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Natural killer cell-derived exosomes for cancer immunotherapy: innovative therapeutics art

Zahra HatamiDepartment of Immunology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IranZahra Sadat HashemiATMP Department, Breast Cancer Research Center, Motamed Cancer Institute, ACECR, Tehran, Iran. [email protected]Mohamad EftekharyDepartment of Medical Biotechnology, Faculty of Paramedicine, Guilan University of Medical Sciences, Rasht, IranAla AmiriDepartment of Biotechnology, Faculty of Biological Sciences, Alzahra University, Tehran, IranVahid KarpishehImmunology Research Center, Tabriz University of Medical Sciences, Tabriz, IranKaveh NasrollahiDepartment of Biochemistry, Faculty of Biological Sciences, Tarbiat Modares University, Tehran, IranReza JafariCellular and Molecular Research Center, Cellular and Molecular Medicine Institute, Urmia University of Medical Sciences, Urmia, Iran. [email protected]
2023en
ABI

Аннотация

Chimeric antigen receptor natural killer cells (CAR-NK) promote off-the-shelf cellular therapy for solid tumors and malignancy.However,, the development of CAR-NK is due to their immune surveillance uncertainty and cytotoxicity challenge was restricted. Natural killer cell-derived exosome (NK-Exo) combine crucial targeted cellular therapies of NK cell therapies with unique non-toxic Exo as a self-origin shuttle against cancer immunotherapy. This review study covers cytokines, adoptive (autologous and allogenic) NK immunotherapy, stimulatory and regulatory functions, and cell-free derivatives from NK cells. The future path of NK-Exo cytotoxicity and anti-tumor activity with considering non-caspase-independent/dependent apoptosis and Fas/FasL pathway in cancer immunotherapy. Finally, the significance and implication of NK-Exo therapeutics through combination therapy and the development of emerging approaches for the purification and delivery NK-Exo to severe immune and tumor cells and tissues were discussed in detail.

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