IL-7Rα signaling potentiates the anti-tumor activity of NK92 cells

Chunli Wang1,2, Seokmin Kim1,3, Ling-Zu Kong1,4

  • 1Center for Gene and Cell Therapy, Korea Research Institute of Bioscience and Biotechnology (KRIBB), Daejeon, Republic of Korea.

Abstract

Insights

Engineered natural killer (NK) cells expressing IL-7R-IM show enhanced anti-tumor activity and persistence, overcoming cytokine dependence for improved cancer immunotherapy. This strategy boosts NK cell efficacy in preclinical models.

Area of Science:

  • Immunology
  • Cell Biology
  • Cancer Research

Background:

  • Natural killer (NK) cells are potent cancer immunotherapy candidates but face limitations in persistence and activity within the tumor microenvironment (TME) due to cytokine dependency.
  • Engineering NK cells to overcome these limitations is crucial for enhancing their therapeutic efficacy in cancer treatment.

Purpose of the Study:

  • To engineer NK92, primary NK (pNK), and chimeric antigen receptor (CAR)-NK92 cells to express a constitutively signaling interleukin-7 receptor with an insertion mutation (IL-7R-IM).
  • To evaluate the impact of IL-7R-IM expression on NK cell proliferation, viability, cytotoxicity, and in vivo anti-tumor efficacy.

Main Methods:

  • Engineered NK cells (NK92, pNK, CAR-NK92) to express IL-7R-IM for constitutive signaling.
  • Assessed in vitro proliferation, viability, and cytotoxicity.
  • Analyzed downstream signaling pathways (JAK/STAT, AKT, ERK) via RNA sequencing and western blotting.
  • Evaluated in vivo anti-tumor efficacy in a metastatic leukemia xenograft mouse model.

Main Results:

  • NK92-IL-7R-IM cells demonstrated sustained proliferation and viability independent of external cytokines, outperforming IL-2-activated NK cells.
  • Constitutive activation of JAK/STAT, AKT, and ERK pathways led to increased expression of cytotoxicity (GZMA, GZMB) and anti-apoptotic (BCL2L1) genes.
  • In vivo studies showed potent anti-tumor activity and extended survival in mice treated with NK92-IL-7R-IM cells.
  • The IL-7R-IM strategy enhanced the function of CAR-NK cells targeting EphA2, EGFR, and CD5.

Conclusions:

  • IL-7R-IM expression confers cytokine independence and robust anti-tumor activity to NK and CAR-NK cells.
  • This approach offers a viable strategy to improve the persistence and efficacy of off-the-shelf NK cell therapeutics for clinical applications.
  • The engineered NK cells show promise for overcoming current limitations in NK cell-based cancer immunotherapy.

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