Evidence map›Paper›PMID 40723278›Full record

ReviewCancers2025

Engineering Innate Immunity: Recent Advances and Future Directions for CAR-NK and CAR-Macrophage Therapies in Solid Tumors.

Behzad Amoozgar, Ayrton Bangolo, Charlene Mansour, Daniel Elias, Abdifitah Mohamed, Danielle C Thor, Syed Usman Ehsanullah, Hadrian Hoang-Vu Tran, Izage Kianifar Aguilar, Simcha Weissman

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Behzad AmoozgarDepartment of Hematology and Oncology, John Theurer Cancer Center, Hackensack University Medical Center, Hackensack, NJ 07601, USA.
Ayrton BangoloDepartment of Hematology and Oncology, John Theurer Cancer Center, Hackensack University Medical Center, Hackensack, NJ 07601, USA.ORCID 0000-0002-2133-2480
Charlene MansourDepartment of Internal Medicine, Rutgers New Jersey Medical School, Newark, NJ 07103, USA.
Daniel EliasDepartment of Internal Medicine, Rutgers New Jersey Medical School, Newark, NJ 07103, USA.
Abdifitah MohamedDepartment of Internal Medicine, University of Washington School of Medicine, Seattle, WA 98195, USA.ORCID 0000-0001-8909-7424
Danielle C ThorDepartment of Internal Medicine, Jefferson Health-New Jersey, Stratford, NJ 08084, USA.ORCID 0000-0003-1624-4870
Syed Usman EhsanullahRRH Lipson Cancer Institute, Rochester, NY 14621, USA.ORCID 0000-0002-1896-7151
Hadrian Hoang-Vu TranDepartment of Internal Medicine, Palisades Medical Center, North Bergen, NJ 07047, USA.
Izage Kianifar AguilarDepartment of Internal Medicine, Palisades Medical Center, North Bergen, NJ 07047, USA.
Simcha WeissmanDepartment of Internal Medicine, Palisades Medical Center, North Bergen, NJ 07047, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adoptive cell therapies have transformed the treatment landscape for hematologic malignancies. Yet, translation to solid tumors remains constrained by antigen heterogeneity, an immunosuppressive tumor microenvironment (TME), and poor persistence of conventional CAR-T cells. In response, innate immune cell platforms, particularly chimeric antigen receptor-engineered natural killer (CAR-NK) cells and chimeric antigen receptor-macrophages (CAR-MΦ), have emerged as promising alternatives. This review summarizes recent advances in the design and application of CAR-NK and CAR-MΦ therapies for solid tumors. We highlight key innovations, including the use of lineage-specific intracellular signaling domains (e.g., DAP12, 2B4, FcRγ), novel effector constructs (e.g., NKG7-overexpressing CARs, TME-responsive CARs), and scalable induced pluripotent stem cell (iPSC)-derived platforms. Preclinical data support enhanced antitumor activity through mechanisms such as major histocompatibility complex (MHC)-unrestricted cytotoxicity, phagocytosis, trogocytosis, cytokine secretion, and cross-talk with adaptive immunity. Early-phase clinical studies (e.g., CT-0508) demonstrate feasibility and TME remodeling with CAR-MΦ. However, persistent challenges remain, including transient in vivo survival, manufacturing complexity, and risks of off-target inflammation. Emerging combinatorial strategies, such as dual-effector regimens (CAR-NK

Indexed as

adoptive cell therapyCAR–macrophagesCAR-NK cellscellular therapycombinatorial immunotherapycytokineshematologyinnate immunityiPSConcologyphagocytosissolid tumorstumor microenvironment

Identifiers

PMID40723278
PMCPMC12293738

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.