Advances in engineering and clinical translation of human iPSC‑derived natural killer cells
Cell & Gene Therapy Insights 2026; 12(3), 297–316
DOI: 10.18609/cgti.2026.036
Chimeric antigen receptor (CAR)-expressing autologous T cells provide potentially curative therapy for certain hematological malignancies; however, this treatment is constrained by logistical challenges, high costs, and toxicity risks that require close monitoring. Furthermore, the efficacy of autologous CAR‑T cells remains limited in the solid tumor setting due to issues that include antigen heterogeneity and the immunosuppressive tumor microenvironment. This review explores the use of induced pluripotent stem cell‑derived natural killer (iPSC‑NK) cells as an allogeneic cell therapy platform that addresses these unmet needs through standardized, scalable manufacturing and improved safety. Human iPSCs provide a renewable, clonally defined cell population that is amenable to multiplexed genetic engineering, including precise integration of functional enhancements. NK cells can be routinely produced at clinical‑scale from these gene edited iPSCs to provide a safe, effective, and widely accessible cell‑based immunotherapy.