Development of NKG2D-based chimeric antigen receptor-T cells for gastric cancer treatment

Kelong Tao1, Meng He2, Feng Tao1

  • 1Department of Gastrointestinal Surgery, Shaoxing People's Hospital (Shaoxing Hospital, Zhejiang University School of Medicine), No. 568 Zhongxing North Road, Shaoxing, 312000, Zhejiang, People's Republic of China.

Insights

Novel chimeric antigen receptor (CAR) T-cell therapy targeting NKG2D ligands shows potent anti-gastric cancer activity. This NKG2D-CAR-T therapy suppressed tumor growth in vivo and may offer new treatment options for advanced gastric cancer.

Area of Science:

  • Immunotherapy
  • Oncology
  • Cellular Therapy

Background:

  • Gastric cancer is a leading cause of cancer mortality with limited treatment options for advanced stages.
  • Chimeric antigen receptor (CAR) T-cell therapy has shown success in blood cancers and is being explored for solid tumors.
  • NKG2D ligands are broadly expressed on gastric cancer cells, indicating potential therapeutic targets.

Purpose of the Study:

  • To evaluate the efficacy of NKG2D-based CAR T-cells against gastric cancer.
  • To investigate the combination of NKG2D-CAR-T therapy with chemotherapy.

Main Methods:

  • Engineering T-cells with a second-generation NKG2D-based CAR (NKG2D-CAR-T cells).
  • Assessing in vitro cytolytic activity of NKG2D-CAR-T cells against gastric cancer cell lines.
  • Evaluating in vivo anti-tumor efficacy in gastric cancer xenograft models.
  • Investigating the effect of cisplatin on NKG2D ligand expression and CAR-T cell susceptibility.

Main Results:

  • NKG2D-CAR-T cells exhibited significantly enhanced cytolytic activity against gastric cancer cells compared to control T-cells.
  • NKG2D-CAR-T cells significantly suppressed the growth of established gastric cancer xenografts in vivo.
  • Cisplatin treatment upregulated NKG2D ligand expression on gastric cancer cells, increasing their susceptibility to NKG2D-CAR-T cell-mediated killing.

Conclusions:

  • NKG2D-based CAR-T cells demonstrate potent in vitro and in vivo anti-tumor activity against gastric cancer.
  • This therapy holds promise as a novel treatment strategy for gastric cancer, potentially in combination with chemotherapy.

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