Khawar Muhammad Babar, Afzal Ali, Dong Shuangshuang, Si Yue, Sun Haibo
Institute of Translational Medicine, Medical College, Yangzhou University, Yangzhou, Jiangsu 225009, China.
Jiangsu Key Laboratory of Experimental & Translational Non-Coding RNA Research, Yangzhou, Jiangsu 225009, China.
Chin Med J (Engl). 2024 Nov 5. doi: 10.1097/CM9.0000000000003346.
Colorectal cancer (CRC), a major global health concern, necessitates innovative treatments. Chimeric antigen receptor (CAR) T cells have shown promise, yet they grapple with challenges. The spotlight pivots to the rising heroes: CAR natural killer (NK) cells, offering advantages such as higher safety profiles, cost-effectiveness, and efficacy against solid tumors. Nevertheless, the specific mechanisms underlying CAR NK cell trafficking and their interplay within the complex tumor microenvironment require further in-depth exploration. Herein, we provide insights into the design and engineering of CAR NK cells, antigen targets in CRC, and success in overcoming resistance mechanisms with an emphasis on the potential for clinical trials.
结直肠癌(CRC)是全球主要的健康问题,需要创新的治疗方法。嵌合抗原受体(CAR)T细胞已显示出前景,但它们也面临挑战。现在焦点转向了新兴的主角:CAR自然杀伤(NK)细胞,其具有更高的安全性、成本效益以及对实体瘤的疗效等优势。然而,CAR NK细胞在复杂肿瘤微环境中的迁移及其相互作用的具体机制仍需进一步深入探索。在此,我们深入探讨了CAR NK细胞设计与工程、CRC中的抗原靶点以及克服耐药机制方面的进展,重点关注其临床试验潜力。