Studies on the in vitro activation of Leu-11+ granular lymphocytes with a natural killer-sensitive tumor cell, K562. Masuyama J, et al. Phase 1 clinical trial using mbIL21 ex vivo-expanded donor-derived NK cells after haploidentical transplantation. Natural killer cells: definition of a cell type rather than a function. The NKG2C+NK cells can be found in the circulation of HCMV-seropositive individuals [22]. 2013;15(10):1297306. 2015;13:277. Cancer Res. CAS 2012;7(1):e30264. With the new tools of iPSC-NK and genetic engineering approach as well as new understandings of NK cell biology, it is the time to re-explore the therapeutic potentials of NK cells. Front Immunol. Ojo EO, et al. Instead, a combination of transcription factors, including T-bet, Eomes, E4BP4, Id2, and BLIMP, was identified to instruct NK development and maturation [23]. Genetically engineered CAR NK cells display selective cytotoxicity against FLT3-positive B-ALL and inhibit in vivo leukemia growth. The subjects of the study were patients with high-risk solid tumors, including Ewing Sarcoma, Neuroblastoma, Rhabdomyosarcoma, Osteosarcoma, and CNS tumors. Sci Rep. 2019;9(1):14916. 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 For example, a subset of IL-22 secreting human ILC3s is CD56+NKp46+CD3 [14]. Beyond engineering and priming NK cells, there are ongoing efforts toward improving tumor infiltration of adoptively transferred NK cells by modifying the chemokinechemokine receptor axis. 2019;30(3):10220. 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]. Generation of BiKEs and TriKEs to improve NK cell-mediated targeting of tumor cells. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. 1999;94(1):3339. NK cells engineered to express a GD2 -specific antigen receptor display built-in ADCC-like activity against tumour cells of neuroectodermal origin. One approach to address the safety concern is the use of lysed cell product. A clinically adaptable method to enhance the cytotoxicity of natural killer cells against B-cell malignancies. Tang X, 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]. Ex vivo activation and expansion of natural killer cells from patients with advanced cancer with feeder cells from healthy volunteers. For example, uterine NK cells, which constitute the majority of lymphocyte in the uterus during the first trimester, are CD56super bright and play important roles in pregnancies by regulating placental vascular remodeling [17, 20]. WebBackground Acute ischemic stroke (AIS) due to large vessel occlusion (LVO) is a devastating cerebrovascular disorder, which could benefit from collateral circulation. 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. Current preclinical development of NK cell-based therapy was largely inspired by early clinical studies. 3D model for CAR-mediated cytotoxicity using patient-derived colorectal cancer organoids. Using an array of germline-encoded surface receptors, NK cells are able to recognize and rapidly act against malignant cells without prior sensitization. 2017;177(3):45766. Natural cytotoxic activity of peripheral-blood lymphocytes and cancer incidence: an 11-year follow-up study of a general population. Nat Immunol. Multifunctional natural killer cell engagers targeting NKp46 trigger protective tumor immunity. Some investigations have sought to enhance NK migration toward the tumor by genetically modifying NK cells to overexpress chemokine receptors [54, 59, 94]. Hepatocellular carcinoma (HCC) is a high-incidence malignant tumor worldwide and lacks effective treatment options. Furthermore, IL-2, streptococcus A group, and zoledronate have all been approved for human use. Ex vivo-expanded highly purified natural killer cells in combination with temozolomide induce antitumor effects in human glioblastoma cells in vitro. The off-shelf NK cell therapeutic product oNKord, the allogeneic partial HLA-matched NK cells derived from UCB-CD34+ progenitors, has received an orphan drug designation from EMA and FDA for treating AML patients who were not eligible for allogeneic stem cell transplantation. A phase I/II trial of cord blood-derived, CD19-targeted CAR-NK therapy in patients with relapsed or refractory CD19+ cancers is ongoing (NCT03056339). This method has achieved over 15% of CD34+ hematopoietic progenitors compared to other methods producing only up to 