Edo Kapetanovic is a medical doctor, but for a while now he has devoted himself entirely to research in synthetic immunology. He has completed his doctoral studies in immunoengineering and is working at the Department of Biosystems Science and Engineering at ETH Zurich in Basel. His big goal is to develop new cancer therapies by providing patients with immune cells derived from donor blood. He is now getting closer to this goal: he has managed to modify donor cells so that they attack only the tumour cells and not patient’s healthy cells. The technology has been tested in the lab in human cells, but it will take more time and development before the patients can benefit from the technology.

Administering donor cells is far from straightforward: the immune system is specialised in distinguishing foreign molecules from ‘self’ and will attack any foreign cell. This is particularly dangerous for immunocompromised patients, as donor cells can recognize patient cells as foreign and trigger a violent and, consequently, fatal immune response in the recipient, known as a graft-versus-host reaction. That is why today’s immunotherapeutic treatments for cancer mainly use a patient’s own immune cells rather than donated cells.

Kapetanovic and his team have now succeeded in engineering immune cells that are safe of graft-versus-host reaction. Generally speaking, approved immunotherapies for cancer take one of two approaches, and both depend on cells known as killer cells, mostly killer T cells. In one approach, experts extract the patient’s own killer cells and modify them in the lab so that they specifically recognise and eliminate cancer cells. These modified cells are then administered to the patient.