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Natural Killer Cells as Allogeneic Effectors in Adoptive Cancer Immunotherapy
Kyle B. Lupo, Sandro Matosevic
Cancers · 2019 · Review · CC BY
doi:10.3390/cancers11060769 (opens in a new tab)
Abstract
Natural killer (NK) cells are attractive within adoptive transfer settings in cancer immunotherapy due to their potential for allogeneic use; their alloreactivity is enhanced under conditions of killer immunoglobulin-like receptor (KIR) mismatch with human leukocyte antigen (HLA) ligands on cancer cells. In addition to this, NK cells are platforms for genetic modification, and proliferate in vivo for a shorter time relative to T cells, limiting off-target activation. Current clinical studies have demonstrated the safety and efficacy of allogeneic NK cell adoptive transfer therapies as a means for treatment of hematologic malignancies and, to a lesser extent, solid tumors. However, challenges associated with sourcing allogeneic NK cells have given rise to controversy over the contribution of NK cells to graft-versus-host disease (GvHD). Specifically, blood-derived NK cell infusions contain contaminating T cells, whose activation with NK-stimulating cytokines has been known to lead to heightened release of proinflammatory cytokines and trigger the onset of GvHD in vivo. NK cells sourced from cell lines and stem cells lack contaminating T cells, but can also lack many phenotypic characteristics of mature NK cells. Here, we discuss the available published evidence for the varying roles of NK cells in GvHD and, more broadly, their use in allogeneic adoptive transfer settings to treat various cancers.
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Liu E., Tong Y., Dotti G., Shaim H., Savoldo B., Mukherjee M., Orange J., Wan X., Lu X., Reynolds A., et al. Cord blood NK cells engineered to express IL-15 and a CD19-targeted CAR show long-term persistence and potent antitumor activity. Leukemia. 2017;32:520-531.
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Romee R., Cooley S., Berrien-Elliott M.M., Westervelt P., Verneris M.R., Wagner J.E., Weisdorf D.J., Blazar B.R., Ustun C., DeFor T.E., et al. First-in-human phase 1 clinical study of the IL-15 superagonist complex ALT-803 to treat relapse after transplantation. Blood. 2018;131:2515-2527.
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Meinhardt K., Kroeger I., Bauer R., Ganss F., Ovsiy I., Rothamer J., Büttner M., Atreya I., Waldner M., Bittrich M., et al. Identification and characterization of the specific murine NK cell subset supporting graft-versus-leukemia- and reducing graft-versus-host-effects. Oncoimmunology. 2015;4:e981483.
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Maki G., Klingemann H.G., Martinson J.A., Tam Y.K. Factors regulating the cytotoxic activity of the human natural killer cell line, NK-92. J. Hematother. Stem Cell Res. 2001;10:369-383.
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Santourlidis S., Trompeter H.-I., Weinhold S., Eisermann B., Meyer K.L., Wernet P., Uhrberg M. Crucial Role of DNA Methylation in Determination of Clonally Distributed Killer Cell Ig-like Receptor Expression Patterns in NK Cells. J. Immunol. 2002;169:4253-4261.
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Boissel L., Betancur-Boissel M., Lu W., Krause D.S., Van Etten R.A., Wels W.S., Klingemann H. Retargeting NK-92 cells by means of CD19- and CD20-specific chimeric antigen receptors compares favorably with antibody-dependent cellular cytotoxicity. Oncoimmunology. 2013;2:e26527.
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Chen Y., You F., Jiang L., Li J., Zhu X., Bao Y., Sun X., Tang X., Meng H., An G., et al. Gene-modified NK-92MI cells expressing a chimeric CD16-BB-ζ or CD64-BB-ζ receptor exhibit enhanced cancer-killing ability in combination with therapeutic antibody. Oncotarget. 2017;8:37128-37139.
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Zhang Y., Chen L., Wang Y., Li X., Hughes T., Klingemann H., Benson D.M., Yu J. Combination Therapy with Daratumumab and CAR-NK Targeting CS1 for Multiple Myeloma. Blood. 2016;128:1342.
