No BCMA? No Problem: A CD70-Targeting CAR-NK Cell Shows Promise in High-risk Myeloma

Don M Benson1, Michael A Caligiuri2

  • 1Division of Hematology, Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center, Columbus, Ohio.

Blood Cancer Discovery
|December 19, 2025
PubMed

Insights

Multiple myeloma is largely incurable, especially for high-risk patients. A new CD70-targeting CD27 CAR-IL15 NK cell therapy shows promise for treating relapsed or refractory multiple myeloma.

Area of Science:

  • Immunology
  • Oncology
  • Cell Therapy

Background:

  • Multiple myeloma remains a significant challenge in hematologic oncology, with limited curative options for many patients.
  • High-risk cytogenetics and relapse after B-cell maturation antigen (BCMA)-targeting therapies represent critical unmet needs.
  • Existing treatments often fail to achieve durable remissions in advanced or relapsed multiple myeloma.

Purpose of the Study:

  • To introduce a novel Chimeric Antigen Receptor (CAR) engineered Natural Killer (NK) cell therapy.
  • To evaluate the potential of a CD27 CAR-IL15 NK cell therapy targeting CD70 for multiple myeloma treatment.
  • To address the urgent need for new therapeutic strategies in relapsed/refractory multiple myeloma.

Main Methods:

  • Development of a novel CAR construct incorporating IL-15 signaling.
  • Engineering of NK cells to express the CD27 CAR targeting the CD70 antigen.
  • Preclinical evaluation of the CD70-directed CAR-IL15 NK cell therapy in multiple myeloma models.

Main Results:

  • The novel CD27 CAR-IL15 NK cell therapy demonstrates potent anti-myeloma activity.
  • Targeting CD70 on multiple myeloma cells with engineered NK cells shows efficacy.
  • This approach offers a potential new avenue for patients resistant to current therapies.

Conclusions:

  • CD70-targeting CD27 CAR-IL15 NK cells represent a promising novel therapeutic strategy.
  • This innovative cell therapy may overcome limitations of current BCMA-targeted treatments.
  • Further investigation is warranted to explore the clinical utility of this approach in multiple myeloma.