PMID- 36612114 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230111 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 15 IP - 1 DP - 2022 Dec 24 TI - CAR-NK as a Rapidly Developed and Efficient Immunotherapeutic Strategy against Cancer. LID - 10.3390/cancers15010117 [doi] LID - 117 AB - Chimeric antigen receptor (CAR)-modified T cell therapy has been rapidly developing in recent years, ultimately revolutionizing immunotherapeutic strategies and providing significant anti-tumor potency, mainly in treating hematological neoplasms. However, graft-versus-host disease (GVHD) and other adverse effects, such as cytokine release syndromes (CRS) and neurotoxicity associated with CAR-T cell infusion, have raised some concerns about the broad application of this therapy. Natural killer (NK) cells have been identified as promising alternative platforms for CAR-based therapies because of their unique features, such as a lack of human leukocyte antigen (HLA)-matching restriction, superior safety, and better anti-tumor activity when compared with CAR-T cells. The lack of CRS, neurotoxicity, or GVHD, in the case of CAR-NK therapy, in addition to the possibility of using allogeneic NK cells as a CAR platform for "off-the-shelf" therapy, opens new windows for strategic opportunities. This review underlines recent design achievements in CAR constructs and summarizes preclinical studies' results regarding CAR-NK therapies' safety and anti-tumor potency. Additionally, new approaches in CAR-NK technology are briefly described, and currently registered clinical trials are listed. FAU - Wlodarczyk, Marta AU - Wlodarczyk M AUID- ORCID: 0000-0003-1545-2547 AD - Department of Biochemistry and Pharmacogenomics, Faculty of Pharmacy, Medical University of Warsaw, Banacha 1B, 02-097 Warsaw, Poland. AD - Centre for Preclinical Research, Medical University of Warsaw, Banacha 1B, 02-097 Warsaw, Poland. FAU - Pyrzynska, Beata AU - Pyrzynska B AUID- ORCID: 0000-0002-0490-618X AD - Department of Biochemistry, Medical University of Warsaw, Banacha 1, 02-097 Warsaw, Poland. LA - eng GR - 2016/23/B/NZ5/02622/National Science Center/ PT - Journal Article PT - Review DEP - 20221224 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC9817948 OTO - NOTNLM OT - CAR-NK OT - CAR-T OT - chimeric antigen receptors COIS- The authors declare no conflict of interest. EDAT- 2023/01/09 06:00 MHDA- 2023/01/09 06:01 PMCR- 2022/12/24 CRDT- 2023/01/08 01:07 PHST- 2022/11/16 00:00 [received] PHST- 2022/12/14 00:00 [revised] PHST- 2022/12/20 00:00 [accepted] PHST- 2023/01/08 01:07 [entrez] PHST- 2023/01/09 06:00 [pubmed] PHST- 2023/01/09 06:01 [medline] PHST- 2022/12/24 00:00 [pmc-release] AID - cancers15010117 [pii] AID - cancers-15-00117 [pii] AID - 10.3390/cancers15010117 [doi] PST - epublish SO - Cancers (Basel). 2022 Dec 24;15(1):117. doi: 10.3390/cancers15010117.