NIR-II Nanomedicine Engineered CAR-NK Cells for Precision Navigation and Potentiating Lung Cancer Immunotherapy by

Yeneng Dai1,2, Qihang Ding3, Ze Chen1

  • 1Cancer Centre, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, Macau SAR 999078, China.

Insights

This study engineered a novel CAR-NK cell therapy to overcome lung cancer

Area of Science:

  • Immunotherapy
  • Nanomedicine
  • Cancer Research

Background:

  • Chimeric antigen receptor NK (CAR-NK) cell therapy shows promise in hematologic cancers but faces challenges in solid tumors like lung cancer.
  • Key limitations include poor CAR-NK cell infiltration and suppressed immune activation within the immunosuppressive tumor microenvironment (TME).
  • The TME presents physical and biological barriers that impede effective CAR-NK cell delivery and function.

Purpose of the Study:

  • To develop a nanoengineered CAR-NK cell biohybrid (CK-PSI) to enhance CAR-NK cell infiltration and immune activation in lung cancer.
  • To utilize near-infrared II (NIR-II) imaging for real-time tracking and precise localization of CAR-NK cells within tumors.
  • To combine photothermal therapy and targeted drug delivery to overcome TME-mediated suppression.

Main Methods:

  • Constructed CK-PSI by conjugating NIR-II polymer and Smad3 inhibitor (SIS3) loaded nanoparticles (PSI NPs) to metabolically engineered CAR-NK cells via bioorthogonal reaction.
  • Incorporated anti-B7H3 CAR for targeted delivery of nanomedicine to lung cancer cells.
  • Utilized NIR-II fluorescence imaging for tracking and mild photothermal therapy for tumor ablation and enhanced infiltration.

Main Results:

  • The CK-PSI biohybrid enabled targeted delivery and real-time tracking of CAR-NK cells in lung tumors using NIR-II imaging.
  • NIR-II triggered photothermal therapy destroyed tumor cells and facilitated CK-PSI penetration by disrupting tumor barriers.
  • In situ release of Smad3 inhibitor blocked TGF-β signaling, reducing extracellular matrix deposition and significantly boosting CAR-NK cell infiltration and immune activation.

Conclusions:

  • The developed nanoengineered CAR-NK biohybrid (CK-PSI) effectively enhances CAR-NK cell infiltration and immune activation against lung cancer.
  • The combination of NIR-II phototheranostics and targeted immunomodulation offers a promising strategy for solid tumor immunotherapy.
  • This approach represents a new paradigm for improving CAR-NK cell efficacy in challenging solid tumor environments.

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