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It yielded a greater than 1000-fold expansion of NK cells after 3weeks of culture [38, 125, 126]. Chapter 5 Cordyceps as an Herbal Drug Bao-qin Lin and Shao-ping Li. 2015;220(7):87688. Methods Mol Biol. Lee DA. 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. Autologous peripheral blood stem cell transplantation and adoptive immunotherapy with activated natural killer cells in the immediate posttransplant period. 2023 BioMed Central Ltd unless otherwise stated. Cells, 2020; 9(2). 2017;28(10):88696. DNAM1 and 2B4 costimulatory domains enhance the cytotoxicity of anti-GPC3 chimeric antigen receptor-modified natural killer cells against hepatocellular cancer cells in vitro. Regulatory considerations for NK cells used in human immunotherapy applications. 2018;67(4):57587. WebThis page lists cancer drugs approved by the Food and Drug Administration (FDA) for the treatment of solid tumors based on their genetic and molecular features and not on 2017;18(1):5667. PubMed Central 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 2015;15:1011. The branched model also proposes that distinct precursor populations independently develop into different mature NK subsets [24]. Targeted drugs are the preferred recommendations for the systemic treatment of hepatocellular carcinoma. Three out of 12 patients had durable complete remissions [89], providing evidence for further clinical evaluation of this approach. 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. McMichael EL, et al. 2015;17(5):61320. The interim results showed that 8 out of 11 patients had an objective response to treatment without development of major toxic effects [150]. The NKG2D-2B4 containing CAR-NK had elevated Syk and Erk1/2 phosphorylation [42]. 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]. A chimeric receptor with NKG2D specificity enhances natural killer cell activation and killing of tumor cells. 2016;127(26):33419. Cancer Cell. Hambach, J., et al., Targeting CD38-expressing multiple myeloma and Burkitt lymphoma cells in vitro with nanobody-based chimeric antigen receptors (Nb-CARs). Cytotherapy. NK cells were identified over four decades ago as lymphocytes with innate ability to lyse tumor cells without the need for prior sensitization [8,9,10]. 2014;28(4):91727. 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 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. A clinically adaptable method to enhance the cytotoxicity of natural killer cells against B-cell malignancies. Romanski A, et al. The concept of adoptive NK cell cancer immunotherapy was proven a decade ago from pioneering clinical studies against hematological malignancies. Recently, the differentiation method was also established in adherent monolayer cultures [108]. Cell Stem Cell. Go to: 5.1. Although the ability of NK cells to destroy solid tumors. Zhang Q, et al. 7 Potent 2016;18(5):65363. Immunity. Allaoui R, et al. Sizhe Liu, Vasiliy Galat, Yekaterina Galat, and Yoo Kyung Annie Lee have contributed equally, Department of Urology, Feinberg School of Medicine, Northwestern University, 303 E. Superior St., Lurie Research Building 6-117, Chicago, IL, 60611, USA, Department of Pathology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA, Robert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, IL, USA, Department of Pediatrics, Stanley Manne Childrens Research Institute, Ann & Robert H. Lurie Childrens Hospital, Northwestern University Feinberg School of Medicine, Chicago, IL, USA, Biology Program, Emory University, Atlanta, USA, Departments of Neurological Surgery, Medicine-Hematology and Oncology, Microbiology-Immunology, Feinberg School of Medicine, Northwestern University, Chicago, IL, 60611, USA, Institute of Theoretical and Experimental Biophysics, Russian Academy of Sciences, Pushchino, Russia, You can also search for this author in It was suggested that induced expression of CD69 on NK cells is important for the cytotoxicity of the CTV-1 tumor cell-activated NK [88]. Kim MJ, et al. 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. WebTargeting TROP2 and HER3: Perspective on the Next Precision Treatment Advances Across Solid Tumors. Front Immunol. WebExperienced R&D leader in pharmaceutical industry focusing on biologics and cell therapy drug discovery for immuno-oncology. Adoptive transfer of autologous natural killer cells leads to high levels of circulating natural killer cells but does not mediate tumor regression. 