Nanobody-based CAR NK cells for possible immunotherapy of MICA+ tumors

Elisha R Verhaar1,2, Willemijn J C van Keizerswaard1, Anouk Knoflook1

  • 1Program in Cellular and Molecular Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA 02115, USA.

PNAS Nexus
|May 17, 2024
PubMed

Insights

Researchers developed nanobody-based CAR NK cells targeting MICA. These engineered cells effectively eliminate MICA-positive tumor cells in vitro and in vivo, offering a promising cancer immunotherapy approach.

Area of Science:

  • Immunology
  • Biotechnology
  • Oncology

Background:

  • MICA/B glycoproteins are stress-induced ligands for the NKG2D receptor on cytotoxic immune cells.
  • Engagement activates NK cells, CD8+ T cells, and γδ T cells to eliminate MICA/B-positive cells.
  • Nanobodies (VHHs) offer stable, specific recognition due to their small size and camelid origin.

Purpose of the Study:

  • To develop VHH-based chimeric antigen receptor (CAR) NK cells targeting MICA.
  • To evaluate the efficacy of these CAR NK cells against MICA-positive tumor cells.
  • To assess the in vivo tracking of CAR NK cells using immuno-positron emission tomography (immuno-PET).

Main Methods:

  • Generation of high-affinity nanobodies against membrane-bound MICA.
  • Construction of VHH-based CARs using these nanobodies.
  • Engineering of CAR NK cells expressing anti-MICA VHH-CARs.
  • In vitro and in vivo assessment of tumor cell killing.
  • Immuno-PET imaging to track CAR NK cell localization.

Main Results:

  • Successfully generated nanobodies recognizing membrane-bound MICA with high affinity.
  • Developed VHH-based CAR NK cells that selectively target and kill MICA-positive tumor cells in vitro.
  • Demonstrated in vivo efficacy of anti-MICA CAR NK cells against MICA-positive tumors.
  • Successfully tracked CAR NK cell localization to MICA-positive lung metastases using immuno-PET.

Conclusions:

  • VHH-based CAR NK cells represent a novel and effective strategy for targeting MICA-positive cancers.
  • This approach shows promise for targeted cancer immunotherapy and in vivo monitoring.
  • Nanobody technology provides a versatile platform for CAR development.

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