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CIR-NK is an allogeneic natural killer (NK) cell therapy engineered with Chimeric ILT Receptors (CIR) designed to target HLA-G, an immunosuppressive MHC-IB molecule often overexpressed in various cancers to evade immune responses. Developed by NKILT Therapeutics, these cells utilize the natural HLA-G binding domains of immunoglobulin-like transcript (ILT) receptors (such as ILT2 and ILT4) rather than traditional antibody-derived scFvs to achieve high specificity across diverse HLA-G isoforms. The CIR constructs incorporate multiple intracellular signaling domains, including CD3ζ, 4-1BB, DAP10, and MyD88, to enhance anti-tumor cytotoxicity and functional persistence. Additionally, the cells are engineered to express soluble IL-15 to support survival and a DCD19 marker. CIR-NK has demonstrated preclinical efficacy against HLA-G+ acute myeloid leukemia (AML), multiple myeloma, and solid tumor models, with ongoing research focused on identifying optimal allogeneic donors to ensure high growth potential and resistance to exhaustion.
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