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Updated: Jan 22, 2026

Generation of Knock-out Primary and Expanded Human NK Cells Using Cas9 Ribonucleoproteins
Published on: June 14, 2018
Genetic reprogramming for NK cell cancer immunotherapy with CRISPR/Cas9
Lukman O Afolabi1,2,3, Adeleye O Adeshakin1,2, Musbahu M Sani3
1Shenzhen Laboratory of Antibody Engineering, Institute of Biomedicine and Biotechnology, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
Abstract:
Natural killer cells are potent cytotoxic lymphocytes specialized in recognizing and eliminating transformed cells, and in orchestrating adaptive anti-tumour immunity. However, NK cells are usually functionally exhausted in the tumour microenvironment. Strategies such as checkpoint blockades are under investigation to overcome NK cell exhaustion in order to boost anti-tumour immunity. The discovery and development of the CRISPR/Cas9 technology offer a flexible and efficient gene-editing capability in modulating various pathways that mediate NK cell exhaustion, and in arming NK cells with novel chimeric antigen receptors to specifically target tumour cells. Despite the high efficiency in its gene-editing capability, difficulty in the delivery of the CRISPR/Cas9 system remains a major bottleneck for its therapeutic applications, particularly for NK cells. The current review discusses feasible approaches to deliver the CRISPR/Cas9 systems, as well as potential strategies in gene-editing for NK cell immunotherapy for cancers.
Insights
Natural killer (NK) cells fight tumors but are often exhausted. Gene editing with CRISPR/Cas9 offers a way to enhance NK cell therapies for cancer, overcoming exhaustion and improving immune response.
Area of Science:
- Immunology
- Cancer Biology
- Gene Therapy
Background:
- Natural killer (NK) cells are crucial cytotoxic lymphocytes for identifying and eliminating cancer cells, and for initiating anti-tumor immune responses.
- NK cell function is frequently impaired within the tumor microenvironment, leading to immune exhaustion.
- Current strategies like checkpoint blockade aim to reinvigorate NK cells against cancer.
Purpose of the Study:
- To review the therapeutic potential of CRISPR/Cas9 gene editing for overcoming NK cell exhaustion in cancer immunotherapy.
- To discuss methods for delivering CRISPR/Cas9 systems into NK cells for enhanced anti-tumor activity.
- To explore strategies for engineering NK cells with chimeric antigen receptors using CRISPR/Cas9 for targeted cancer therapy.
Main Methods:
- Review of current literature on CRISPR/Cas9 technology and its application in NK cell biology.
- Analysis of various delivery systems for CRISPR/Cas9 components into primary NK cells.
- Discussion of gene-editing strategies to modulate NK cell exhaustion pathways and enhance anti-tumor functions.
Main Results:
- CRISPR/Cas9 technology provides efficient gene editing for modulating NK cell pathways.
- Engineering NK cells with CRISPR/Cas9 can enhance their cytotoxic activity and tumor recognition.
- Delivery of CRISPR/Cas9 systems to NK cells remains a significant challenge for clinical translation.
Conclusions:
- CRISPR/Cas9 gene editing holds significant promise for developing advanced NK cell immunotherapies for cancer.
- Overcoming delivery challenges is critical for the successful clinical application of CRISPR/Cas9-based NK cell therapies.
- Future research should focus on optimizing delivery methods and gene-editing strategies to harness the full potential of NK cells in cancer treatment.
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