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Updated: Dec 14, 2025

Advances in Human Induced Pluripotent Stem Cell-Derived Chimeric Antigen Receptor-Expressing Natural Killer Cells
Published on: February 14, 2025
The NK cell-cancer cycle: advances and new challenges in NK cell-based immunotherapies
Tobias Bald1, Matthew F Krummel2, Mark J Smyth3
1Oncology and Cellular Immunology Laboratory, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia.
Abstract:
Natural killer (NK) cells belong to the innate immune system and contribute to protecting the host through killing of infected, foreign, stressed or transformed cells. Additionally, via cellular cross-talk, NK cells orchestrate antitumor immune responses. Hence, significant efforts have been undertaken to exploit the therapeutic properties of NK cells in cancer. Current strategies in preclinical and clinical development include adoptive transfer therapies, direct stimulation, recruitment of NK cells into the tumor microenvironment (TME), blockade of inhibitory receptors that limit NK cell functions, and therapeutic modulation of the TME to enhance antitumor NK cell function. In this Review, we introduce the NK cell-cancer cycle to highlight recent advances in NK cell biology and to discuss the progress and problems of NK cell-based cancer immunotherapies.
Insights
Natural killer (NK) cells are crucial for innate immunity and cancer control. This review explores NK cell-based cancer immunotherapies, highlighting advances and challenges in harnessing their therapeutic potential.
Area of Science:
- Immunology
- Oncology
- Cell Biology
Background:
- Natural killer (NK) cells are key components of the innate immune system.
- NK cells eliminate infected, foreign, stressed, or cancerous cells.
- They also regulate antitumor immune responses through cellular cross-talk.
Purpose of the Study:
- To review recent advances in NK cell biology relevant to cancer.
- To discuss current and emerging NK cell-based cancer immunotherapies.
- To highlight progress and challenges in the field.
Main Methods:
- Review of preclinical and clinical studies on NK cell-based cancer therapies.
- Analysis of strategies including adoptive transfer, direct stimulation, and TME modulation.
- Introduction of the NK cell-cancer cycle concept.
Main Results:
- NK cell-based therapies are actively being developed for cancer treatment.
- Strategies focus on enhancing NK cell activity, recruitment, and overcoming inhibitory signals.
- Modulating the tumor microenvironment (TME) is crucial for effective NK cell function.
Conclusions:
- NK cells hold significant therapeutic promise for various cancers.
- Further research is needed to overcome challenges in NK cell therapy development.
- Optimizing NK cell function within the TME is critical for successful immunotherapy.
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