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ILT2.4-1BB.CD3ζ CIR-NK cells are an experimental allogeneic Natural Killer (NK) cell therapy engineered to express a Chimeric ILT Receptor (CIR™). The CIR construct is composed of the extracellular domain of Immunoglobulin-Like Transcript 2 (ILT2; also known as LILRB1 or CD85j) fused to the intracellular signaling domains of 4-1BB (TNFRSF9) and CD3ζ. This therapy specifically targets HLA-G, a non-classical MHC class I molecule that is frequently overexpressed in various cancers to mediate immune evasion. By utilizing the natural ILT2 receptor, the CIR-NK cells are designed to invert the inhibitory signal typically transmitted by HLA-G into an activating one, thereby triggering NK cell-mediated cytotoxicity against tumor cells. Developed by 1NKILT Therapeutics, this construct has been evaluated in preclinical models for the treatment of HLA-G-positive hematologic malignancies, including acute myeloid leukemia (AML) and multiple myeloma.
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