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Allogeneic haploidentical natural killer (NK) cells refer to an investigational adoptive cellular immunotherapy consisting of NK cells harvested from a partially matched (haploidentical) adult donor, typically a parent. These cells are expanded and activated ex vivo, often using cytokines like interleukin-2 (IL-2) and sometimes membrane-bound IL-15/4-1BBL expressing feeder cells, to enhance their cytotoxic potential. The therapy leverages the graft-versus-leukemia (GvL) effect, where donor NK cells recognize and eliminate recipient leukemic blasts that lack the specific HLA class I ligands corresponding to the donor's inhibitory killer cell immunoglobulin-like receptors (KIRs). This KIR-ligand mismatch triggers NK cell activation and tumor lysis without the high risk of graft-versus-host disease (GvHD) associated with T-cell therapies. It is primarily being evaluated as a consolidation treatment for pediatric and adolescent patients with acute myeloid leukemia (AML) who are in remission but are not candidates for hematopoietic stem cell transplantation.
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