValuable industry experience focuses on understanding NK cells biology and contributing to develop an immuno oncology platform based on off the shelf products. Sci Transl Med. NK cells originate from CD34+ hematopoietic stem cells. INTRODUCTION Cordyceps is the composite of a genus of fungus that grows on the larva of insects. 2019;30(3):10220. We want to do better, and this NK cell therapy is a promising Barrow AD, Martin CJ, Colonna M. The natural cytotoxicity receptors in health and disease. NK cells also play immunomodulatory functions by secreting chemokines and cytokines, such as RANTES and IFN- [12, 13]. Genssler S, et al. 2005;106(1):37683. North J, et al. Ni Z, et al. Immunity. 2015;17(5):61320. WebCorrigendum to Entrectinib in patients with ROS1 fusion-positive non-small cell lung cancer (NSCLC) or NTRK fusion-positive solid tumours: Analysis of response by line of therapy (Annals of Oncology (2020) 31(S4) (S472S473), (S0923753420406507), (10.1016/j.annonc.2020.08.654)). Natural killer (NK) cells can swiftly kill multiple adjacent cells if these show surface markers associated with oncogenic transformation. WebNatural killer (NK) cell-based immunotherapy has been considered a promising cell-based cancer treatment strategy with low side effects for early tumors and metastasis. 1975;5(2): 1127. Beyond cytokines, other stimulants, including tumor cells, allogeneic PBMCs, antibodies, and microbiol derivatives, have been explored for enhancing ex vivo NK cell expansion. Human iPSC-derived natural killer cells engineered with chimeric antigen receptors enhance anti-tumor activity. WebChapters cover advances in immunotherapeutic strategies, in particular, the use of NK cells with and without T-cell therapy in the treatment of cancer. It is currently believed that the success of adoptive transfer requires the creation of a lymphopenic environment to provide a niche for donor cells to survive and proliferate. Wang J, et al. As the activation and expansion methods are improving, it is becoming possible to prepare increasingly higher dosages of NK cells for adoptive transfer from a single-donor phlebotomy. Overall, these results indicate that NK cells can invade some solid tumors. When NK cells infiltrate solid tumors, high numbers of NK cells may be associated with better survival. However, in most cases, anti-tumor properties of NK cells are attenuated at the tumor bed. 2019;10:909. Hemolytic anemia due to passenger lymphocyte syndrome in solid malignancy patients treated with allogeneic natural killer cell products. Sustained effector function of IL-12/15/18-preactivated NK cells against established tumors. Intraperitoneal delivery of human natural killer cells for treatment of ovarian cancer in a mouse xenograft model. CXCL16 positively correlated with M2-macrophage infiltration, enhanced angiogenesis, and poor prognosis in thyroid cancer. Stem Cell Reports. Phase I clinical trial of autologous NK cell therapy using novel expansion method in patients with advanced digestive cancer. Moreover, restricted expansion capacity poses a difficulty for improving the efficacy of NK cells through genetic engineering. 2017;9(6):1796812. Lysis of fresh and cultured autologous tumor by human lymphocytes cultured in T-cell growth factor. Am J Cancer Res. Luhm J, et al. CAR-NK is one of the approaches in development to overcome this limitation. Webwith a high chance of succeeding in solid cancer therapy. Hammer Q, et al. Jennifer Wu. Pinz KG, et al. 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 It yielded a greater than 1000-fold expansion of NK cells after 3weeks of culture [38, 125, 126]. Transfusion. The combination of IL-2/IL-15/IL-21 can support up to eightfold expansion of NK cells [121]. PubMed All authors gave consent for publication of the manuscript. Expansion of highly cytotoxic human natural killer cells for cancer cell therapy. 2019;10:719. Source: Liu, S., Galat, V., Galat4, Y. et al. Cookies policy. 2016;4(3):21524. J Immunol Res. But what it does in the realm of cancer spread is creepier still. Generation of BiKEs and TriKEs to improve NK cell-mediated targeting of tumor cells. J Natl Cancer Inst. reported an approximately 1500-fold expansion of NK cells after PBMC stimulation with a combination of anti-CD3 and anti-CD56 mAbs [146]. Nat Rev Immunol. Effective against blood cancers, natural killer cells also may be effective against solid tumors. Typically, the differentiation was induced in embryoid bodies or by OP9 mouse stroma co-culture [111]. The IL-15-based ALT-803 complex enhances FcgammaRIIIa-triggered NK cell responses and in vivo clearance of B cell lymphomas. Cells, 2020; 9(2). Liu E, et al. Using irradiated autologous PBMCs and anti-CD16 mAb, Lee et al. The advantage of adherent condition is that it provides defined environment for optimizing the differentiation. 