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Table 2 CAR-NK cell features

From: The development and application of chimeric antigen receptor natural killer (CAR-NK) cells for cancer therapy: current state, challenges and emerging therapeutic advances

Parameter

Parameters

NK cells Modification or Characteristication

CAR-NK CAR structure

TRE

scFv or Nanobody (mono-, bi- or mult-valent), NKG2D, FAP

HD/TMD

CD4, CD8a, CD28, NKG2D

ICD

CD28, 4-1BB, 2B4, DAP10, DAP12, OX-40, CYTOKINES

Innate target recognition

Like conventional NK cells, CAR-NK cells retain their innate ability to recognize and target cells without prior sensitization

CAR-NK properties

Versatility

Can be derived from various sources, including PBMC, CB, iPSC or cell lines

Allogeneic potential

Allogeneic CAR-NK cells from healthy donors may offer an off-the-shelf therapeutic option

Enhanced cytotoxicity

CAR-NK cells exhibit improved cytotoxicity against target cells upon antigen binding

GvHD

Allogeneic CAR-NK cells may have a lower risk of GvHD compared to CAR-T cells

CAR-NK cells vs. CAR-T cells

Source

CAR-NK cells can be derived from various sources, offering potential allogeneic options. CAR-T cells are typically autologous

Persistence

CAR-T cells tend to persist longer in the body compared to CAR-NK cells

Immunogenicity

CAR-NK cells may be less immunogenic than CAR-T cells, reducing the risk of adverse immune reactions

CAR-NK cells vs. conventional NK cells

Target specificity

CAR-NK cells are engineered for specific antigen recognition, whereas conventional NK cells rely on a broader range of activating and inhibitory receptors

Cytotoxicity

CAR-NK cells exhibit enhanced cytotoxicity against target cells compared to unmodified NK cells

Versatility

CAR-NK cells can be customized for various cancer types, potentially increasing their versatility