Quantitative assessment of extravasation of IL-15-secreting MSLN-CAR-NK-92 cells using tumor transparency imaging

Sera Hong1, Dohyeon Moon1, Seoin Hwang2

  • 1College of Pharmacy, Seoul National University, Seoul 08826, Republic of Korea.

Theranostics
|May 7, 2026
PubMed
Abstract

Insights

Chimeric antigen receptor (CAR)-NK cells show superior extravasation into pancreatic tumors compared to standard NK cells. This improved cell trafficking is a key indicator for enhancing CAR therapy effectiveness against solid tumors.

Area of Science:

  • Immunology
  • Oncology
  • Biotechnology

Background:

  • Extravasation of anticancer immune cells is critical for CAR therapy efficacy.
  • Quantitative microscopic evaluation of immune cell extravasation into tumors is lacking.
  • Understanding immune cell trafficking is vital for improving cancer treatment outcomes.

Purpose of the Study:

  • To quantitatively evaluate the extravasation of CAR-NK cells versus NK cells in pancreatic tumors.
  • To establish a novel imaging platform for assessing immune cell extravasation and infiltration.
  • To determine the impact of CAR modification on immune cell delivery within the tumor microenvironment.

Main Methods:

  • Utilized tumor transparency imaging to preserve intact vasculature for microscopic analysis.
  • Quantified extravasation by measuring the volume ratio of cells inside versus outside tumor vessels.
  • Assessed CAR-NK-92 and NK-92 cell extravasation and infiltration in an NSG mouse model of pancreatic cancer.

Main Results:

  • MSLN-CAR-NK-92 cells demonstrated significantly higher extravasation rates (85.3% vs. 57.4%) compared to NK-92 cells.
  • CAR-NK cells exhibited greater penetration depth and higher counts of extravasated cells within the tumor.
  • Enhanced cytotoxicity and penetration were observed for CAR-NK-92 cells, indicating superior anti-tumor potential.

Conclusions:

  • Extravasation efficiency is a valuable metric for evaluating CAR construct effectiveness in NK cell-based cancer therapy.
  • The developed quantitative imaging platform provides a structured framework for assessing immune cell delivery in pancreatic and cholangiocarcinoma models.
  • This approach aids in optimizing therapeutic distribution and improving CAR-NK cell performance in solid tumors.

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