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Updated: Jul 26, 2025

Advances in Human Induced Pluripotent Stem Cell-Derived Chimeric Antigen Receptor-Expressing Natural Killer Cells
Published on: February 14, 2025
NK cells direct the perspective approaches to cancer immunotherapy
Abduladheem Turki Jalil1, Mohanad Ali Abdulhadi2, Farah A Al-Marzook3
1Department of Medical Laboratories Techniques, Al-Mustaqbal University College, Hilla, Babylon, Iraq. abedalazeem799@gmail.com.
Abstract:
Natural killer (NK) cells are innate immune cells with cytotoxic potentials to kill cancerous cells in several mechanisms, which could be implied for cancer therapy. While potent, their antitumor activities specially for solid tumors impaired by inadequate tumor infiltration, suppressive tumor microenvironment, cancer-associated stroma cells, and tumor-supportive immune cells. Therefore, manipulating or reprogramming these barriers by prospective strategies might improve current immunotherapies in the clinic or introduce novel NK-based immunotherapies. NK-based immunotherapy could be developed in monotherapy or in combination with other therapeutic regimens such as oncolytic virus therapy and immune checkpoint blockade, as presented in this review.
Insights
Natural killer (NK) cells show promise for cancer therapy but face challenges in solid tumors. Reprogramming tumor barriers could enhance NK cell-based immunotherapies, alone or combined with other treatments.
Area of Science:
- Immunology
- Cancer Biology
- Cellular Therapy
Background:
- Natural killer (NK) cells are key innate immune cells with cytotoxic functions against cancer.
- Their therapeutic potential in solid tumors is limited by tumor infiltration issues and a suppressive microenvironment.
- Barriers include cancer-associated stroma and tumor-supportive immune cells that hinder NK cell activity.
Purpose of the Study:
- To review strategies for overcoming barriers to NK cell-based cancer immunotherapy.
- To explore the potential of reprogramming the tumor microenvironment for enhanced NK cell efficacy.
- To discuss the development of novel NK-based immunotherapies and combination approaches.
Main Methods:
- Review of current literature on NK cell biology and cancer immunotherapy.
- Analysis of mechanisms underlying NK cell suppression in solid tumors.
- Examination of therapeutic strategies targeting tumor microenvironment and NK cell function.
Main Results:
- NK cell antitumor activity is significantly impaired by factors within the tumor microenvironment.
- Strategies to overcome these suppressive elements are crucial for effective NK cell therapy.
- Reprogramming tumor barriers can enhance NK cell infiltration and cytotoxic function.
Conclusions:
- Manipulating tumor barriers holds significant potential for improving NK cell-based cancer therapies.
- NK cell immunotherapy can be developed as monotherapy or in combination with other treatments.
- Novel NK-based immunotherapies may emerge from overcoming current therapeutic limitations.
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