Table 2.
Cell Type | Advantages | Disadvantages |
---|---|---|
NK cells (21, 23) | Intrinsic killing capability, lack of GVHD, decreased risk of off-target toxicity due to MHC-1 mediated regulation | Decreased persistence and tumor trafficking |
iNKT cells (24–26) | Lack of GVHD, can kill via CAR and TCR, CNS activity | Unknown persistence, function may be impaired by lymphodepleting chemotherapy, possibly more challenging to isolate due to rarity of T cell population |
γδ T cells (27–30) | Capable of MHC-independent killing, lack of GVHD | Unknown persistence, variable transduction efficacy, some subsets may be immunosuppressive |
iPSC (31, 32) | Unlimited replication potential; can facilitate scaling up of cell engineering and customization of antigen specificity | May cause GVHD due to TCR; if TCR removed, persistence may be reduced due to NK cell-mediated destruction |
EBV-CTL (33–35) | Specific targeting of virally driven DLBCL, minimal risk of GVHD | Unknown persistence, potential for off-target toxicity on other infected tissues that express EBV antigens |
SCM/early memory T cells (36–38) | Potential for improved engraftment and expansion with less exhaustion due to less-differentiated phenotype | Unknown persistence and cytotoxicity relative to more differentiated T-cell subsets |
CNS, central nervous system; EBV-CTL, Epstein Barr virus cytotoxic T cell; iNKT, invariant natural killer/T; iPSC, induced pluripotent stem cell; MHC, major histocompatibility complex; NK, natural killer; SCM, stem cell memory; TCR, T cell receptor.