Harnessing the Power of CAR-NK Cells: A Promising Off-the-Shelf Therapeutic Strategy for CD38-Positive Malignancies

Maryam Asadi1,2,3, Razie Kiani3, Vahid Razban1

  • 1Department of Molecular Medicine, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran.

PubMed
Abstract

Insights

Engineered NK-92 cells targeting CD38 demonstrated potent anti-cancer activity in vitro. These anti-CD38 CAR-NK cells show promise as an off-the-shelf therapy for CD38-positive cancers.

Area of Science:

  • Immunology
  • Cell Biology
  • Oncology

Background:

  • CD38 is a key prognostic marker and therapeutic target in hematologic malignancies like multiple myeloma, diffuse large B-cell lymphoma, and chronic lymphocytic leukemia.
  • High CD38 expression on cancer cells presents a viable target for novel therapeutic strategies.

Purpose of the Study:

  • To design and generate a chimeric antigen receptor (CAR)-engineered Natural Killer (NK) cell therapy targeting CD38.
  • To evaluate the in vitro efficacy and potential of this anti-CD38 CAR-NK cell approach as an off-the-shelf treatment for CD38-positive malignancies.

Main Methods:

  • Generation of a second-generation anti-CD38 CAR-NK cell line using the NK-92 cell line and lentiviral transduction.
  • In vitro assessment of CAR-NK cell cytotoxicity against CD38-positive cell lines using apoptosis assays (PE-Annexin V/7-AAD).
  • Measurement of effector functions (IFN-γ, Perforin, Granzyme-B) via intracellular staining and flow cytometry; in silico analysis of CAR binding.

Main Results:

  • Anti-CD38 CAR expression achieved approximately 25% on NK-92 cells, with successful binding to CD38 protein confirmed by in silico analysis.
  • Engineered NK-92 cells produced significantly higher levels of IFN-γ, perforin, and granzyme compared to control Mock cells.
  • The anti-CD38 CAR-NK cells effectively lysed CD38-positive malignant cell lines (Daudi and Jurkat) in a CD38-dependent manner.

Conclusions:

  • In vitro studies demonstrate that anti-CD38 CAR-NK cells possess the potential for an off-the-shelf therapeutic strategy against CD38-positive hematologic cancers.
  • Further preclinical investigations are warranted to assess the safety and efficacy of these engineered NK cells prior to clinical trials.

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