CAR NK cell therapy for solid tumors: potential and challenges

Yanlin Yu1, Mitchell Ho1

  • 1Antibody Engineering Program, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, United States.

Antibody Therapeutics
|October 20, 2025
PubMed

Insights

CAR natural killer (NK) cells offer a safer, more versatile alternative to CAR-T cells for solid tumors. This review explores strategies to overcome challenges and advance CAR NK cell therapy for broader cancer treatment applications.

Area of Science:

  • Immunotherapy
  • Oncology
  • Cellular Therapy

Background:

  • Chimeric antigen receptor (CAR)-T cell therapy shows promise but faces limitations in treating solid tumors due to side effects and efficacy.
  • CAR-T cells are autologous, requiring patient-specific manufacturing and leading to potential toxicities.

Purpose of the Study:

  • To review the therapeutic strategies, advantages, and limitations of CAR natural killer (NK) cells for solid tumor treatment.
  • To explore potential solutions and future directions for optimizing CAR NK cell therapy.
  • To discuss the integration of CAR NK cells into standard cancer treatment regimens.

Main Methods:

  • Comprehensive literature review of CAR NK cell therapy research.
  • Analysis of CAR NK cell structure, safety profiles, and cytotoxic activity.
  • Evaluation of clinical utility challenges and integration strategies.

Main Results:

  • CAR NK cells, derived from various sources, present a more favorable safety profile compared to CAR-T cells.
  • CAR NK cells offer enhanced cytotoxic activity, off-the-shelf availability, and broad tumor targeting capabilities.
  • Several challenges remain in CAR NK cell development and clinical implementation for solid tumors.

Conclusions:

  • CAR NK cells represent a promising next-generation immunotherapy for solid tumors, offering potential advantages over CAR-T cells.
  • Overcoming current obstacles in CAR NK cell therapy is crucial for its successful clinical translation.
  • Further research into optimizing CAR NK cell design and integration is essential for advancing cancer treatment.

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