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Table 5 NK cell sources

From: Chimeric antigen receptor natural killer (CAR-NK) cell design and engineering for cancer therapy

NK cell source

Advantages

Disadvantages

Peripheral blood NK cell

Commonly used source

Low transduction efficiency

Mature NK cells

Expansion induces telomere shortening and reduced cytotoxicity

Easily expanded ex vivo

Heterogeneity

Cord blood-derived NK

High proliferative capacity

Low expression of natural cytotoxicity receptors

Safety and persistence demonstrated in CAR-NK trials

Heterogeneity

Stem cell-derived NK cells

Off-the-shelf product

Potentially immunogenic

Homogeneity

Potential of malignant transformation

Less cytokine release but still high killing capacity

 

NK-92 and other NK cell lines

Off-the-shelf product

Tumor-derived cells, requires irradiation

Stable expression of CAR on the surface

Irradiated CAR-NK-92 cells are not sustained in vivo

Irradiated CAR-NK-92 cell already used in clinical trials

Not capable of ADCC (without additional modifications)