A Genetically Engineered Primary Human Natural Killer Cell Platform for Cancer Immunotherapy

Mol Ther. 2020 Jan 8;28(1):52-63. doi: 10.1016/j.ymthe.2019.10.009. Epub 2019 Oct 15.

Abstract

Enhancing natural killer (NK) cell cytotoxicity by blocking inhibitory signaling could lead to improved NK-based cancer immunotherapy. Thus, we have developed a highly efficient method for editing the genome of human NK cells using CRISPR/Cas9 to knock out inhibitory signaling molecules. Our method efficiently edits up to 90% of primary peripheral blood NK cells. As a proof-of-principle we demonstrate highly efficient knockout of ADAM17 and PDCD1, genes that have a functional impact on NK cells, and demonstrate that these gene-edited NK cells have significantly improved activity, cytokine production, and cancer cell cytotoxicity. Furthermore, we were able to expand cells to clinically relevant numbers, without loss of activity. We also demonstrate that our CRISPR/Cas9 method can be used for efficient knockin of genes by delivering homologous recombination template DNA using recombinant adeno-associated virus serotype 6 (rAAV6). Our platform represents a feasible method for generating engineered primary NK cells as a universal therapeutic for cancer immunotherapy.

Keywords: ADAM17; CRISPR; NK cells; PD1; immunotherapy.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • ADAM17 Protein / genetics
  • Adoptive Transfer / methods*
  • Animals
  • CRISPR-Cas Systems
  • Cell Engineering / methods*
  • Cytotoxicity, Immunologic / genetics
  • Dependovirus
  • Female
  • Gene Knockout Techniques
  • Genetic Engineering / methods*
  • Healthy Volunteers
  • Humans
  • K562 Cells
  • Killer Cells, Natural / immunology*
  • Mice
  • Mice, Inbred NOD
  • Mice, SCID
  • Ovarian Neoplasms / pathology
  • Ovarian Neoplasms / therapy*
  • Parvovirinae / genetics
  • Programmed Cell Death 1 Receptor / genetics
  • Treatment Outcome
  • Xenograft Model Antitumor Assays

Substances

  • PDCD1 protein, human
  • Programmed Cell Death 1 Receptor
  • ADAM17 Protein
  • ADAM17 protein, human

Supplementary concepts

  • Adeno-associated virus-1