Synergistic treatment strategy: combining CAR-NK cell therapy and radiotherapy to combat solid tumors

被引:15
作者
He, Jie [1 ,2 ]
Yan, Yushan [1 ,2 ]
Zhang, Jun [3 ]
Wei, Zhiming [3 ]
Li, Huashun [3 ]
Xing, Ligang [1 ,2 ]
机构
[1] Southwest Med Univ, Affiliated Hosp, Dept Oncol, Luzhou, Peoples R China
[2] Shandong First Med Univ & Shandong Acad Med Sci, Shandong Canc Hosp & Inst, Jinan, Peoples R China
[3] Asclepius Soochow Technol Co Grp, Suzhou, Jiangsu, Peoples R China
关键词
chimeric antigen receptor; radiotherapy; solid tumors; tumor microenvironment; natural killer cells; NATURAL-KILLER-CELLS; REGULATORY T-CELLS; CHIMERIC ANTIGEN RECEPTOR; DOSE IONIZING-RADIATION; GAMMA PRODUCTION; IMMUNE FUNCTION; BREAST-CANCER; IRRADIATION; EXPRESSION; EFFICACY;
D O I
10.3389/fimmu.2023.1298683
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Immunotherapy, notably chimeric antigen receptor (CAR) modified natural killer (NK) cell therapy, has shown exciting promise in the treatment of hematologic malignancies due to its unique advantages including fewer side effects, diverse activation mechanisms, and wide availability. However, CAR-NK cell therapies have demonstrated limited efficacy against solid tumors, primarily due to challenges posed by the solid tumor microenvironment. In contrast, radiotherapy, a well-established treatment modality, has been proven to modulate the tumor microenvironment and facilitate immune cell infiltration. With these observations, we hypothesize that a novel therapeutic strategy integrating CAR-NK cell therapy with radiotherapy could enhance the ability to treat solid tumors. This hypothesis aims to address the obstacles CAR-NK cell therapies face within the solid tumor microenvironment and explore the potential efficacy of their combination with radiotherapy. By capitalizing on the synergistic advantages of CAR-NK cell therapy and radiotherapy, we posit that this could lead to improved prognoses for patients with solid tumors.
引用
收藏
页数:12
相关论文
共 120 条
[2]   Natural killer-like signature observed post therapy in locally advanced rectal cancer is a determinant of pathological response and improved survival [J].
Alderdice, Matthew ;
Dunne, Philip D. ;
Cole, Aidan J. ;
O'Reilly, Paul G. ;
McArt, Darragh G. ;
Bingham, Vicky ;
Fuchs, Marc-Aurel ;
McQuaid, Stephen ;
Loughrey, Maurice B. ;
Murray, Graeme I. ;
Samuel, Leslie M. ;
Lawler, Mark ;
Wilson, Richard H. ;
Salto-Tellez, Manuel ;
Coyle, Vicky M. .
MODERN PATHOLOGY, 2017, 30 (09) :1287-1298
[3]   Enhanced targeting of stem-like solid tumor cells with radiation and natural killer cells [J].
Ames, Erik ;
Canter, Robert J. ;
Grossenbacher, Steven K. ;
Mac, Stephanie ;
Smith, Rachel C. ;
Monjazeb, Arta M. ;
Chen, Mingyi ;
Murphy, William J. .
ONCOIMMUNOLOGY, 2015, 4 (09) :1-11
[4]  
Anderson NM, 2020, CURR BIOL, V30, pR921, DOI 10.1016/j.cub.2020.06.081
[5]   Damage-associated molecular patterns in tumor radiotherapy [J].
Ashrafizadeh, Milad ;
Farhood, Bagher ;
Musa, Ahmed Eleojo ;
Taeb, Shahram ;
Najafi, Masoud .
INTERNATIONAL IMMUNOPHARMACOLOGY, 2020, 86
[6]   Ionizing radiation-induced metabolic oxidative stress and prolonged cell injury [J].
Azzam, Edouard I. ;
Jay-Gerin, Jean-Paul ;
Pain, Debkumar .
CANCER LETTERS, 2012, 327 (1-2) :48-60
[7]   STING-dependent cytosolic DNA sensing pathways [J].
Barber, Glen N. .
TRENDS IN IMMUNOLOGY, 2014, 35 (02) :88-93
[8]   The tumour microenvironment after radiotherapy: mechanisms of resistance and recurrence [J].
Barker, Holly E. ;
Paget, James T. E. ;
Khan, Aadil A. ;
Harrington, Kevin J. .
NATURE REVIEWS CANCER, 2015, 15 (07) :409-425
[9]   Ionizing radiation modulates the phenotype and function of human CD4+induced regulatory T cells [J].
Beauford, Samantha S. ;
Kumari, Anita ;
Garnett-Benson, Charlie .
BMC IMMUNOLOGY, 2020, 21 (01)
[10]   IONIZING-RADIATION INDUCES HUMAN INTERCELLULAR-ADHESION MOLECULE-1 IN-VITRO [J].
BEHRENDS, U ;
PETER, RU ;
HINTERMEIERKNABE, R ;
EISSNER, G ;
HOLLER, E ;
BORNKAMM, GW ;
CAUGHMAN, SW ;
DEGITZ, K .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1994, 103 (05) :726-730