1. [Allogeneic CAR-NK cells: A promising alternative to autologous CAR-T cells - State of the art, sources of NK cells, limits and perspectives].
- Author
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Nguyen S, Lacan C, and Roos-Weil D
- Subjects
- Antibody-Dependent Cell Cytotoxicity, Blood Cells, Cell Engineering, Cell Line, Fetal Blood cytology, Hematologic Neoplasms immunology, Hematologic Neoplasms therapy, Hematopoietic Stem Cell Transplantation, Humans, Induced Pluripotent Stem Cells cytology, Killer Cells, Natural cytology, Killer Cells, Natural immunology, Lymphocyte Activation, Neoplasms immunology, Neoplasms therapy, T-Lymphocytes cytology, T-Lymphocytes immunology, Allogeneic Cells cytology, Allogeneic Cells immunology, Immunotherapy, Adoptive methods, Killer Cells, Natural transplantation, Receptors, Chimeric Antigen immunology, T-Lymphocytes transplantation
- Abstract
Immunotherapy with chimeric antigen receptor engineered-T cells (CAR-T) has revolutionized the landscape of treatment of relapsed or refractory B-cell. However, the use of autologous T cells has limitations: variable quality of collected effector T cells, duration of the process sometimes incompatible with uncontrolled hemopathy, limited number of available CAR cells, sometimes fatal toxicities, extremely high cost. Natural Killer (NK) cells are an interesting alternative to T cells. NK cells are very powerful cytotoxic effectors that have demonstrated an anti-tumor effect after haploidentical hematopoietic stem cells transplantation or in adoptive cell therapy against a number of solid or hematological tumors. Mainly, they can be used in allogeneic situations without causing major toxic side effects. The sources of NK cells are multiple: cell line, cord blood, peripheral blood, induced pluripotent stem cells. Recent advances in manufacturing engineered CAR-NK cells make it possible to promote antibody-dependent cell-mediated cytotoxicity (ADCC), as well as the activation and persistence of these cells, notably via the cytokine Il-15. The majority of the reports on CAR-NK cells concern pre-clinical or early clinical trials. However, the many advantages of "off-the-shelf" allogeneic CAR-NK cells provide great potential in cancer treatments., (Copyright © 2021. Published by Elsevier Masson SAS.)
- Published
- 2021
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