TY - JOUR TI - A Feeder Cell-Free System for Chimeric Antigen Receptor Gene Transduction Into Natural Killer Cells AU - Kubo, Nobuhiro AU - Baba, Minori AU - Suzuki, Yuko AU - Kasahara, Yasushi AU - Hosokai, Ryosuke AU - Imamura, Masaru AU - Saitoh, Akihiko AU - Imai, Chihaya VL - 16 IS - 8 PY - 2026 DA - 2026/04/20 SP - e5669 C1 - Bio-protocol 2026;16:e5669 DO - 10.21769/BioProtoc.5669 UR - https://doi.org/10.21769/BioProtoc.5669 AB - Anti-CD19 chimeric antigen receptor (CAR)-natural killer (NK) cells are expected to demonstrate anti-CD19 CAR-T-cell-like efficacy against relapsed and refractory B-cell malignancies and autoimmune diseases, with fewer adverse events and the added advantage of permitting the use of allogeneic cells. However, the methodology for generating CAR-NK cells remains under development. Although various cell sources and expansion methods are available, feeder cells derived from cancerous tissue have been most commonly employed to promote ex vivo expansion of NK cells. In the protocol described herein, NK cells are expanded from adult peripheral blood mononuclear cells using CD2- and NKp46-specific stimulating antibodies in combination with multiple cytokines. The activated NK cells can be genetically modified using a retroviral vector. Subsequent culture of these cells yields large numbers of anti-CD19 CAR-NK cells. The current method, which enables feeder-free, large-scale generation of anti-CD19 CAR-NK cells, eliminates the risk of tumor cell contamination and may facilitate safer clinical application. KW - NK cell expansion KW - CAR-NK cells KW - Anti-NKp46 antibody KW - Anti-CD2 antibody KW - Interleukin-12 KW - Interleukin-18 KW - Interleukin-21 KW - Off-the-shelf JF - Bio-protocol SN - 2331-8325 PB - Bio-protocol LLC. BIO101 - False