The application of autologous cancer immunotherapies in the age of memory-NK cells

Cellular immunotherapy has revolutionized the oncology field, yielding improved results against hematological and solid malignancies. NK cells have become an attractive alternative due to their capacity to activate upon recognition of “stress” or “danger” signals independently of Major Histocompatib...

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Main Authors: Gaby D. Lizana-Vasquez, Madeline Torres-Lugo, R. Brent Dixon, John D. Powderly, Renaud F. Warin
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1167666/full
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author Gaby D. Lizana-Vasquez
Gaby D. Lizana-Vasquez
Madeline Torres-Lugo
R. Brent Dixon
R. Brent Dixon
John D. Powderly
John D. Powderly
Renaud F. Warin
Renaud F. Warin
author_facet Gaby D. Lizana-Vasquez
Gaby D. Lizana-Vasquez
Madeline Torres-Lugo
R. Brent Dixon
R. Brent Dixon
John D. Powderly
John D. Powderly
Renaud F. Warin
Renaud F. Warin
author_sort Gaby D. Lizana-Vasquez
collection DOAJ
description Cellular immunotherapy has revolutionized the oncology field, yielding improved results against hematological and solid malignancies. NK cells have become an attractive alternative due to their capacity to activate upon recognition of “stress” or “danger” signals independently of Major Histocompatibility Complex (MHC) engagement, thus making tumor cells a perfect target for NK cell-mediated cancer immunotherapy even as an allogeneic solution. While this allogeneic use is currently favored, the existence of a characterized memory function for NK cells (“memory-like” NK cells) advocates for an autologous approach, that would benefit from the allogeneic setting discoveries, but with added persistence and specificity. Still, both approaches struggle to exert a sustained and high anticancer effect in-vivo due to the immunosuppressive tumor micro-environment and the logistical challenges of cGMP production or clinical deployment. Novel approaches focused on the quality enhancement and the consistent large-scale production of highly activated therapeutic memory-like NK cells have yielded encouraging but still unconclusive results. This review provides an overview of NK biology as it relates to cancer immunotherapy and the challenge presented by solid tumors for therapeutic NKs. After contrasting the autologous and allogeneic NK approaches for solid cancer immunotherapy, this work will present the current scientific focus for the production of highly persistent and cytotoxic memory-like NK cells as well as the current issues with production methods as they apply to stress-sensitive immune cells. In conclusion, autologous NK cells for cancer immunotherapy appears to be a prime alternative for front line therapeutics but to be successful, it will be critical to establish comprehensives infrastructures allowing the production of extremely potent NK cells while constraining costs of production.
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spelling doaj.art-a701d706eb7d4707a0e8955b42ad6d102023-05-02T05:17:46ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-05-011410.3389/fimmu.2023.11676661167666The application of autologous cancer immunotherapies in the age of memory-NK cellsGaby D. Lizana-Vasquez0Gaby D. Lizana-Vasquez1Madeline Torres-Lugo2R. Brent Dixon3R. Brent Dixon4John D. Powderly5John D. Powderly6Renaud F. Warin7Renaud F. Warin8Department of Chemical Engineering, University of Puerto Rico-Mayagüez, Mayagüez, Puerto RicoCancer Research Clinic, Carolina BioOncology Institute (CBOI), Huntersville, NC, United StatesDepartment of Chemical Engineering, University of Puerto Rico-Mayagüez, Mayagüez, Puerto RicoCancer Research Clinic, Carolina BioOncology Institute (CBOI), Huntersville, NC, United StatesHuman Applications Lab (HAL) - BioCytics, Huntersville, NC, United StatesCancer Research Clinic, Carolina BioOncology Institute (CBOI), Huntersville, NC, United StatesHuman Applications Lab (HAL) - BioCytics, Huntersville, NC, United StatesCancer Research Clinic, Carolina BioOncology Institute (CBOI), Huntersville, NC, United StatesHuman Applications Lab (HAL) - BioCytics, Huntersville, NC, United StatesCellular immunotherapy has revolutionized the oncology field, yielding improved results against hematological and solid malignancies. NK cells have become an attractive alternative due to their capacity to activate upon recognition of “stress” or “danger” signals independently of Major Histocompatibility Complex (MHC) engagement, thus making tumor cells a perfect target for NK cell-mediated cancer immunotherapy even as an allogeneic solution. While this allogeneic use is currently favored, the existence of a characterized memory function for NK cells (“memory-like” NK cells) advocates for an autologous approach, that would benefit from the allogeneic setting discoveries, but with added persistence and specificity. Still, both approaches struggle to exert a sustained and high anticancer effect in-vivo due to the immunosuppressive tumor micro-environment and the logistical challenges of cGMP production or clinical deployment. Novel approaches focused on the quality enhancement and the consistent large-scale production of highly activated therapeutic memory-like NK cells have yielded encouraging but still unconclusive results. This review provides an overview of NK biology as it relates to cancer immunotherapy and the challenge presented by solid tumors for therapeutic NKs. After contrasting the autologous and allogeneic NK approaches for solid cancer immunotherapy, this work will present the current scientific focus for the production of highly persistent and cytotoxic memory-like NK cells as well as the current issues with production methods as they apply to stress-sensitive immune cells. In conclusion, autologous NK cells for cancer immunotherapy appears to be a prime alternative for front line therapeutics but to be successful, it will be critical to establish comprehensives infrastructures allowing the production of extremely potent NK cells while constraining costs of production.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1167666/fullautologous immunotherapysolid tumormemory-like natural killer cellscellular stressupscale productionpoint-of-care manufacturing
spellingShingle Gaby D. Lizana-Vasquez
Gaby D. Lizana-Vasquez
Madeline Torres-Lugo
R. Brent Dixon
R. Brent Dixon
John D. Powderly
John D. Powderly
Renaud F. Warin
Renaud F. Warin
The application of autologous cancer immunotherapies in the age of memory-NK cells
Frontiers in Immunology
autologous immunotherapy
solid tumor
memory-like natural killer cells
cellular stress
upscale production
point-of-care manufacturing
title The application of autologous cancer immunotherapies in the age of memory-NK cells
title_full The application of autologous cancer immunotherapies in the age of memory-NK cells
title_fullStr The application of autologous cancer immunotherapies in the age of memory-NK cells
title_full_unstemmed The application of autologous cancer immunotherapies in the age of memory-NK cells
title_short The application of autologous cancer immunotherapies in the age of memory-NK cells
title_sort application of autologous cancer immunotherapies in the age of memory nk cells
topic autologous immunotherapy
solid tumor
memory-like natural killer cells
cellular stress
upscale production
point-of-care manufacturing
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1167666/full
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