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Next Generation CD44v6-Specific CAR-NK Cells Effective against Triple Negative Breast Cancer
Martin J Raftery1, Alexander Sebastian Franzén1, Clarissa Radecke2
1Berlin Institute of Health at Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany.
International Journal of Molecular Sciences
|May 27, 2023
Summary
New chimeric antigen receptor (CAR) natural killer (NK) cells targeting CD44v6 show promise for treating triple-negative breast cancer (TNBC). These engineered NK cells overcome tumor immunosuppression, offering a potential new therapy for this challenging cancer.
Area of Science:
- Immunology
- Oncology
- Biotechnology
Background:
- Triple-negative breast cancer (TNBC) lacks effective targeted therapies.
- Chimeric antigen receptor (CAR) natural killer (NK) cells are an emerging cancer treatment modality.
- CD44v6 is identified as a potential therapeutic target in TNBC.
Purpose of the Study:
- To develop and evaluate a novel CAR-NK cell therapy targeting CD44v6 for TNBC.
- To engineer CAR-NK cells with enhanced anti-tumor activity and resistance to the tumor microenvironment (TME).
Main Methods:
- Development of a next-generation CAR targeting CD44v6, incorporating IL-15 superagonist and checkpoint inhibitor functionalities.
- Assessment of CD44v6 CAR-NK cell cytotoxicity against TNBC using 3D spheroid models.
- Evaluation of the role of IL-15 superagonist release and PD-1/PD-1 ligand interaction in therapeutic efficacy.
Main Results:
- CD44v6 CAR-NK cells exhibited potent cytotoxicity against TNBC in 3D models.
- IL-15 superagonist release was triggered by CD44v6 recognition, enhancing cytotoxic attack.
- Engineered CAR-NK cells demonstrated resistance to PD-1 ligand-mediated immunosuppression within the TME.
Conclusions:
- CD44v6 CAR-NK cells represent a promising therapeutic strategy for TNBC.
- This approach overcomes TME-induced immunosuppression, offering a novel treatment option for breast cancer (BC).

