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HER2-directed CAR-NK is a **HER2-targeting chimeric antigen receptor natural killer cell therapy** being investigated for HER2-positive malignancies. It consists of NK cells, including engineered NK-92 cells in some programs, modified to express a CAR with an extracellular HER2-binding domain and intracellular activation domains such as CD3 zeta and CD28, enabling antigen-directed recognition and killing of HER2-expressing tumor cells. The modality is being explored as an allogeneic or off-the-shelf cell-based immunotherapy with potential advantages versus CAR-T approaches, including lower risk of graft-versus-host disease and cytokine release syndrome. A specifically named example is **NK-92/5.28.z**, which has been studied in glioblastoma, while HER2-directed CAR NK-92 cells have also been investigated in neuroblastoma; broader literature also discusses development concepts in HER2-positive breast, ovarian, gastric, and gastroesophageal cancers.
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