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CAR-NK Cells in the Treatment of Solid Tumors

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MDPI
DOI: 10.3390/ijms22115899

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chimeric antigen receptor (CAR); natural killer (NK) cell; solid tumors; review

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CAR-NK cells have emerged as a potential treatment for malignant tumors, offering a lower cost and broader availability for infusion compared to CAR-T cells. Research indicates that CAR-NK cells are effective against both hematological and non-hematological malignancies.
CAR-T (chimeric antigen receptor T) cells have emerged as a milestone in the treatment of patients with refractory B-cell neoplasms. However, despite having unprecedented efficacy against hematological malignancies, the treatment is far from flawless. Its greatest drawbacks arise from a challenging and expensive production process, strict patient eligibility criteria and serious toxicity profile. One possible solution, supported by robust research, is the replacement of T lymphocytes with NK cells for CAR expression. NK cells seem to be an attractive vehicle for CAR expression as they can be derived from multiple sources and safely infused regardless of donor-patient matching, which greatly reduces the cost of the treatment. CAR-NK cells are known to be effective against hematological malignancies, and a growing number of preclinical findings indicate that they have activity against non-hematological neoplasms. Here, we present a thorough overview of the current state of knowledge regarding the use of CAR-NK cells in treating various solid tumors.

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