- Shah, Nina;
- Martin-Antonio, Beatriz;
- Yang, Hong;
- Ku, Stephanie;
- Lee, Dean A;
- Cooper, Laurence JN;
- Decker, William K;
- Li, Sufang;
- Robinson, Simon N;
- Sekine, Takuya;
- Parmar, Simrit;
- Gribben, John;
- Wang, Michael;
- Rezvani, Katy;
- Yvon, Eric;
- Najjar, Amer;
- Burks, Jared;
- Kaur, Indreshpal;
- Champlin, Richard E;
- Bollard, Catherine M;
- Shpall, Elizabeth J
- Editor(s): Alici, Evren
Natural killer (NK) cells are important mediators of anti-tumor immunity and are active against several hematologic malignancies, including multiple myeloma (MM). Umbilical cord blood (CB) is a promising source of allogeneic NK cells but large scale ex vivo expansion is required for generation of clinically relevant CB-derived NK (CB-NK) cell doses. Here we describe a novel strategy for expanding NK cells from cryopreserved CB units using artificial antigen presenting feeder cells (aAPC) in a gas permeable culture system. After 14 days, mean fold expansion of CB-NK cells was 1848-fold from fresh and 2389-fold from cryopreserved CB with >95% purity for NK cells (CD56(+)/CD3(-)) and less than 1% CD3(+) cells. Though surface expression of some cytotoxicity receptors was decreased, aAPC-expanded CB-NK cells exhibited a phenotype similar to CB-NK cells expanded with IL-2 alone with respect to various inhibitory receptors, NKG2C and CD94 and maintained strong expression of transcription factors Eomesodermin and T-bet. Furthermore, CB-NK cells formed functional immune synapses with and demonstrated cytotoxicity against various MM targets. Finally, aAPC-expanded CB-NK cells showed significant in vivo activity against MM in a xenogenic mouse model. Our findings introduce a clinically applicable strategy for the generation of highly functional CB-NK cells which can be used to eradicate MM.