<p>Natural killer (NK) cells represent a promising source for off-the-shelf cellular therapies. Typically, NK cells are expanded with cytokines and K562 feeder cells expressing 4-1BBL and membrane-bound IL-21, which induce a uniform and activated CD56<sup>superbright</sup> phenotype. However, the developmental origin of these cells remains unclear, arising either from CD56<sup>dim</sup> NK cells through phenotypic plasticity or from functional maturation of the CD56<sup>bright</sup> subset. In this study, we dissected the respective contributions of CD56<sup>bright</sup> and CD56<sup>dim</sup> NK cells to engineered NK cell products. NK cell populations were sorted, and their activation, expansion, phenotype, and functionality were assessed. We found that CD56<sup>bright</sup> NK cells were initially critical for proliferation and feeder clearance, but after restimulation, they exhibited comparable cytotoxicity and expansion to CD56<sup>dim</sup> NK cells. This was further highlighted by the ability of both subsets to mediate CAR- or TCR-driven cytotoxicity. Eventually, sorted and expanded NK cells acquire the same activated phenotype, but can be distinguished by CD16 expression, predominantly maintained by CD56<sup>dim</sup> cells, resulting in superior antibody-dependent cellular cytotoxicity. Together these findings indicate that preselection of a single subset is redundant, and that bulk isolation enables optimal NK cell engineering by leveraging the complementary strengths of CD56<sup>bright</sup> and CD56<sup>dim</sup> NK cells.</p>

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Optimal genetic feeder cell-expanded and engineered NK cell products are composed of CD56bright and CD56dim NK cells

  • Els P. van Hees,
  • Cilia R. Pothast,
  • Emma S. Pool,
  • J. H. Frederik Falkenburg,
  • Janine E. Melsen,
  • Mirjam H. M. Heemskerk

摘要

Natural killer (NK) cells represent a promising source for off-the-shelf cellular therapies. Typically, NK cells are expanded with cytokines and K562 feeder cells expressing 4-1BBL and membrane-bound IL-21, which induce a uniform and activated CD56superbright phenotype. However, the developmental origin of these cells remains unclear, arising either from CD56dim NK cells through phenotypic plasticity or from functional maturation of the CD56bright subset. In this study, we dissected the respective contributions of CD56bright and CD56dim NK cells to engineered NK cell products. NK cell populations were sorted, and their activation, expansion, phenotype, and functionality were assessed. We found that CD56bright NK cells were initially critical for proliferation and feeder clearance, but after restimulation, they exhibited comparable cytotoxicity and expansion to CD56dim NK cells. This was further highlighted by the ability of both subsets to mediate CAR- or TCR-driven cytotoxicity. Eventually, sorted and expanded NK cells acquire the same activated phenotype, but can be distinguished by CD16 expression, predominantly maintained by CD56dim cells, resulting in superior antibody-dependent cellular cytotoxicity. Together these findings indicate that preselection of a single subset is redundant, and that bulk isolation enables optimal NK cell engineering by leveraging the complementary strengths of CD56bright and CD56dim NK cells.