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Updated: Feb 25, 2026

Advances in Human Induced Pluripotent Stem Cell-Derived Chimeric Antigen Receptor-Expressing Natural Killer Cells
Published on: February 14, 2025
'Atypical' CAR T cells: NKG2D and Erb-B as examples of natural receptor/ligands to target recalcitrant solid tumors
David E Gilham1, John Maher2,3,4
1Research & Development, Celyad S.A., Axis Business Park, Rue Edouard Belin 2, B-1435 Mont Saint Guibert, Belgium.
Abstract:
Chimeric antigen receptor (CAR) T-cell therapy has recently been recommended for approval for certain B-cell malignancies bringing the approach closer to mainstream cancer treatment. This rapid rise to prominence has been driven by impressive clinical results and the means to successfully commercialize the approach now being actively pursued. The current success of CAR T cells in B-cell malignancies relies upon the absolute lineage specificity of the CD19 antigen. CARs can also be targeted using non-antibody approaches, including the use of receptors and ligands to provide target specificity that have different specificities and binding kinetics. The specific examples of NKG2D and Erb-B are used that provide different characteristics and target profiles for CAR T-cell therapy of cancer.
Insights
Chimeric antigen receptor (CAR) T-cell therapy shows promise for B-cell cancers, leveraging CD19 specificity. Alternative CAR T-cell targeting methods using receptors and ligands offer diverse cancer treatment profiles.
Area of Science:
- Immunotherapy
- Oncology
- Cellular Therapy
Background:
- Chimeric antigen receptor (CAR) T-cell therapy is nearing mainstream adoption for B-cell malignancies due to clinical success.
- Current CAR T-cell efficacy in B-cell cancers depends on the specific CD19 antigen target.
- Commercialization efforts are actively underway for CAR T-cell therapies.
Purpose of the Study:
- To explore alternative targeting strategies for CAR T-cell therapy beyond antibody-based approaches.
- To evaluate the potential of non-antibody CAR designs, such as those utilizing receptors and ligands, for cancer treatment.
- To compare the distinct characteristics and target profiles of different CAR T-cell targeting methods.
Main Methods:
- Investigated CAR T-cell constructs employing receptor-ligand interactions for target recognition.
- Examined the specificity and binding kinetics of non-antibody CAR designs.
- Utilized NKG2D and Erb-B as specific examples of alternative targeting moieties.
Main Results:
- Demonstrated that non-antibody targeting approaches can provide alternative specificities and binding kinetics for CAR T-cells.
- Highlighted the distinct target profiles offered by NKG2D-based and Erb-B-based CAR T-cell therapies.
- Showcased the versatility of CAR T-cell technology beyond CD19-specific targeting.
Conclusions:
- CAR T-cell therapy can be effectively targeted using non-antibody methods, expanding therapeutic options.
- Receptor and ligand-based CARs offer diverse characteristics suitable for various cancer types.
- These alternative strategies hold potential for broadening the application of CAR T-cell therapy in oncology.
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