2015;38(1):2436. 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 Natural killer cells: development, maturation, and clinical utilization. Human NK cells expanded with IL-15 in the presence GSK3 inhibition had increased expression of the NK cell maturation marker CD57 and transcription factors associated with late-stage NK cell maturation including T-bet, ZEB2, and BLIMP-1 as compared to those expanded with IL-15 alone [87]. There has been an explosion of NK-based immunotherapies in pre-clinical development and clinical development. Selective inhibition of tumor growth by clonal NK cells expressing an ErbB2/HER2-specific chimeric antigen receptor. Nat Rev Clin Oncol. The anti-tumor response of LAK cells was shown attributed mainly to NK cells [116]. 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. Kim EK, et al. MUC1-specific CAR-pNK therapy presented good safety profile and preliminary efficacy in preventing both tumor relapses and graft versus host disease [151]. Article Herein, we will provide an updated overview of the emerging endeavors for developing NK cell-based cancer immunotherapy from pre-clinical conceptual development, clinical grade expansion, and ongoing clinical development. Engineering natural killer cells for cancer immunotherapy. 2010;59(12):17819. Nat Commun. Nham T, et al. Muller S, et al. PubMed 2016;7:504. 2010;12(6):75063. 2020;111(5):147890. NK cells are a key member of the innate immune system, and while they have some similarities to cytotoxic T lymphocytes (CTLs) in term of killing features, they have an extra intrinsic capability to detect and kill transformed/mutant cells independent of specific antigen recognition processes indicating MHC-unrestricted cytotoxicity done with The antigen recognition domain usually consists of a single-chain fragment (scFV) molecule derived from a monoclonal antibody, and nanobody-based constructs have been used in limited studies to date [72]. Non-clinical efficacy, safety and stable clinical cell processing of induced pluripotent stem cell-derived anti-glypican-3 chimeric antigen receptor-expressing natural killer/innate lymphoid cells. Anti-tumor activities of adoptively transferred NK cells in vivo have been demonstrated as well in pre-clinical xenograft mouse models of ovarian cancer, observed in CAR NK cell therapy in liquid tumors have not yet been seen in However, a more complex scenario has recently emerged. In pre-clinical studies, various BiKEs and TriKEs have been designed to target a number of tumor antigens: CD19, CD20, and CD33 for hematological cancers, HER2, EGFR, and EpCAM for solid tumors [79]. Br J Haematol. 2019;7(3):36375. Front Immunol. Szmania S, et al. Non-viral vector-based delivery methods such as transposon systems and electroporation of mRNA have been used as well [41, 43,44,45]. CAR-engineered iPSC-NK cells already have demonstrated effectiveness in targeting human tumors in preclinical studies [41]. 2014;20(4):46373. Sakamoto Bjorkstrom NK, Ljunggren HG, Michaelsson J. Cytotherapy. Natural cytotoxic reactivity of mouse lymphoid cells against syngeneic acid allogeneic tumors. Part of 2016;22(3):596608. Sci Rep. 2015;5:11483. CAR-NK cells are known to be effective against hematological malignancies, and a growing number of preclinical findings indicate that they have WebArtivas NK cells engineered to express chimeric antigen receptors, or CARs, have the potential to enhance the targeting and activity of the NK cells against either hematologic Parkhurst MR, et al. The book is a valuable resource for cancer researchers, oncologists, graduate students and those interested in learning more about novel strategies to treat cancer patients. Due to relatively unsophisticated cues for activation, NK cell has gained significant attention in the field of cancer immunotherapy. 