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Table 1 Comparison of the advantages and disadvantages of CAR-T therapy and CAR-NK therapy

From: Chimeric antigen receptor-engineered NK cells: new weapons of cancer immunotherapy with great potential

 

CAR-T therapy

CAR-NK therapy

Advantage

Better expansion and persistence

Easier transduction and modification

Proven prospects for clinical use (many positive clinical results have been reported; CAR-T clinical products approved by FDA)

Various allogeneic sources (PB, UCB, NK cell lines, iPSC)

Good safety, no GVHD, CRS and ICANS

CAR-dependent killing mechanism and innate cytotoxicity (including ADCC)

“Off-the-shelf” products availability and lower cost

Disadvantage

Single source (patient's autologous T cells)

Risk of GVHDs and side effects (CRS, ICANS)

Only CAR-dependent killing mechanism

Higher cost and low production efficiency (needs to be prepared individually for each patient)

Low potential of “off-the-shelf” products

Difficulty in large-scale expansion and short lifespan

More difficult to transduce and modify

More encouraging clinical results are still needed to prove its application prospects