OR7A10 GPCR engineering boosts CAR-NK therapy against solid tumours

Luojia Yang1,2,3,4,5, Paul A Renauer1,2,3, Kaiyuan Tang1,2,3,4,5

  • 1Department of Genetics, Yale University School of Medicine, New Haven, CT, USA.

Nature
|February 25, 2026
PubMed

Insights

Engineered CAR-NK cells targeting solid tumors show enhanced efficacy. OR7A10 gene augmentation boosts CAR-NK cell function, improving tumor infiltration, persistence, and resistance for potent therapeutic outcomes.

Area of Science:

  • Immunology
  • Oncology
  • Cell Therapy

Background:

  • Chimeric antigen receptor (CAR)-natural killer (NK) cell therapies show potential for solid tumors.
  • Current limitations include poor tumor infiltration, persistence, and resistance within the tumor microenvironment.

Purpose of the Study:

  • To identify gain-of-function targets for enhancing CAR-NK cell efficacy in solid tumors.
  • To validate the therapeutic potential of identified targets through in vivo studies.

Main Methods:

  • Unbiased in vivo CRISPR activation screen followed by a barcoded targeted in vivo open reading frame screen in primary human CAR-NK cells.
  • Engineering CAR-NK cells with OR7A10 cDNA for functional assessment.
  • Evaluation of engineered CAR-NK cell performance in solid tumor models.

Main Results:

  • OR7A10, a G protein-coupled receptor (GPCR), was identified as a top candidate for enhancing CAR-NK cell function.
  • OR7A10 engineering significantly improved CAR-NK cell proliferation, activation, cytotoxicity, persistence, and resistance to the tumor microenvironment.
  • Reduced exhaustion was observed in OR7A10-engineered primary human NK cells.
  • OR7A10-engineered CAR-NK cells demonstrated strong in vivo efficacy, achieving 100% complete response in an orthotopic breast cancer model.

Conclusions:

  • OR7A10 is a potent gain-of-function target for improving CAR-NK cell therapy for solid tumors.
  • OR7A10-engineered CAR-NK cells represent a promising, scalable, off-the-shelf therapeutic strategy for solid tumor treatment.

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