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Updated: Sep 17, 2025

Advances in Human Induced Pluripotent Stem Cell-Derived Chimeric Antigen Receptor-Expressing Natural Killer Cells
Published on: February 14, 2025
Designs of NKG2D-based immunotherapeutics for cancer
Jianfeng Han1, Youwei Wang2, Godfrey Chi-Fung Chan3,4
1Division of Hematology, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH, United States.
Abstract:
Natural killer group 2 D (NKG2D) receptor, one of the activation receptors on NK cells, has gained increasing attention in recent years because its ligands are widely expressed in most cancers. Naturally, NKG2D reacts to 8 different stress-induced ligands, MICA/B, and ULBP1-6. Despite being genomically conserved between human and mouse, NKG2D transcripts have splice variants that can differentiate the two. hNKG2D or mNKG2D (both long and short transcripts) interacts with DAP10 only in human but DAP10/12 in mouse, switching on different effector functions such as IFN-γ production and cytotoxicity. Full-length, extracellular or cytoplasmic domains have been used to construct chimeric antigen receptors (CAR) or implement into the antibody structures including bispecific antibodies. Interestingly, most of the NKG2D CARs, either on T cells or NK cells are investigated in preclinical models of solid tumors. In this article, we reviewed the majority of published NKG2D-based CAR and antibody designs, comparing their respective advantages and disadvantages. We also elaborated how these CARs and antibodies were tested in preclinical cancer models and clinical trials in this review article.
Insights
Natural killer group 2 D (NKG2D) receptor-based therapies show promise for cancer treatment. This review compares NKG2D CAR and antibody designs, evaluating their preclinical and clinical effectiveness against solid tumors.
Area of Science:
- Immunology
- Oncology
- Biotechnology
Background:
- Natural killer group 2 D (NKG2D) is an activating receptor on NK cells, crucial for cancer immunosurveillance.
- NKG2D ligands are upregulated on various cancer cells, making NKG2D a target for cancer immunotherapy.
- Human and mouse NKG2D receptors exhibit distinct signaling pathways (DAP10 vs. DAP10/12), influencing effector functions.
Purpose of the Study:
- To review and compare various designs of NKG2D-based chimeric antigen receptors (CARs) and antibodies.
- To analyze the advantages and disadvantages of different NKG2D-based immunotherapeutic strategies.
- To summarize the preclinical and clinical investigation of these NKG2D-based therapies in solid tumors.
Main Methods:
- Literature review of published studies on NKG2D-based CARs and antibodies.
- Comparative analysis of different CAR and antibody designs and their components (e.g., extracellular, full-length domains).
- Examination of preclinical cancer models and clinical trial data for NKG2D-based therapies.
Main Results:
- NKG2D CARs and antibodies have been developed using various NKG2D domains.
- Preclinical studies predominantly focus on solid tumors, with T cells and NK cells as effector platforms.
- Differences in human and mouse NKG2D signaling impact effector functions like IFN-γ production and cytotoxicity.
Conclusions:
- NKG2D-based CARs and antibodies represent a promising area of cancer immunotherapy research.
- Understanding the distinct signaling pathways is crucial for optimizing therapeutic strategies.
- Further investigation in preclinical and clinical settings is warranted to assess the full potential of NKG2D-based treatments.
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