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Peer-reviewedCC BY-NC 4.0Journal for Immunotherapy of Cancer

HER2 CAR-expressing iPSC-derived iNKT cells exhibit multifaceted immunomodulatory functions beyond direct tumor killing

1 more authors
4 affiliations
  1. 1BrightPath Biotherapeutics Co Ltd, Tokyo, Japan
  2. 2Laboratory for Developmental Genetics, RIKEN Center for Integrative Medical Sciences, Yokohama, Japan
  3. 3Department of Medical Immunology, Graduate School of Medicine, Chiba University, Chiba, Japan
  4. 4Department of Cellular and Molecular Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan

Abstract

Background: Autologous chimeric antigen receptor (CAR)-T cell therapy exhibits remarkable clinical efficacy for hematologic malignancies; however, its efficacy against solid tumors is limited by the immunosuppressive tumor microenvironment and the lack of effective strategies to induce broader antitumor immunity. Invariant natural killer T (iNKT) cells are known to elicit antitumor effects by activating tumor antigen-specific cytotoxic T lymphocytes, promoting dendritic cells maturation, and modulating macrophage activity, thereby providing a mechanism distinct from conventional T cell-based therapies. To couple this immunomodulatory capacity of iNKT cells with CAR technology, we developed allogeneic induced pluripotent stem cell (iPSC)-derived iNKT cells bearing a human epidermal growth factor receptor 2 (HER2) reactive CAR (HER2 CAR) and evaluated their cytotoxic and immunomodulatory functions.

Method: HER2 CAR-expressing iPSC-derived iNKT (HER2 CAR-ipsNKT) cells were generated and characterized for cytotoxic and immunomodulatory functions, including T-cell recruitment, and M2 macrophage re-polarization, and were evaluated for antitumor efficacy in xenograft mouse models.

Results: HER2 CAR-ipsNKT cells specifically recognized HER2-positive tumor cells and exerted potent antitumor activity through NK-like cytotoxicity. In addition to direct tumor killing, HER2 CAR-ipsNKT cells promoted the expansion of tumor-reactive T cells, and this effect was diminished following depletion of CD11c+ cells. HER2 CAR-ipsNKT cells also demonstrated immunomodulatory properties, including T-cell recruitment activity and M2 macrophage killing and re-polarization, supporting remodeling of the tumor immune microenvironment.

Conclusion: Our findings demonstrate that HER2 CAR-ipsNKT cells not only exert direct antitumor activity but also promote CD11c-dependent expansion of antigen-reactive CD8+ T cells, suggesting their capacity to induce broader antitumor immunity.

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BibTeX
@article{shioya2026her2,
  title = {{HER2 CAR-expressing iPSC-derived iNKT cells exhibit multifaceted immunomodulatory functions beyond direct tumor killing}},
  author = {Koichiro Shioya and Tomio Matsumura and Akane Urakami and Tomokuni Shigeura and Yu-Ching Lin and Mio Fujimaki and Yuji Mishima and Takahiro Aoki and Momoko Okoshi and Kiwamu Motoyoshi and Shinichiro Motohashi and Haruhiko Koseki and Lilin Zhang},
  journal = {Journal for Immunotherapy of Cancer},
  year = {2026},
  month = oct,
  doi = {10.1136/jitc-2026-016268},
  url = {https://doi.org/10.1136/jitc-2026-016268},
  note = {CC BY-NC 4.0},
}
RIS
TY  - JOUR
TI  - HER2 CAR-expressing iPSC-derived iNKT cells exhibit multifaceted immunomodulatory functions beyond direct tumor killing
AU  - Koichiro Shioya
AU  - Tomio Matsumura
AU  - Akane Urakami
AU  - Tomokuni Shigeura
AU  - Yu-Ching Lin
AU  - Mio Fujimaki
AU  - Yuji Mishima
AU  - Takahiro Aoki
AU  - Momoko Okoshi
AU  - Kiwamu Motoyoshi
AU  - Shinichiro Motohashi
AU  - Haruhiko Koseki
AU  - Lilin Zhang
PY  - 2026
DA  - 2026/10/20
JO  - Journal for Immunotherapy of Cancer
DO  - 10.1136/jitc-2026-016268
UR  - https://doi.org/10.1136/jitc-2026-016268
AB  - Background: Autologous chimeric antigen receptor (CAR)-T cell therapy exhibits remarkable clinical efficacy for hematologic malignancies; however, its efficacy against solid tumors is limited by the immunosuppressive tumor microenvironment and the lack of effective strategies to induce broader antitumor immunity. Invariant natural killer T (iNKT) cells are known to elicit antitumor effects by activating tumor antigen-specific cytotoxic T lymphocytes, promoting dendritic cells maturation, and modulating macrophage activity, thereby providing a mechanism distinct from conventional T cell-based therapies. To couple this immunomodulatory capacity of iNKT cells with CAR technology, we developed allogeneic induced pluripotent stem cell (iPSC)-derived iNKT cells bearing a human epidermal growth factor receptor 2 (HER2) reactive CAR (HER2 CAR) and evaluated their cytotoxic and immunomodulatory functions.  Method: HER2 CAR-expressing iPSC-derived iNKT (HER2 CAR-ipsNKT) cells were generated and characterized for cytotoxic and immunomodulatory functions, including T-cell recruitment, and M2 macrophage re-polarization, and were evaluated for antitumor efficacy in xenograft mouse models.  Results: HER2 CAR-ipsNKT cells specifically recognized HER2-positive tumor cells and exerted potent antitumor activity through NK-like cytotoxicity. In addition to direct tumor killing, HER2 CAR-ipsNKT cells promoted the expansion of tumor-reactive T cells, and this effect was diminished following depletion of CD11c+ cells. HER2 CAR-ipsNKT cells also demonstrated immunomodulatory properties, including T-cell recruitment activity and M2 macrophage killing and re-polarization, supporting remodeling of the tumor immune microenvironment.  Conclusion: Our findings demonstrate that HER2 CAR-ipsNKT cells not only exert direct antitumor activity but also promote CD11c-dependent expansion of antigen-reactive CD8+ T cells, suggesting their capacity to induce broader antitumor immunity.
SN  - 2051-1426
ER  -