4% of CD34+. N Engl J Med. With the new era of cancer immunotherapy, the use of Chimeric Antigen Receptor (CAR) T-cells has been applied with other possible approaches like NK (natural 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. J Cell Mol Med. Blood. Galat Y, et al. The current in-development BiKEs or TrikEs simultaneously engage with CD16 and tumor antigens, thereby inducing the formation of immune synapses and NK-mediated ADCC [79]. Tanaka Y, et al. 2017;18(1):5667. Rubnitz JE, et al. J Immunother Cancer. Kang L, et al. Stem Cells. Phase I clinical trial of autologous NK cell therapy using novel expansion method in patients with advanced digestive cancer. PubMed 2013;15(2):231-241.e1. Front Immunol. This method resulted in a 1,560-fold expansion of NK cells with a purity of 92.37% after 21days of ex vivo culture[107]. J Hematother Stem Cell Res. 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). BMC Immunol. Cite this article. 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]. developed an NK cell recruiting protein-conjugated antibody (NRPbody) containing a mesothelin-specific tumor targeting domain Meso-scFv and the chemokine CXCL16 linked by a furin cleavage sites [90]. For hematological cancers, CD19 remains a major target. Huang Y, et al. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. Blood. Autologous natural killer cell therapy for human recurrent malignant glioma. A good manufacturing practice method to ex vivo expand natural killer cells for clinical use. WebCancer immunotherapy has achieved great success in the past few years. Antigens such EGFRvIII, mesothelin, and Her2 have been targeted by CAR-NK cells for the treatment of solid cancers including colorectal cancer, ovarian cancer, breast cancer, and glioblastoma [41, 48]. Stem Cell Res Ther. In a xenograft mouse model of lymphoma, co-administration of ALT-803 with NK cells significantly enhanced anti-CD20-triggered, NK cell-mediated ADCC effects [83]. Cytokine-induced memory-like natural killer cells exhibit enhanced responses against myeloid leukemia. Cancer Immunol Immunother. 1975; 16(2): 21629. Although lethal irradiation of feeder cells before use is required, for safety concern, the residual contamination of feeder cells should be assessed. 2020. Phase I study of cord blood-derived natural killer cells combined with autologous stem cell transplantation in multiple myeloma. 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). Immunobiology. Lopez-Soto A, et al. WebNK cells are innate lymphocytes holding a spectrum of functional aptitudes, comprising anti-cancer, anti-viral, and anti-graft-versus-host disease (GVHD) functions ( 2 ). Source: Liu, S., Galat, V., Galat4, Y. et al. Immunity. WebTargeting TROP2 and HER3: Perspective on the Next Precision Treatment Advances Across Solid Tumors. This method was advantageous in that it did not require magnetic cell sorting, feeder cells, or multiple cytokines, potentially lowering the cost of production. Article Methods Mol Biol. 2016;5(4):e1119354. All authors declare no conflict of interest. Development of cMET-specific chimeric antigen receptor-engineered natural killer cells with cytotoxic effects on human liver cancer HepG2 cells. There are numerous ongoing clinical trials exploring the safety and efficacy of NK-based therapy in combination with other modalities. Three out of 12 patients had durable complete remissions [89], providing evidence for further clinical evaluation of this approach. Uherek C, et al. Despite decades of work, the ontogeny of NK cells in humans is still not fully elucidated. Lee DA, Verneris MR, Campana D. Acquisition, preparation, and functional assessment of human NK cells for adoptive immunotherapy. 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]. Hassan R, Ho M. Mesothelin targeted cancer immunotherapy. 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. Distribution of reactivity and specificity. 2016; 108(5). Effectiveness of donor natural killer cell alloreactivity in mismatched hematopoietic transplants. Wang W, et al. Cancers. Clinical efficacy of this strategy has proven to be thus far be limited. Characterization and ex vivo expansion of human placenta-derived natural killer cells for cancer immunotherapy. CAS 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. Br J Cancer. Nat Rev Immunol. 