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Table 3 A summary of recent reports based on CAR NK cell therapies to target EGFR positive tumor cells, in particular, HER2-overexpressing tumor cells

From: Human epidermal growth factor receptor 2 (HER2)-specific chimeric antigen receptor (CAR) for tumor immunotherapy; recent progress

Cancer

Target Ag

Study model

Results

References

Glioblastoma

EGFRvIII

In vitro

In vivo

Elimination of glioblastoma cell lines by IFN-γ production

Robust regression of tumor progress and considerably extended overall survival rate of the tumor-bearing mice upon intracranial infusion of NK-92-EGFR-CAR cells

[186, 187]

Breast cancer

NA

In vitro

In vivo

EGFR-CAR NK-92 cells and primary NK cells showed improved cytotoxicity and IFN-γ generation against MDA-MB-231, MDA-MB-468, and MCF-7 cell lines

Combination therapy with EGFR-CAR NK-92 cells and oHSV-1 led to the more effective eradication of MDA-MB-231 tumor cells in mice xenografts

[188]

Glioblastoma

EGFRvIII

In vitro

EGFRvIII -CAR NK-92 cells suppressed the proliferation and induced apoptosis in glioblastoma cell lines

[189]

Glioblastoma

EGFRvIII

In vivo

EGFRvIII -CAR NK-92 cells modified to overexpress CXCR4 ameliorated immunotherapy of CXCL12/SDF-1α-producing U87-MG glioblastoma cell bearing mice

[190]

Breast cancer

Renal cancer

HER2

In vitro

In vivo

HER2-CAR NK-92 cells robustly lysed HER2-expressing tumor cells in vitro

Selective detection and elimination of tumor cells in orthotopic breast carcinoma xenografts by HER2-CAR NK-92 cells

Attenuation of pulmonary metastasis in renal cell carcinoma xenografts

[191]

Triple-negative breast cancer (TNBC)

NA

In vitro

In vivo

EGFR-CAR NK cells lysed EGFR-expressing TNBC cells in vitro

EGFR-CAR NK cells suppressed both cell line-derived xenografts and patient-derived xenografts tumors in xenografts

[192]

Real cell carcinoma (RCC)

NA

In vitro

In vivo

Cabozantinib boosted the EGFR and diminished PD-L1 expression in RCC cells and eventually restored the cytotoxicity of EGFR-CAR-NK-92 cells versus the RCC cells in vitro

[193]

Glioblastoma

EGFRvIII

In vitro

EGFRvIII-CAR NK cells showed no significant effect on tumor progression

[194]

TNBC

HER2

In vitro

In vivo

HER2-CAR NK-92 cells improved the lysis of HER2‑expressing MDA-MB-453 and SKBr3 cell lines in vitro

HER2-CAR NK-92 cells selectively decreased tumor volume and pulmonary metastasis of nude mice bearing established MDA-MB-453 cells, and also elevated the overall survival rate of the xenografts

[195]

TNBC

Ovarian cancer

HER2

In vitro

HER2-CAR NK-92 cells selectively and proficiently eliminated established and primary HER2-expressing tumor cells in vitro

[196]

Glioblastoma

NA

In vivo

Combination therapy with EGFR-CAR NK cells oncolytic virus expressing IL-15/IL-15Rα abrogated the proliferation and considerably improved the survival rate of mice xenografts possibly by augmented intracranial recruitment and activation of NK and CD8+ T cells

[197]

  1. oHSV oncolytic herpes simplex virus, PD1 programmed cell death protein 1, NA not applicable