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吉西他滨加铂类方案联合树突状细胞-细胞因子诱导的杀伤细胞免疫疗法对非小细胞肺癌患者复发率和生存率的影响

Effects of a gemcitabine plus platinum regimen combined with a dendritic cell-cytokine induced killer immunotherapy on recurrence and survival rate of non-small cell lung cancer patients.

作者信息

Zhao Min, Li Hongbing, Li Lei, Zhang Yijie

机构信息

Department of Respiratory Medicine, Henan University Huaihe Hospital, Kaifeng, Henan 475000, P.R. China.

出版信息

Exp Ther Med. 2014 May;7(5):1403-1407. doi: 10.3892/etm.2014.1574. Epub 2014 Feb 21.

Abstract

The aim of the present study was to investigate the effects of a gemcitabine plus platinum (GP) regimen combined with dendritic cell-cytokine induced killer (DC-CIK) immunotherapy on the recurrence and survival rate in patients with non-small cell lung cancer (NSCLC). Patients (n=157) with stage III NSCLC that had received surgery were randomly divided into a control group and an observation group. The control group was administered with a GP regimen and the observation group received GP chemotherapy that was based on DC-CIK cell immunotherapy in addition to SC-CIK cell immunotherapy here. The two groups were followed up for 36 months and their postoperative cellular immune function, disease-free survival time, cumulative recurrence rate and cumulative survival rate was analyzed. The percentages of CD3CD4 T lymphocytes, natural killer cells and the CD4/CD8 ratio were identified to be significantly increased following treatment compared with those observed prior to treatment in the control and observation groups; conversely, the CD3CD8 T lymphocyte percentage decreased significantly (P<0.05). Furthermore, the results of the patients in the observation group were significantly better compared with the control group based on these indicators (P<0.05). The median disease-free survival time of patients in the observation group (28 months) was identified to be significantly longer than that of the control group (22 months; P<0.05), the three-year cumulative recurrence rate in the observation group (47.37%) was significantly lower than that of the control group (76.92%; P<0.05) and the three-year cumulative survival rate of the patients in the observation group (58.23%) was significantly higher than that of the control group patients (37.14%; P<0.05). In conclusion, the GP regimen combined with DC-CIK immunotherapy significantly improved the immune cell function in the postoperative NSCLC patients, in addition to reducing postoperative tumor recurrence and prolonging the survival time of patients with NSCLC.

摘要

本研究旨在探讨吉西他滨联合铂类(GP)方案联合树突状细胞-细胞因子诱导的杀伤细胞(DC-CIK)免疫疗法对非小细胞肺癌(NSCLC)患者复发率和生存率的影响。157例接受手术的Ⅲ期NSCLC患者被随机分为对照组和观察组。对照组采用GP方案治疗,观察组在此基础上接受基于DC-CIK细胞免疫疗法的GP化疗以及SC-CIK细胞免疫疗法。两组随访36个月,分析其术后细胞免疫功能、无病生存时间、累积复发率和累积生存率。结果显示,与治疗前相比,对照组和观察组治疗后CD3CD4 T淋巴细胞、自然杀伤细胞百分比及CD4/CD8比值均显著升高;相反,CD3CD8 T淋巴细胞百分比显著降低(P<0.05)。此外,基于这些指标,观察组患者的结果明显优于对照组(P<0.05)。观察组患者的中位无病生存时间(28个月)显著长于对照组(22个月;P<0.05),观察组三年累积复发率(47.37%)显著低于对照组(76.92%;P<0.05),观察组患者的三年累积生存率(58.23%)显著高于对照组患者(37.14%;P<0.05)。总之,GP方案联合DC-CIK免疫疗法除了可降低NSCLC患者术后肿瘤复发率和延长生存期外,还能显著改善术后NSCLC患者的免疫细胞功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/983e/3991503/0876a87093f5/ETM-07-05-1403-g00.jpg

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