A membrane-bound IL-2 promotes CAR-NK cell proliferation, anti-apoptosis and anti-tumor activity

Changjiang Guo1, Shizhuang Cheng1, Feiyan Cui1

  • 1Henan Engineering Technology Research Center for Advanced SynBio Medicine and Clinical Innovation Translation, School of Life Sciences and Technology, Henan Medical University, Xinxiang, Henan Province, PR China; Henan Engineering Research Center of Innovation for Synthetic Biology, School of Life Sciences and Technology, Henan Medical University, Xinxiang, Henan Province, PR China.

Insights

Engineered natural killer (NK) cells for cancer therapy can now persist longer. Membrane-bound cytokines, specifically mbIL2, enable CAR-NK cells to survive and fight tumors without external cytokine support.

Area of Science:

  • Immunotherapy
  • Cellular Engineering
  • Oncology

Background:

  • Chimeric antigen receptor (CAR)-engineered natural killer (NK) cells show potential for off-the-shelf cancer immunotherapy.
  • Clinical use is limited by poor cell persistence and toxicity from external cytokine support.

Purpose of the Study:

  • To develop membrane-bound cytokine (mbCytokine) modules for autonomous survival signaling in CAR-NK cells.
  • To overcome cytokine dependency and improve the persistence and efficacy of CAR-NK cell therapy.

Main Methods:

  • Engineered CAR-NK92 cells with membrane-bound cytokine modules (mbCytokines) by fusing IL-2, IL-15, or Neo-2/15 to their cognate receptor α-chains.
  • Assessed cell proliferation, apoptosis resistance, and cytotoxicity under serum-free conditions.
  • Investigated the mechanistic effects of mbIL2 on NK cell survival and function during tumor engagement.

Main Results:

  • Self-sustaining CAR-NK92 cells were generated, bypassing the need for external cytokines.
  • Membrane-bound IL-2 (mbIL2) demonstrated superior efficacy, promoting proliferation and apoptosis resistance.
  • mbIL2-engineered CAR-NK cells showed enhanced cytotoxicity against MICA/B-expressing tumor cells.
  • mbIL2 mitigated activation-induced apoptosis and suppressed NK cell exhaustion.

Conclusions:

  • mbIL2 is a critical enhancer of CAR-NK cell persistence and antitumor function.
  • This mbCytokine strategy offers a clinically translatable approach to overcome limitations in current CAR-NK cell therapies.

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