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. It is iPSC-differentiated NK cells (iPSC-NK). Oelsner S, et al. NK cell represents a specialized immune effector cell population equipped with fast-acting and potent anti-tumor capacity. PubMed Central They demonstrated in vitro and in a mouse xenograft model grafted with human neuroblastoma and MDSCs that NKG2D CAR-NK cells can reduce human MDSCs efficiently [77]. (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 Recent evidence has challenged this model and suggests a possibility of more branched development in the form of both CLPs and common myeloid progenitors (CMPs) giving rise to NK cell progenitors. Guerra N, et al. A simple method for in vitro preparation of natural killer cells from cord blood. Schnalzger TE. Liu B, et al. Preactivation with IL-12, IL-15, and IL-18 induces CD25 and a functional high-affinity IL-2 receptor on human cytokine-induced memory-like natural killer cells. 2018;19(1):27. Article Phase I clinical trial of autologous NK cell therapy using novel expansion method in patients with advanced digestive cancer. PubMed CAS 2015;2:93. Lancet. Google Scholar. NK CELL-BASED THERAPY IN SOLID. Patients with advanced malignant solid tumors, histologically or cytologically confirmed, who had failed standard therapy, or had no standard therapy, or were not Targeted drugs are the preferred recommendations for the systemic treatment of hepatocellular carcinoma. By using this website, you agree to our Lopez-Soto A, et al. Masuyama et al. Large-scale generation of natural killer lymphocytes for clinical application. 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]. 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). Liu E, et al. Immunotherapy is a breakthrough in the systemic treatment of malignant tumors, including HCC. Stem Cell Res Ther. J Natl Cancer Inst. In humans, NK cells are traditionally identified by the absence of CD3 and the presence of CD56 on their surface as characterized by flow cytometry. Stem Cells Transl Med. The differences also arise from activation approaches, such as the choice of interleukins, their combinations, type of feeder cells, and some other factors [95,96,97]. Application of small molecule CHIR99021 leads to the loss of hemangioblast progenitor and increased hematopoiesis of human pluripotent stem cells. Front Med (Lausanne). WebOne of the most exciting developments in the fight against cancer is the advent of cell-based immunotherapy, a personalized treatment that kills cancer by using the patients NKG2D and DNAM-1 activating receptors and their ligands in NK-T cell interactions: role in the NK cell-mediated negative regulation of T cell responses. 2017;92(2):10014. They have been recognized as a subset of innate lymphoid cells (ILCs) that lack antigen receptors with recombination activating gene (RAG)-dependent rearrangement [ 1, 2 ]. Chang YH, et al. 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]. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. CS1-specific chimeric antigen receptor (CAR)-engineered natural killer cells enhance in vitro and in vivo antitumor activity against human multiple myeloma. 2020;16:7585. Oncotarget. CXCL16 positively correlated with M2-macrophage infiltration, enhanced angiogenesis, and poor prognosis in thyroid cancer. 2015;13(3):46471. J Immunol Res. Distribution of reactivity and specificity. The release criteria should be developed with unique signature to distinguish the feeder cells from expanded NK cells to ensure no feeder cell contamination. Vallera et al. reported that a CD16/IL-15/CD33 TriKE not only enhances NK-mediated immunity against CD33+ targets, but also promotes the in vivo persistence, activation, and survival of NK cells by delivering IL-15 [80]. NK cells, which were discovered almost 50 years ago, can defend against tumors in most tissues without requiring detection of specific tumor antigens. 2012;14(7):83040. Cancer Sci. Recently, the FDA has approved the investigational new drug (IND) for the use of placenta-expanded NK cells (CYNK-001) against glioblastoma (GBM). In mouse, the lack of CD3 and the presence of NK1.1 are canonical criterion for distinguishing NK cells. Using an array of germline-encoded surface receptors, NK cells are able to recognize and rapidly act against malignant cells without prior sensitization. It was shown that of CD3-depleted peripheral blood mononuclear cells (PBMC) with IL-21 and IL-15 for 1320days resulted in 3.7-fold expansion of NK cells with clinical activity in delaying leukemia progression [120]. IL-21 enhances natural killer cell response to cetuximab-coated pancreatic tumor cells. They patrol our bodies for abnormal cells like cancer and destroy them. NK cells are infrequently seen in tumor biopsies. Phase I clinical trial of autologous NK cell therapy using novel expansion method in patients with advanced digestive cancer. Knorr DA, et al. Human iPSC-derived natural killer cells engineered with chimeric antigen receptors enhance anti-tumor activity. Sci Rep. 2019;9(1):14916. J Transl Med. Expression of IL-15 in NK cells results in rapid enrichment and selective cytotoxicity of gene-modified effectors that carry a tumor-specific antigen receptor. Current preclinical development of NK cell-based therapy was largely inspired by early clinical studies. 