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Updated: May 1, 2026

Advances in Human Induced Pluripotent Stem Cell-Derived Chimeric Antigen Receptor-Expressing Natural Killer Cells
Published on: February 14, 2025
NKG2D CARs as cell therapy for cancer
Charles L Sentman1, Kenneth R Meehan
1From the *Department of Microbiology and Immunology, and †Section of Hematology and Oncology, Department of Medicine, The Geisel School of Medicine at Dartmouth, Lebanon, NH.
Abstract:
The NKG2D cell receptor and its ligands have attracted considerable interest as a potential strategy to attack tumor cells. NKG2D ligands are expressed on most types of tumors, and they demonstrate relative selectivity of ligand expression on tumor cells compared to healthy cells. Several different variants of NKG2D-based chimeric antigen receptors (CARs) have been developed, and extensive in vivo mechanistic studies performed demonstrated that cytotoxicity and cytokines are important for the efficacy NKG2D CAR adoptive T-cell therapy. NKG2D CARs target tumor cells, and they also target immunosuppressive cells within the tumor microenvironment. Under certain conditions, NKG2D ligand expression can be found on nontumor tissue, so potential off-tumor toxicity remains. In this article, we review the use of NKG2D as a basis for CAR targeting of tumors.
Insights
Chimeric antigen receptors (CARs) targeting the NKG2D receptor show promise for cancer immunotherapy by attacking tumor cells and immunosuppressive cells. Further research is needed to address potential off-tumor toxicity.
Area of Science:
- Immunology
- Oncology
- Cell Biology
Background:
- The NKG2D receptor and its ligands are crucial in immune surveillance against tumors.
- NKG2D ligands exhibit selective expression on tumor cells versus healthy tissues.
- NKG2D-based chimeric antigen receptors (CARs) are being explored for cancer therapy.
Purpose of the Study:
- To review the development and efficacy of NKG2D-based CARs for tumor targeting.
- To discuss the mechanisms of action, including cytotoxicity and cytokine release.
- To highlight the potential of NKG2D CARs in targeting both tumor and immunosuppressive cells.
Main Methods:
- Review of existing literature on NKG2D CARs and their in vivo studies.
- Analysis of mechanistic data regarding T-cell mediated cytotoxicity and cytokine production.
- Evaluation of studies investigating NKG2D ligand expression on tumor and non-tumor tissues.
Main Results:
- NKG2D CARs demonstrate efficacy through T-cell mediated cytotoxicity and cytokine release.
- NKG2D CARs can target tumor cells and immunosuppressive cells within the tumor microenvironment.
- NKG2D ligand expression on healthy tissues presents a potential challenge for off-tumor toxicity.
Conclusions:
- NKG2D-based CARs represent a promising strategy for cancer immunotherapy.
- Further investigation is required to optimize NKG2D CAR therapy and mitigate potential toxicities.
- Understanding NKG2D ligand expression is key to maximizing therapeutic benefits.
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