Target intelligence / Profile preview

Inert Natural Killer Group 2 Member D receptor (iNKG2D)

Target
iNKG2D
Molecular classification
Receptor, C-type lectin-like receptor, Type II transmembrane protein, Chimeric antigen receptor component
01

Overview

The inert Natural Killer Group 2 Member D (iNKG2D) receptor is an engineered, synthetic receptor used in the convertibleCAR-T cell platform for cancer immunotherapy [1]. It is derived from the human NKG2D receptor (KLRK1) but contains specific mutations in its extracellular domain that prevent it from binding to its natural ligands, such as MICA and MICB [1, 2]. Instead, the iNKG2D receptor is designed to bind with high affinity to an 'orthogonal' MICA ligand that has been similarly engineered to avoid binding to wild-type NKG2D [1]. This system functions through the use of bispecific adapter molecules called MicAbodies, which bridge the iNKG2D-expressing T cell to a specific tumor-associated antigen [2]. This modular design allows for the creation of a single 'universal' CAR-T cell product that can be directed against multiple different antigens by simply changing the MicAbody administered to the patient [1, 3]. This approach provides a mechanism to control the timing and dose of CAR-T activity, potentially improving safety and overcoming antigen escape in complex tumors [2]. Sources: [1] Shifrin, N. et al. (2020) Nature Communications; [2] Astellas Pharma/Xyphos Biosciences Technology Overview; [3] Williams, K. et al. (2020) Journal for ImmunoTherapy of Cancer.

Other names
convertibleCARmutated NKG2D receptororthogonal NKG2DiNKG2D-CARInert KLRK1
02

Mechanism of action

The iNKG2D receptor acts as a synthetic docking station on T cells that remains signaling-inert until engaged by a bispecific MicAbody adapter. The MicAbody binds the iNKG2D receptor via an orthogonal MICA domain and a tumor antigen via an antibody fragment, inducing T-cell receptor signaling and tumor cell lysis [1, 2].

03

Biological functions

Immune responseT-cell activationCytotoxicityTargeted cell killing
04

Disease associations

CancerSolid tumorsHematologic malignanciesB-cell malignancies
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Safety considerations

Cytokine release syndrome (CRS)Immune effector cell-associated neurotoxicity syndrome (ICANS)On-target off-tumor toxicityPotential immunogenicity of the engineered receptor and adapter
06

Interacting drugs

MicAbodies

3 more in the full profile.

07

Biomarkers

iNKG2D expression levelsTumor antigen expression (e.g., CD20, HER2, BCMA)Serum cytokine levels (IL-6, IFN-gamma)T-cell persistence

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