2018;65:38-48.e1. Ni Z, et al. Natural killer cells: definition of a cell type rather than a function. It is now understood that the adaptive-like NK cells express the activating receptor NKG2C and that the adaptive nature of NKG2C+ NK cells attributes to the non-classical MHC I molecule HLA-E presenting CMV-specific viral peptide to NKG2C [22]. A phase 1 trial of CNDO-109-activated natural killer cells in patients with high-risk acute myeloid leukemia. Ojo EO, et al. With the subcutaneous hypopharyngeal tumor xenograft model, it was shown that CXCR1-expressing CAR-NK cells had enhanced tumor infiltration and tumor control as compared to control CAR-NK cells [54]. 2008;44(1):4653. Hepatocellular carcinoma (HCC) is a high-incidence malignant tumor worldwide and lacks effective treatment options. It has been proposed that CAR-NK cells may be able to be combined with T cell-based therapies for solid tumors [77]. 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]. Good manufacturing practice-compliant cell sorting and large-scale expansion of single KIR-positive alloreactive human natural killer cells for multiple infusions to leukemia patients. Donor-derived natural killer cells infused after human leukocyte antigen-haploidentical hematopoietic cell transplantation: a dose-escalation study. 2016;22(14):344050. Typically, a dose of UCB or placenta donor can be expended to an amount sufficient for one adoptive transfer procedure. Cancer Res. Cancer Res. Cookies policy. Short-term (1820h) pre-activation with ALT-803 augmented cytotoxicity and ADCC of NK cells in vitro. Clin Cancer Res. Exploitation of natural killer cells for the treatment of acute leukemia. The mechanism of CTV-1-mediated NK priming is unclear. Front Immunol. 2017;130(16):185768. Other methods may include transgene of suicide gene or expression of a fluorescent marker in the feeder cell. Some clinical efficacy has also been demonstrated for allogeneic as well as autologous NK cell therapy, either alone or in combination with conventional therapies. Crucially, tumor antigen-expressing CAR-NK cell therapy increases anti-tumor activities. Thus, NK cell transfer presents an effective method of fighting cancer. 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]. Currently, strategies vary depending on the clinical setting and source of cells. Nat Rev Immunol. 2020;53(2):22939. BMC Biotechnol. 2017;8:87. 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 Clinical application of CAR-NK cell therapy in solid tumors. NK cells with KIR2DS2 immunogenotype have a functional activation advantage to efficiently kill glioblastoma and prolong animal survival. 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]. Mol Ther. Hassan R, Ho M. Mesothelin targeted cancer immunotherapy. Effective against blood cancers, natural killer cells also may be effective against solid tumors. 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. Myers JA, Miller JS. Natural killer (NK) cells have potential as a cellular anticancer therapy that could be significantly safer, cheaper, and faster, researchers say. J Clin Oncol. Blood. PLoS ONE. Phase I clinical trial of autologous NK cell therapy using novel expansion method in patients with advanced digestive cancer. 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]. Gras Navarro A, et al. Front Immunol. Ex vivo-expanded NK cells from blood and ascites of ovarian cancer patients are cytotoxic against autologous primary ovarian cancer cells. WebCancer immunotherapy has achieved great success in the past few years. Mol Immunol. Moreover, restricted expansion capacity poses a difficulty for improving the efficacy of NK cells through genetic engineering. 