Evidence map›Paper›PMID 42316255›Full record

ReviewCancer cell international2026

Next-generation CAR-NK cell therapy: engineering strategies, translational challenges, and future perspectives in cancer immunotherapy.

Minoo Bakhtiari, Hamid Nickho, Mahmoud Mahmoudi, Fahimeh Lavi Arab, Akram Hoseinzadeh, Rasoul Baharlou

Erratum issuedAbstract readReview
In one paragraph

Review in Cancer cell international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Minoo BakhtiariDepartment of Immunology, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
Hamid NickhoDepartment of Immunology, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
Mahmoud MahmoudiDepartment of Immunology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Fahimeh Lavi ArabDepartment of Immunology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Akram HoseinzadehDepartment of Immunology, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran. Hoseinzadehak961@semums.ac.ir.
Rasoul BaharlouDepartment of Immunology, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran. Baharlour@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Natural killer (NK) cells play a central role in innate immune surveillance and represent a promising platform for next-generation cancer immunotherapy. Recent advances in chimeric antigen receptor (CAR) engineering have accelerated the development of CAR-NK cell therapies as potentially safer and more accessible alternatives to CAR-T cell therapy. Compared with CAR-T cells, CAR-NK therapies demonstrate lower risks of cytokine release syndrome and graft-versus-host disease while offering the potential for allogeneic "off-the-shelf" applications. Preclinical and early-phase clinical studies have shown encouraging antitumor activity of CAR-NK cells in both hematological malignancies and solid tumors. However, several translational challenges remain, including limited in vivo persistence, insufficient tumor trafficking, immunosuppressive tumor immune microenvironments, manufacturing variability, and restricted long-term clinical data. To overcome these barriers, emerging strategies such as CRISPR-based gene editing, cytokine-armored CAR constructs, multiplex engineering, checkpoint blockade combinations, and oncolytic virus-based approaches are being actively investigated. This review provides an updated overview of CAR-NK cell biology, engineering strategies, current clinical progress, major translational challenges, and future therapeutic opportunities. In addition, we discuss evolving combinatorial and next-generation engineering approaches that may improve persistence, safety, and therapeutic efficacy, ultimately facilitating the broader clinical translation of CAR-NK immunotherapy.

Indexed as

Cancer immunotherapyCAR-NK cellsCombination therapyGene editing

Identifiers

PMID42316255
PMCPMC13523458

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.