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Updated: Feb 6, 2026

Generation of Human Chimeric Antigen Receptor Regulatory T Cells
Published on: January 3, 2025
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.
Abstract:
Gastric cancer is the third leading cause of cancer-related mortalities worldwide and mostly incurable. It remains an urgent need for novel strategies in the management of patients with advanced gastric cancer. Chimeric antigen receptor (CAR) T therapy has shown unprecedented clinical success in hematological malignancies and potential utility is going on various solid tumors like gastric cancer. In this study, a broad expression of NKG2D ligands was observed in gastric cancer cell lines, making them suitable targets for gastric cancer therapy. T cells were engineered with an NKG2D-based second-generation CAR and the resulting NKG2D-CAR-T cells showed significantly increased cytolytic activity against gastric cancer compared to untransduced T cells. In vivo, these cells can significantly suppressed the growth of established gastric cancer xenografts. Besides, cisplatin was shown to upregulate NKG2D ligand expression in gastric cancer cells and enhance the susceptibility to NKG2D-CAR-T-cell-mediated cytotoxicity. In conclusion, NKG2D-based CAR-T cells have potent in vivo and in vitro anti-tumor activities against gastric cancer and could be a new paradigm for patients with gastric cancer, either used alone or combined with chemotherapy.
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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