Gao Daiqing, Li Changyou, Xie Xihe, Zhao Peng, Wei Xiaofang, Sun Weihong, Liu Hsin-Chen, Alexandrou Aris T, Jones Jennifer, Zhao Ronghua, Li Jian Jian
Biotherapy Center, Qingdao Center Hospital, The Second Affiliated Hospital, Qingdao University Medical College, Qingdao, China.
Department of Radiation Oncology, NCI-Designated Comprehensive Cancer Center, University of California at Davis Sacramento, Sacramento, California, United States of America.
PLoS One. 2014 Apr 3;9(4):e93886. doi: 10.1371/journal.pone.0093886. eCollection 2014.
Gastric and colorectal cancers (GC and CRC) have poor prognosis and are resistant to chemo- and/or radiotherapy. In the present study, the prophylactic effects of dendritic cell (DC) vaccination are evaluated on disease progression and clinical benefits in a group of 54 GC and CRC patients treated with DC immunotherapy combined with cytokine-induced killer (CIK) cells after surgery with or without chemo-radiotherapy. DCs were prepared from the mononuclear cells isolated from patients using IL-2/GM-CSF and loaded with tumor antigens; CIK cells were prepared by incubating peripheral blood lymphocytes with IL-2, IFN-γ, and CD3 antibodies. The DC/CIK therapy started 3 days after low-dose chemotherapy and was repeated 3-5 times in 2 weeks as one cycle with a total of 188.3 ± 79.8 × 10(6) DCs and 58.8 ± 22.3 × 10(8) CIK cells. Cytokine levels in patients' sera before and after treatments were measured and the follow-up was conducted for 98 months to determine disease-free survival (DFS) and overall survival (OS). The results demonstrate that all cytokines tested were elevated with significantly higher levels of IFN-γ and IL-12 in both GC and CRC cohorts of DC/CIK treated patients. By Cox regression analysis, DC/CIK therapy reduced the risk of post-operative disease progression (p<0.01) with an increased OS (<0.01). These results demonstrate that in addition to chemo- and/or radiotherapy, DC/CIK immunotherapy is a potential effective approach in the control of tumor growth for post-operative GC and CRC patients.
胃癌和结直肠癌(GC和CRC)预后较差,且对化疗和/或放疗具有抗性。在本研究中,对54例接受DC免疫疗法联合细胞因子诱导的杀伤细胞(CIK)治疗的GC和CRC患者进行评估,观察树突状细胞(DC)疫苗接种对疾病进展和临床益处的预防作用,这些患者术后接受或未接受放化疗。DC由使用IL-2/GM-CSF从患者分离的单核细胞制备,并负载肿瘤抗原;CIK细胞通过将外周血淋巴细胞与IL-2、IFN-γ和CD3抗体孵育制备。DC/CIK治疗在低剂量化疗后3天开始,在2周内重复3 - 5次作为一个周期,共使用188.3±79.8×10(6)个DC和58.8±22.3×10(8)个CIK细胞。测量患者治疗前后血清中的细胞因子水平,并进行98个月的随访以确定无病生存期(DFS)和总生存期(OS)。结果表明,所有检测的细胞因子均升高,在接受DC/CIK治疗的GC和CRC队列患者中,IFN-γ和IL-12水平显著更高。通过Cox回归分析,DC/CIK治疗降低了术后疾病进展的风险(p<0.01),OS增加(<0.01)。这些结果表明,除了化疗和/或放疗外,DC/CIK免疫疗法是控制术后GC和CRC患者肿瘤生长的一种潜在有效方法。
Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2010-2
Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi. 2015-1
Signal Transduct Target Ther. 2024-10-7
Cancer Biol Med. 2024-8-22
Vaccines (Basel). 2023-9-29
Cancer Metastasis Rev. 2024-3
Eur J Immunol. 2013-5-10
J Natl Compr Canc Netw. 2012-12-1
Clin Cancer Res. 2012-10-22
Semin Oncol. 2012-6
Expert Opin Biol Ther. 2012-4-14
Cancer Biother Radiopharm. 2012-2
J Natl Cancer Inst. 2012-1-9
Eur J Cell Biol. 2011-3-25