1981;41(11 Pt 1):44205. Challenges in CAR NK cell therapy in solid tumors. (3) NK cells act as a bridge between the anti-tumor antibodies IgG1 and IgG3, whereby Fab specifically recognizes the tumor while the Fc segment binds to the J Immunol. The broad spectrum of human natural killer cell diversity. Rosario M, et al. Moreover, the CAR-NK cells secrete pro-inflammatory cytokines and chemokines which may improve the infiltration and functions of subsequently infused CAR-T cells in the mouse model [77]. Shimasaki N, et al. NKG2D, an activating NK cell receptor, can bind to eight different stress-induced ligands that are naturally expressed on 80% of hematological and solid cancer Merck has secured global licenses to two CAR-NK programs from Artiva Biotherapeutics. A good manufacturing practice method to ex vivo expand natural killer cells for clinical use. 2019;120(1):615. The umbilical cord blood (UCB) [102,103,104,105] or placenta [106] represents other notable sources of NK cells that have been pursued for clinical applications. Part of Studies on the in vitro activation of Leu-11+ granular lymphocytes with a natural killer-sensitive tumor cell, K562. Szmania S, et al. 2010;12(6):75063. Recent observations show that HMGB1 is a potent driver J [2017][J Control Release][10.1016j.jconrel.2017.03. Google Scholar. Through several preclinical studies, researchers have discovered new guardian immune cells called chimeric antigen receptor (CAR)-modified natural killer (NK) cells, which show cytotoxic activity against various solid tumor types. Romee, R., et al. Schonfeld K, et al. The exhausted T cells or NK cells in the tumor microenvironment exhibit imbalanced WebGiven the utility of NK cells in the control of tumor cell dissemination in solid tumors, it is likely that NK cells also play a key role in the control of lung cancer cells. 2014;20(4):46373. Although challenges exist, perspectives are enticed by currently approved NK cell-based therapies and emerging pre-clinical and clinical studies. Fehniger TA, et al. Zhang C., et al. EpsteinBarr virus-transformed lymphoblastoid cell lines (EBV-LCLs) become especially effective allowing for up to 3000-fold expansion from CD3-depleted PBMC NKs [136] and was also used to generate large numbers of CD56+ NK cells derived from frozen UCB [137]. While the CAR technology seeks to enhance NK cell functions by genetically directing their target specificity, there are active investigations on other strategies to effectively prime NK cells ex vivo or in vivo for optimal anti-tumor functions after their infusion. Umbilical cord blood natural killer cells, their characteristics, and potential clinical applications. 2016;7:105. NK cells in the tumor microenvironment Conventional roles of NK cells in immunity Detection of aberrant cells by NK cells is determined by the intergradation of Natural killer cells produce T cell-recruiting chemokines in response to antibody-coated tumor cells. Epidermal Growth Factor Receptor (EGFR) targeted therapies using monoclonal antibodies (mAbs) such as cetuximab and panitumumab are widely used for the treatment of metastatic colorectal cancer (mCRC). Blood. In addition to cytokine-only strategies, Cichocki and colleagues demonstrated that pharmacologic inhibition of GSK3 kinase with CHIR99021 drives late-stage maturation of ex vivo-expanded human peripheral blood NK cells and enhanced their anti-tumor effector functions both in vitro and in vivo [87]. Lancet. Using patient samples and murine models, the potential of NK cell therapy is being realized in the lung. Anti-tumor activities of adoptively transferred NK cells in vivo have been demonstrated as well in pre-clinical xenograft mouse models of ovarian cancer, glioblastoma, and metastatic colorectal cancer [33,34,35,36]. Both UCB and placenta-derived cells contain some proportion of NK cell progenitors that have the capacity to differentiate into NK cells during maturation and expansion stages. Muller N, et al. Heinze, A., et al. The NKG2D-2B4 containing CAR-NK had elevated Syk and Erk1/2 phosphorylation [42]. Parodi M, et al. However, the exhaustion of T cells or NK cells can lead to the failure of tumor control and limit the complete response and overall efficacy of cancer immunotherapy against solid tumors. NK cell dysfunction via altered activating receptor expression or tumor downregulation of NK cell receptor ligands is a common method of tumor immune escape. For example, the absence of NKG2D and other NCR ligands on leukemic blasts allows them to escape NK cell surveillance [86, 87]. In the clinical setting, each batch requires validation, which results in additional lag time before a patient receives infusion. PubMed Cord blood NK cells engineered to express IL-15 and a CD19-targeted CAR show long-term persistence and potent antitumor activity. 2013;2013(1):23446. You F, et al. 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 WebFurther pharmacodynamic studies in tumor-free mice revealed superior proliferative and cytotoxic functions on NK cells after RLI treatment compared with IL-15 alone. Aiming to generate novel CAR-NK cell-based cancer therapeutics, the consideration of tumor-specific surface antigens and the costimulatory molecules is the Childs RW, Berg M. Bringing natural killer cells to the clinic: ex vivo manipulation. Cancer Immunol Immunother. Lee HR, et al. Oberschmidt O, et al. Nham T, et al. Methods Mol Biol. 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