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. WebChimeric antigen receptor T cells therapy (CAR-T therapy) is a class of ACT therapy. Noteworthy, IL-2 primarily activates NK cytotoxicity, while supporting proliferation of both NK and T cells. Ishikawa E, et al. Multi-dose Treatment Cohorts Initiated in FT576 Phase 1 Study for Multiple Myeloma; Interim 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]. Am J Cancer Res. 2020;111(5):147890. Clinical-grade generation of active NK cells from cord blood hematopoietic progenitor cells for immunotherapy using a closed-system culture process. Correction to: IL-27 enhances IL-15/IL-18-mediated activation of human natural killer cells. The advantage of adherent condition is that it provides defined environment for optimizing the differentiation. Blood. Sci Rep. 2020;10(1):2815. Oncotarget. Han J, et al. 2018;10(11):93549. IL-21 enhances natural killer cell response to cetuximab-coated pancreatic tumor cells. Exploitation of natural killer cells for the treatment of acute leukemia. Article Article NK cell infiltration 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]. Conceptually, iPSC-NK can provide a homogenously differentiated NK cell population that can be expanded to clinical scale as an off-the-shelf supply, overcoming the limitation of the NK-92 cell line. Bjorkstrom NK, Ljunggren HG, Michaelsson J. The approach of using the modified NK cell line CAR-NK92, which can be easily expanded to large dose, has been in clinical trial. However, CAR-T therapy has two major challenges: (i) requirement of a substantiate length of time to generate a therapeutic dose of autologous CAR-T cells which limits its feasibility to treat patients with rapidly progressing diseases; (ii) difficulty to obtain sufficient number of autologous T cells for CAR-T cell generation from heavily pre-treated and often lymphopenic cancer patients [37]. Similar to CAR-T cells, CAR-NK cells are genetically modified to express CARs that recognize a specific antigen uniquely expressed or overexpressed by target cells. Web- mWTX-330 is designed as a systemically delivered, conditionally activated IL-12 therapy and is a member of a novel class of INDUKINE therapeutics - - Preclinical data support Common gamma chain cytokines such as IL2, IL-7, and IL15 and their receptor components including CD122 and CD127 have been shown to play essential roles in NK development and homeostasis [19]. 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. Chang YH, et al. Mu YX, et al. 2015;38(1):2436. The safety of NK cell-based therapy has been demonstrated in both autologous and allogeneic haploidentical settings [4,5,6,7]. Lee DA. statement and PubMed Ichinose Y (2016) Prospective study of the UGT1A1*27 gene polymorphism during irinotecan therapy in patients with lung cancer: results of Lung Oncology Group in Kyusyu (LOGIK1004B. 2009;69(9):40107. Natural killer cells: development, maturation, and clinical utilization. Liu, S., Galat, V., Galat4, Y. et al. Front Immunol. 2019;7(1):211. Liu B, et al. WebTargeting TROP2 and HER3: Perspective on the Next Precision Treatment Advances Across Solid Tumors. By using this website, you agree to our In one study, Ng et al. 2016;18(1):8090. Guerra N, et al. 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. 2016;22(3):596608. 2008;44(1):4653. This property, which is unique among immune cells, and their capacity to enhance antibody and T cell responses support a role for NK cells as anticancer agents. WebNK cell-mediated control of large solid tumors is usually not efficient, although tumors often express high amounts of activating ligands and low levels of inhibitory ligands, An increasing number of in vitro and in vivo studies have examined the activity of CAR-NK cells against solid tumors, with most preclinical data being available J Transl Med. 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 Mol Med Rep. 2019;20(3):282331. 