Overview
This article presents a robust and reproducible protocol for the ex vivo expansion of functional, non-exhaustive, memory-like natural killer (NK) cells and chimeric antigen receptor (CAR)-modified NK cells. The method utilizes an Epstein-Barr virus (EBV)-transformed B cell line expressing a membrane-bound form of interleukin-21 (IL-21) as feeder cells, enabling the generation of large numbers of high-purity NK and CAR-NK cells from cord blood, peripheral blood, and solid organ tissues. This approach addresses a key bottleneck in the clinical development of CAR-NK immunotherapy by providing a scalable, 'off-the-shelf' cell source.
Key Study Components
Area of Science
- Immunotherapy
- Cellular engineering
- Cancer research
Background
- CAR-modified immune cell therapy is an emerging treatment for cancers and infectious diseases.
- NK-based immunotherapy, especially CAR-NK cells, offers promising 'off-the-shelf' therapeutic potential with reduced toxicity.
- Obtaining sufficient numbers of non-exhaustive, long-lived CAR-NK cells from third-party sources remains a challenge.
- Existing expansion protocols often require complex feeder cell systems and NK cell isolation steps.
Purpose of Study
- To develop a simplified, efficient protocol for expanding NK and CAR-NK cells ex vivo.
- To utilize a genetically modified EBV-transformed B cell line expressing membrane-bound IL-21 as feeder cells.
- To enable the production of clinically relevant quantities of functional NK and CAR-NK cells from various tissue sources.
Methods Used
- Preparation and sectioning of viable tissue to isolate lymphocytes.
- Enzymatic dissociation and density gradient centrifugation to obtain tissue-infiltrating lymphocytes.
- Coculture of peripheral blood mononuclear cells (PBMCs) with gamma-irradiated 221-mIL-21 feeder cells in media supplemented with IL-2 and IL-15.
- Retroviral transduction of expanded NK cells with CAR constructs using retronectin-coated plates and 293T-derived viral supernatant.
- Flow cytometry to assess NK cell purity and CAR transduction efficiency throughout expansion.
Main Results
- The protocol yields highly functional, non-exhaustive, memory-like NK cells with improved expansion compared to other feeder systems.
- NK cell purity is maintained at approximately 85% over a 21-day expansion period.
- CAR transduction efficiency reaches approximately 70% by Day 7 of culture.
- The expansion system is robust and reproducible, with up to 50,000-fold expansion of NK cells observed.
- The method is applicable to cells derived from cord blood, peripheral blood, and solid organ tissues, and can be adapted for other species.
Conclusions
- This protocol enables efficient, large-scale expansion of functional NK and CAR-NK cells suitable for immunotherapy applications.
- The use of 221-mIL-21 feeder cells simplifies the process by eliminating the need for prior NK cell isolation.
- The approach supports the clinical development of 'off-the-shelf' CAR-NK therapies for cancer and other diseases.
What is the main advantage of using 221-mIL-21 feeder cells in NK cell expansion?
221-mIL-21 feeder cells expressing membrane-bound IL-21 significantly enhance NK cell expansion and functionality, while simplifying the protocol by removing the need for NK cell isolation prior to expansion.
How is tissue processed to obtain lymphocytes for NK cell expansion?
Viable tissue is sectioned, minced, enzymatically digested, and filtered to isolate lymphocytes, which are then separated using density gradient centrifugation.
What are the key cytokines used during NK cell expansion?
Human interleukin-2 (IL-2) and interleukin-15 (IL-15) are added to the culture media to support NK cell growth and survival.
How is CAR transduction performed in this protocol?
Expanded NK cells are transduced with CAR constructs using retroviral supernatant from transfected 293T cells and retronectin-coated plates to facilitate gene transfer.
What levels of NK cell purity and CAR transduction efficiency are achieved?
NK cell purity is maintained at around 85% throughout the 21-day expansion, and CAR transduction efficiency reaches approximately 70% by Day 7.
Can this protocol be applied to sources other than peripheral blood?
Yes, the protocol is suitable for expanding NK and CAR-NK cells from cord blood, peripheral blood, and solid organ tissues, and can be adapted for other species.
What are the potential clinical applications of this expansion method?
The method supports the development of 'off-the-shelf' CAR-NK cell therapies for cancer, infectious diseases, and conditions involving NK cell deficiency.