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Zhang Q., Tian K., Xu J., Zhang H., Li L., Fu Q., Chai D., Li H., Zheng J. Synergistic Effects of Cabozantinib and EGFR-Specific CAR-NK-92 Cells in Renal Cell Carcinoma. J. Immunol. Res. 2017;2017:6915912.
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Kim H.W., Kim J.E., Hwang M.-H., Jeon Y.H., Lee S.-W., Lee J., Zeon S.K., Ahn B.-C. Enhancement of Natural Killer Cell Cytotoxicity by Sodium/Iodide Symporter Gene-Mediated Radioiodine Pretreatment in Breast Cancer Cells. PLoS ONE. 2013;8:e70194.
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Törnroos H., Hägerstrand H., Lindqvist C. Culturing the Human Natural Killer Cell Line NK-92 in Interleukin-2 and Interleukin-155—Implications for Clinical Trials. Anticancer Res. 2019;39:107-112.
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Chrobok M., Dahlberg C.I.M., Sayitoglu E.C., Beljanski V., Nahi H., Gilljam M., Stellan B., Sutlu T., Duru A.D., Alici E. Functional Assessment for Clinical Use of Serum-Free Adapted NK-92 Cells. Cancers. 2019;11:69.
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Boyiadzis M., Agha M., Redner R.L., Sehgal A., Im A., Hou J.-Z., Farah R., Dorritie K.A., Raptis A., Lim S.H., et al. Phase 1 clinical trial of adoptive immunotherapy using “off-the-shelf” activated natural killer cells in patients with refractory and relapsed acute myeloid leukemia. Cytotherapy. 2017;19:1225-1232.
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Arai S., Meagher R., Swearingen M., Myint H., Rich E., Martinson J., Klingemann H. Infusion of the allogeneic cell line NK-92 in patients with advanced renal cell cancer or melanoma: A phase I trial. Cytotherapy. 2008;10:625-632.
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Tang X., Yang L., Li Z., Nalin A.P., Dai H., Xu T., Yin J., You F., Zhu M., Shen W., et al. First-in-man clinical trial of CAR NK-92 cells: Safety test of CD33-CAR NK-92 cells in patients with relapsed and refractory acute myeloid leukemia. Am. J. Cancer Res. 2018;8:1083-1089.
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Hodson J. NantKwest Announces Promising First in Human Clinical Results of 300 Doses of CD16 Targeted, Off-the-Shelf Cryopreserved Natural Killer Cells (haNK) in a Novel Cancer Memory Vaccine Immunotherapy. NantKwest. 2018.
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Cheng M., Fei B., Zheng X., Chen Y., Sun R., Wei H., Tian Z. A new reliable bioassay for determining the biological activity of human interleukin-12 by using human NK cell line NKG cells. Int. Immunopharmacol. 2012;13:109-113.
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Meng S., Wu X., Fan J., Xiao W., Ma J., Tian Z. 223. Consideration for Quality Control of NKG Cell Line Used for Adoptive Cellular Therapy. Mol. Ther. 2015;23:S87-S88.
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Suck G., Branch D.R., Smyth M.J., Miller R.G., Vergidis J., Fahim S., Keating A. KHYG-1, a model for the study of enhanced natural killer cell cytotoxicity. Exp. Hematol. 2005;33:1160-1171.
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Yagita M., Huang C.L., Umehara H., Matsuo Y., Tabata R., Miyake M., Konaka Y., Takatsuki K. A novel natural killer cell line (KHYG-1) from a patient with aggressive natural killer cell leukemia carrying a p53 point mutation. Leukemia. 2000;14:922-930.
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Suck G., Branch D.R., Aravena P., Mathieson M., Helke S., Keating A. Constitutively polarized granules prime KHYG-1 NK cells. Int. Immunol. 2006;18:1347-1354.
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Murakami T., Nakazawa T., Natsume A., Nishimura F., Nakamura M., Matsuda R., Omoto K., Tanaka Y., Shida Y., Park Y.-S., et al. Novel Human NK Cell Line Carrying CAR Targeting EGFRvIII Induces Antitumor Effects in Glioblastoma Cells. Anticancer Res. 2018;38:5049-5056.
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