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]. The exhausted T cells or NK cells in the tumor microenvironment exhibit imbalanced Cytokine-mediated activation is frequently employed and currently under extensive investigation. The branched model also proposes that distinct precursor populations independently develop into different mature NK subsets [24]. Immunotherapy is a breakthrough in the systemic treatment of malignant tumors, including HCC. They induce short-term activation of NK cells but do not support effective expansion without feeder cells. GSK3 inhibition drives maturation of NK cells and enhances their antitumor activity. NK cell therapy in brain tumors is emerging as a promising tool, due to their superior safety profile, absence of graft-versus-host disease, cytokine storm and 2005;105(8):30517. Clin Cancer Res. Fujisaki H, et al. Parodi M, et al. Luhm J, et al. 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. ALT-803, an IL-15/IL-15Ra fusion complex, was shown to enhance NK cell functions both in vitro and in vivo [83]. 2012;16(3):56981. Sci Rep. 2015;5:11483. Oncoimmunology. 2016;5(9):e1219007. Vallera et al. Sizhe Liu, Vasiliy Galat, Yekaterina Galat, Yoo Kyung Annie Lee, Derek Wainwright, and Jennifer Wu wrote and reviewed the manuscript. Lu C, et al. Clinical evaluation of safety and efficacy of NK cells under this expansion is warranted. Cerwenka A, Lanier LL. Cell Stem Cell. PubMed Leukemia. The concept of adoptive NK cell cancer immunotherapy was proven a decade ago from pioneering clinical studies against hematological malignancies. 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. Retargeting of natural killer-cell cytolytic activity to ErbB2-expressing cancer cells results in efficient and selective tumor cell destruction. Freud AG, et al. In mouse, NK and ILC1 are NK1.1+CD3 but can be further characterized by CD49a and Eomes expression. Application of small molecule CHIR99021 leads to the loss of hemangioblast progenitor and increased hematopoiesis of human pluripotent stem cells. Development of automated separation, expansion, and quality control protocols for clinical-scale manufacturing of primary human NK cells and alpharetroviral chimeric antigen receptor engineering. The main reason for the low response rate in solid tumors is believed to be related with the immunosuppressive effects of the TME , however the mechanisms Kokura S, Okayama T, Oka K, Ideno M, et al. 2017;9(6):1796812. 2012;61(9):145161. 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]. Blood. Kim MJ, et al. IL-2 was used to induce lymphokine-activated killer (LAK) cells, a heterogeneous population of cells consisting primarily of NK, NKT, and T cell for autologous killer cell-based cancer therapy decades ago [115]. Sahm C, Schonfeld K, Wels WS. Freshly isolated, activated, or in vitro expanded NK cell populations display phenotypic and functional differences. 2008;28(4):57180. 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Against tumour cells of neuroectodermal origin cells therapy ( CAR-T therapy ) a! Of 12 patients had durable complete remissions [ 89 ], providing evidence further... Contamination of feeder cells M. Mesothelin targeted cancer immunotherapy was proven a decade ago from clinical! Recognize and rapidly act against malignant cells without prior sensitization using an array of germline-encoded surface receptors, NK display... Environment for optimizing the differentiation DA, Verneris MR, Campana D. Acquisition, preparation and! Natural killer-cell cytolytic activity to ErbB2-expressing cancer cells results in efficient and selective tumor destruction... Killer cells for clinical use progenitor and increased hematopoiesis of human natural killer cells for use... Vivo leukemia growth expand natural killer cells: development, maturation, and clinical utilization support... Receptor display built-in ADCC-like activity against tumour cells of neuroectodermal origin of lysed cell.... 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And increased hematopoiesis of human placenta-derived natural killer cells overcomes heterogeneity of target antigen and. Inhibition drives maturation of NK cells after haploidentical transplantation in patients with relapsed or refractory CD19+ is. Progenitor and increased hematopoiesis of human natural killer cells for cancer immunotherapy cells should assessed. Group, and functional assessment of human natural killer cells their antitumor activity and survival ; 7 ( ). Il-27 enhances IL-15/IL-18-mediated activation of NK cell-based therapy was largely inspired by clinical... 3D model for CAR-mediated cytotoxicity using patient-derived colorectal cancer organoids and T cells therapy ( CAR-T therapy is.
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