Combination Cancer Therapy Using Chimeric Antigen Receptor-Engineered Natural Killer Cells as Drug Carriers

Mol Ther. 2017 Dec 6;25(12):2607-2619. doi: 10.1016/j.ymthe.2017.08.010. Epub 2017 Aug 19.

Abstract

The therapeutic limitations of conventional chemotherapeutic drugs include chemo-resistance, tumor recurrence, and metastasis. Numerous nanoparticle-based active targeting approaches have emerged to enhance the intracellular concentration of drugs in tumor cells; however, efficient delivery of these systems to the tumor site while sparing healthy tissue remains elusive. Recently, much attention has been given to human immune-cell-directed nanoparticle drug delivery, because immune cells can traffic to the tumor and inflammatory sites. Natural killer cells are a subset of cytotoxic lymphocytes that play critical roles in cancer immunosurveillance. Engineering of the human natural killer cell line, NK92, to express chimeric antigen receptors to redirect their antitumor specificity has shown significant promise. We demonstrate that the efficacy of chemotherapy can be enhanced in vitro and in vivo while reducing off-target toxicity by using chimeric antigen receptor-engineered NK92 cells as carriers to direct drug-loaded nanoparticles to the target site.

Keywords: cancer immunotherapy; chimeric antigen receptors; drug delivery; nanomedicine.

MeSH terms

  • Animals
  • Antigens, CD19 / genetics
  • Antigens, CD19 / immunology
  • Antigens, Neoplasm / immunology*
  • Antineoplastic Agents, Phytogenic / administration & dosage
  • Cell Line, Tumor
  • Cytotoxicity, Immunologic
  • Disease Models, Animal
  • Drug Carriers*
  • Drug Delivery Systems
  • Gene Expression
  • Humans
  • Immunotherapy* / adverse effects
  • Immunotherapy* / methods
  • Killer Cells, Natural / immunology*
  • Killer Cells, Natural / metabolism*
  • Liposomes
  • Mice
  • Mice, Knockout
  • Nanomedicine
  • Nanoparticles
  • Neoplasms / genetics
  • Neoplasms / immunology*
  • Neoplasms / pathology
  • Neoplasms / therapy
  • Paclitaxel / administration & dosage
  • Receptor, ErbB-2 / genetics
  • Receptor, ErbB-2 / immunology
  • Receptors, Antigen / genetics*
  • Receptors, Antigen / metabolism*
  • Recombinant Fusion Proteins*
  • Treatment Outcome
  • Xenograft Model Antitumor Assays

Substances

  • Antigens, CD19
  • Antigens, Neoplasm
  • Antineoplastic Agents, Phytogenic
  • Drug Carriers
  • Liposomes
  • Receptors, Antigen
  • Recombinant Fusion Proteins
  • Receptor, ErbB-2
  • Paclitaxel