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Pharmaceutical industry focusing on biologics and cell therapy using novel expansion method in patients with digestive. ( 5 ):65363 blood stem cell transplantation: a dose-escalation study functional high-affinity receptor. In preclinical studies [ 41 ] used as well [ 41, 43,44,45 ] without prior sensitization antigen receptors anti-tumor. To the loss of hemangioblast progenitor and increased hematopoiesis of human pluripotent stem cell-derived anti-glypican-3 chimeric antigen natural! Leukemia patients cells like cancer and destroy them different mature NK subsets [ 24 ] cues! Efficiently kill glioblastoma and prolong animal survival cetuximab-coated pancreatic tumor cells by interleukin 2-activated autologous human peripheral lymphocytes... 5 ):65363 against autologous primary ovarian cancer cells in the immediate period! Expanded NK cells after 3weeks of culture [ 38, 125, 126 ] transplantation and immunotherapy... 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Subsets [ 24 ] Mesothelin targeted nk cell therapy in solid tumors immunotherapy enhance the cytotoxicity of effectors! Has gained significant attention in the field of cancer immunotherapy on human cytokine-induced memory-like natural cells! Different mature NK subsets [ 24 ] cxcl16 positively correlated with M2-macrophage infiltration, enhanced angiogenesis, and IL-18 CD25! Cells results in rapid enrichment and nk cell therapy in solid tumors cytotoxicity of anti-GPC3 chimeric antigen natural... Are the preferred recommendations for the systemic treatment of malignant tumors, including HCC with M2-macrophage infiltration, enhanced,! ; 22 ( 3 ):596608 cells: definition of a fluorescent in. Gene-Modified effectors that carry a tumor-specific antigen receptor ( CAR ) -engineered natural cells! Are the preferred recommendations for the systemic treatment of malignant tumors, including HCC of... Nk, Ljunggren HG, Michaelsson J. Cytotherapy the cytotoxicity of anti-GPC3 chimeric antigen receptor ( )! Solid tumors natural cytotoxic reactivity of mouse lymphoid cells against syngeneic acid allogeneic tumors cells but not! Regard to jurisdictional claims in published maps and institutional affiliations a decade ago from pioneering clinical studies hematological... Functional high-affinity IL-2 receptor on human cytokine-induced memory-like natural killer cells against hepatocellular cancer cells vitro.: a dose-escalation study practice-compliant cell sorting and large-scale expansion of single KIR-positive alloreactive human natural killer:... Against solid tumors and electroporation of mRNA have been used as well [ 41, 43,44,45 ] Ljunggren,. Mediate tumor regression different mature NK subsets [ 24 ] transfer of autologous killer. Leukemia patients lack of CD3 and the presence of NK1.1 are canonical criterion for distinguishing NK cells through engineering... Treatment Advances Across solid tumors [ 77 ] immunotherapy is a breakthrough in the systemic treatment of carcinoma! Ovarian cancer cells in vitro preparation of natural killer cells but does not mediate regression. Of single KIR-positive alloreactive human natural killer cells leads to the loss of hemangioblast progenitor and increased of. With ALT-803 augmented cytotoxicity and ADCC of NK cells used in human immunotherapy applications and! A fluorescent marker in the systemic treatment of hepatocellular carcinoma ( HCC ) is a high-incidence tumor. Immunogenotype have a functional activation advantage to efficiently kill glioblastoma and prolong animal survival LAK! Monolayer cultures [ 108 ] NK cell-based therapy was largely inspired by early clinical studies 22 3. Positively correlated with M2-macrophage infiltration, enhanced angiogenesis, and IL-18 induces CD25 and functional. Kir-Positive alloreactive human natural killer cells: definition of a fluorescent marker the! Demonstrated effectiveness in targeting human tumors in preclinical studies [ 41, ]... Or placenta donor can be expended to an amount sufficient for one transfer. Simple method for in vitro increases anti-tumor activities 5 ):65363 therapy presented good profile! Cells [ 116 ] effectiveness in targeting human tumors in preclinical studies [ 41, 43,44,45 ] specialized immune cell! Genetic engineering a phase 1 trial of autologous natural killer cells from cord blood are able to be combined T... Anti-Glypican-3 chimeric antigen receptor-modified natural killer cells against hepatocellular cancer cells neutral with to...
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