Enhancing the fitness of NK cell via olfactory receptor OR7A10: a novel strategy to improve immune therapy for solid tumors

Hari Krishnareddy Rachamala , Purushothaman Vetrivel , Srujan Marepally

Targetome ›› 2026, Vol. 2 ›› Issue (3) : e023

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Targetome ›› 2026, Vol. 2 ›› Issue (3) :e023 DOI: 10.48130/targetome-0026-0022
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Enhancing the fitness of NK cell via olfactory receptor OR7A10: a novel strategy to improve immune therapy for solid tumors
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Abstract

Chimeric antigen receptor (CAR)-based adoptive cell therapies have displayed outstanding efficacy in hematological malignancies; in spite of this, success in solid tumors remains limited. Natural killer (NK) cells have arisen as an encouraging alternative to T cells for cancer immunotherapy owing to their innate cytotoxic capability, negligible risk of graft-vs-host disease (GVHD), and lowered cytokine release syndrome (CRS). Regardless of these improvements, NK cell therapies face substantial challenges in the solid tumor setting, with an immunosuppressive tumor microenvironment (TME), inadequate persistence, and poor metabolic fitness. In a recently published study, Yang et al. utilized a CRISPR-based Synergistic Activation Mediator (SAM) screen to find novel genetic targets capable of improving NK cell anti-tumor function. Using an in vivo screening approach with over 70,000 guide RNAs in an NK92 cell line model bearing colorectal tumors, the investigators identified olfactory receptor OR7A10 as a top-ranked candidate gene. Consequent validation in primary NK cells and third-generation CAR-NK constructs demonstrated that OR7A10 overexpression significantly boosted cytolytic activity among multiple solid tumor types, enriched metabolic fitness through increased oxidative phosphorylation and mitochondrial biogenesis, and conferred resistance to the hostile TME. These results acknowledged OR7A10 as a novel molecular target for engineering next-generation CAR-NK cell products with improved anti-tumor efficacy in solid malignancies[1].

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Hari Krishnareddy Rachamala, Purushothaman Vetrivel, Srujan Marepally. Enhancing the fitness of NK cell via olfactory receptor OR7A10: a novel strategy to improve immune therapy for solid tumors. Targetome, 2026, 2 (3) : e023 DOI:10.48130/targetome-0026-0022

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Acknowledgments

Marepally S thanks the Department of Biotechnology (DBT), India (Grant BT/PR63457/MRNAR/169/12/2025), and the Indian Council of Medical Research (ICMR), India (Grant EM/dev/CAR-2024-01-0113), for financial support, and Rachamala H thanks the Mayo Clinic, Jacksonville, Florida.

Ethical statements

Not applicable.

Author contributions

The authors confirm their contributions to the paper as follows: conception, manuscript revision and supervision: Marepally S; manuscript preparation: Rachamala H, Vetrivel P, Marepally S; figure creation: Rachamala H; funding acquisition: Marepally S. All authors reviewed the results and approved the final version of the manuscript.

Data availability

Data sharing is not applicable to this commentary as no datasets were generated or analyzed.

Conflict of interest

The authors declare no conflict of interest.

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