The present invention concerns providing chimeric natural killer cell receptor (CNK) constructs, genetically engineered T cells expressing such constructs (CNK-T), genetically engineered natural killer cells expressing such constructs (CNK-NK), and the use of CNK-T and CNK-NK to treat a variety of disease states. Specifically, the CNK are designed to target any types of infected, transformed, autoreactive, senescent and stressed cells overexpressing NKG2D ligands. Compared with native T cells and native natural killer cells, the CNK-T and CNK-NK are shown to have improved sensitivity in initiating cytotoxicity against the tumor cells and viral cells in absence or presence of the second genetically modification. Moreover, by incorporating the CNK into the chimeric antigen receptor (CAR) system, the genetically engineered T cells expressing such constructs (CNK/CAR-T) display enhanced sensitivity and superior cytotoxicity against tumor cells. Therefore, such CNK-T and CNK/CAR-T could be applied to the cellular therapy to treat tumor, virus infected diseases and autoimmune diseases directly.
