1. Nonviral technologies can pave the way for CAR-NK cell therapy.
- Author
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Bexte T, Reindl LM, and Ullrich E
- Subjects
- Humans, Immunotherapy, Adoptive methods, Killer Cells, Natural, Immunotherapy methods, Cell- and Tissue-Based Therapy, Receptors, Chimeric Antigen genetics, Neoplasms
- Abstract
Natural killer cells are a promising platform for cancer immunotherapy. Natural killer cells have high intrinsic killing capability, and the insertion of a chimeric antigen receptor can further enhance their antitumor potential. In first-in-human trials, chimeric antigen receptor-natural killer cells demonstrated strong clinical activity without therapy-induced side effects. The applicability of natural killer cells as an "off-the-shelf" product makes them highly attractive for gene-engineered cell therapies. Traditionally, viral transduction has been used for gene editing; however, the use of viral vectors remains a safety concern and is associated with high costs and regulatory requirements. Here, we review the current landscape of nonviral approaches for chimeric antigen receptor-natural killer cell generation. This includes transfection of vector particles and electroporation of mRNA and DNA vectors, resulting in transient modification and chimeric antigen receptor expression. In addition, using nonviral transposon technologies, natural killer cells can be stably modified ensuring long-lasting chimeric antigen receptor expression. Finally, we discuss CRISPR/Cas9 tools to edit key genes for natural killer cell functionality., Competing Interests: Conflict of interest disclosure E.U. is an Advisory Board member of Phialogics and has sponsored research projects with Gilead and BMS. T.B. and E.U. have patent applications related to gene modification technologies for NK cells. The other authors declare no competing financial interest related to the presented work., (© The Author(s) 2023. Published by Oxford University Press on behalf of Society for Leukocyte Biology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
- Published
- 2023
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