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CD28 Costimulation Augments CAR Signaling in NK Cells via the LCK/CD3ζ/ZAP70 Signaling Axis
Sunil Acharya1, Rafet Basar1, May Daher1
1Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Cancer Discovery
|June 20, 2024
Summary
Adding the CD28 costimulatory domain to chimeric antigen receptor (CAR)-engineered natural killer (NK) cells significantly boosts their ability to fight tumors. This enhancement improves CAR-NK cell persistence and long-term antitumor activity.
Area of Science:
- Immunology
- Cell Biology
- Cancer Research
Background:
- Chimeric antigen receptor (CAR) design critically impacts CAR T-cell function, particularly costimulatory signals.
- The role of costimulatory domains in CAR-engineered natural killer (NK) cells is understudied.
- NK cells are a promising platform for cancer immunotherapy.
Purpose of the Study:
- To investigate the impact of various costimulatory domains on CAR-NK cell activity.
- To evaluate the efficacy of CD28 costimulation in CAR-NK cells for cancer immunotherapy.
Main Methods:
- Engineered NK cells with a CD70-targeting CAR incorporating different costimulatory domains.
- Assessed CAR-NK cell activity in vitro and in vivo using xenograft models.
- Investigated downstream signaling pathways activated by costimulatory domains.
Main Results:
- CD28 costimulation significantly enhanced antitumor efficacy and long-term cytotoxicity of CAR-NK cells.
- CAR-NK cells exhibited improved persistence in both hematologic and solid tumor models.
- Mechanistically, CD28 recruitment of LCK and ZAP70 kinases initiated signaling cascades enhancing CAR-NK function.
Conclusions:
- CD28 costimulation is a key factor in enhancing CAR-NK cell-mediated antitumor responses.
- Incorporating CD28 into CAR constructs can improve NK cell-based cancer immunotherapy.
- This study elucidates the mechanism by which CD28 enhances CAR-NK cell function.

