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Updated: Oct 8, 2025

Advances in Human Induced Pluripotent Stem Cell-Derived Chimeric Antigen Receptor-Expressing Natural Killer Cells
Published on: February 14, 2025
Myeloid Immune Cells CARrying a New Weapon Against Cancer
Rodrigo Nalio Ramos1,2, Samuel Campanelli Freitas Couto1,3, Theo Gremen M Oliveira1,3
1Laboratory of Medical Investigation in Pathogenesis and Directed Therapy in Onco-Immuno-Hematology (LIM-31), Departament of Hematology and Cell Therapy, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, University of São Paulo, São Paulo, Brazil.
Abstract:
Chimeric antigen receptor (CAR) engineering for T cells and natural killer cells (NK) are now under clinical evaluation for the treatment of hematologic cancers. Although encouraging clinical results have been reported for hematologic diseases, pre-clinical studies in solid tumors have failed to prove the same effectiveness. Thus, there is a growing interest of the scientific community to find other immune cell candidate to express CAR for the treatment of solid tumors and other diseases. Mononuclear phagocytes may be the most adapted group of cells with potential to overcome the dense barrier imposed by solid tumors. In addition, intrinsic features of these cells, such as migration, phagocytic capability, release of soluble factors and adaptive immunity activation, could be further explored along with gene therapy approaches. Here, we discuss the elements that constitute the tumor microenvironment, the features and advantages of these cell subtypes and the latest studies using CAR-myeloid immune cells in solid tumor models.
Insights
Chimeric antigen receptor (CAR) engineering shows promise for hematologic cancers but struggles with solid tumors. Mononuclear phagocytes are explored as a new cell type for CAR therapy in solid tumors due to their unique tumor-infiltrating capabilities.
Area of Science:
- Immunology
- Cell Therapy
- Oncology
Background:
- Chimeric antigen receptor (CAR) T and NK cell therapies are effective for hematologic cancers.
- CAR therapies face challenges in solid tumors due to the tumor microenvironment.
- Novel immune cell candidates are needed for effective solid tumor treatment.
Purpose of the Study:
- To explore mononuclear phagocytes as a potential CAR-engineered cell type for solid tumor treatment.
- To discuss the advantages of mononuclear phagocytes in overcoming solid tumor barriers.
- To review current research on CAR-myeloid cells in solid tumor models.
Main Methods:
- Review of tumor microenvironment elements.
- Analysis of mononuclear phagocyte features and advantages.
- Discussion of existing studies on CAR-myeloid cells in preclinical solid tumor models.
Main Results:
- Mononuclear phagocytes possess intrinsic properties like migration and phagocytosis beneficial for solid tumors.
- These cells can activate adaptive immunity and release soluble factors.
- CAR-engineered myeloid cells show potential in preclinical solid tumor studies.
Conclusions:
- Mononuclear phagocytes represent a promising cell type for CAR-based solid tumor immunotherapy.
- Their unique characteristics offer advantages over traditional CAR T/NK cells for solid tumors.
- Further research into CAR-myeloid cell therapy is warranted for solid tumor treatment.
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