Multimodal targeting of metastatic renal cell carcinoma via CD70-directed allogeneic CAR-NKT cells

Yan-Ruide Li1, Junhui Hu2, Zhe Li1

  • 1Department of Microbiology, Immunology & Molecular Genetics, University of California, Los Angeles (UCLA), Los Angeles, CA 90095, USA; Department of Bioengineering, UCLA, Los Angeles, CA 90095, USA.

Cell Reports. Medicine
|August 30, 2025
PubMed

Insights

Researchers developed novel allogeneic CAR-NKT cells targeting CD70 for metastatic renal cell carcinoma (RCC). This off-the-shelf immunotherapy offers dual tumor and microenvironment targeting with enhanced persistence for treating kidney cancer.

Area of Science:

  • Immunotherapy
  • Oncology
  • Cell Therapy

Background:

  • Renal cell carcinoma (RCC) accounts for 90% of kidney cancers.
  • Metastatic disease develops in 30-40% of patients despite current treatments.
  • Existing chimeric antigen receptor (CAR)-T therapies face challenges with autologous, personalized approaches.

Purpose of the Study:

  • To develop an allogeneic, off-the-shelf immunotherapy for metastatic RCC.
  • To engineer CAR-invariant natural killer T (CAR-NKT) cells targeting CD70.
  • To evaluate the efficacy and mechanisms of these engineered cells.

Main Methods:

  • Hematopoietic stem and progenitor cells were used to generate allogeneic CD70-directed CAR-engineered invariant natural killer T (AlloCAR70-NKT) cells.
  • A clinically guided culture method was employed for robust expansion and high purity.
  • Cytotoxicity against primary and metastatic RCC, tumor microenvironment (TME) targeting, and alloreactive T cell elimination were assessed.

Main Results:

  • AlloCAR70-NKT cells demonstrated robust expansion with high purity and no fratricide.
  • These cells exhibited potent cytotoxicity against RCC via CAR- and natural killer (NK) receptor-mediated mechanisms.
  • AlloCAR70-NKT cells selectively targeted the immunosuppressive TME via T cell receptor (TCR) recognition and eliminated CD70+ host alloreactive T cells, enhancing persistence.

Conclusions:

  • AlloCAR70-NKT cells represent a promising next-generation immunotherapy for metastatic RCC.
  • The 'off-the-shelf' nature offers a significant advantage over autologous therapies.
  • Dual tumor and TME targeting, along with alloreactive T cell elimination, provides a compelling strategy for treating metastatic kidney cancer.