From CAR-T Cells to CAR-NK Cells: A Developing Immunotherapy Method for Hematological Malignancies

被引:92
作者
Lu, Hui [1 ]
Zhao, Xiaoyan [1 ]
Li, Ziying [1 ]
Hu, Yu [1 ]
Wang, Huafang [1 ]
机构
[1] Huazhong Univ Sci & Technol, Union Hosp, Dept Hematol, Tongji Med Coll, Wuhan, Peoples R China
基金
中国国家自然科学基金;
关键词
chimeric antigen receptor; natural killer cells; T cells; immunotherapy; hematological malignancies; NATURAL-KILLER-CELLS; CHIMERIC-ANTIGEN-RECEPTOR; CLINICAL-TRIAL; NK-92; CELLS; CELLULAR IMMUNOTHERAPY; MYELOID MALIGNANCIES; VIVO EXPANSION; MESSENGER-RNA; STEM-CELLS; PHASE-II;
D O I
10.3389/fonc.2021.720501
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The approval of CD19 chimeric antigen receptor (CAR)-engineered T (CAR-T) cell products in B-cell malignancies represents a breakthrough in CAR-T cell immunotherapy. However, the remaining limitations concerning the graft-versus-host disease (GVHD) and other adverse effects (e.g., cytokine release syndromes [CRS] and neurotoxicity) still restrict their wider applications. Natural killer (NK) cells have been identified as promising candidates for CAR-based cellular immunotherapy because of their unique characteristics. No HLA-matching restriction and abundant sources make CAR-engineered NK (CAR-NK) cells potentially available to be off-the-shelf products that could be readily available for immediate clinical use. Therefore, researchers have gradually shifted their focus from CAR-T cells to CAR-NK cells in hematological malignancies. This review discusses the current status and applications of CAR-NK cells in hematological malignancies, as well as the unique advantages of CAR-NK cells compared with CAR-T cells. It also discusses challenges and prospects regarding clinical applications of CAR-NK cells.
引用
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页数:13
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