Li Xiao-Dong, Ji Mei, Zheng Xiao, Ning Zhong-Hua, Wu Jun, Lu Binfeng, Wu Chang-Ping, Jiang Jing-Ting
J Transl Med. 2014 Aug 12;12:215. doi: 10.1186/s12967-014-0215-0.
CIK cells therapy has been evaluated as an adoptive cell immunotherapy for cancer patients, but there still have not been any standardized systems for evaluating the antitumor efficacy yet. The WHO and RECIST criteria have already been established for a few years but not sufficient to fully characterize the activity of immunotherapy. Based on these two criteria, the irRC was proposed for evaluating the efficacy of immunotherapy. A variety of bioassays for immune monitoring including the specific and non-specific methods, have been established. We recommend detect levels of various immunocytes, immune molecules and soluble molecules to find the correlations among them and clinicopathological characteristics to establish criteria for immunological classification. We also recommend a paradigm shift for the oncologists in the evaluation of immune therapies to ensure assessment of activity based on clinically relevant criteria and time points.
CIK细胞疗法已被评估为一种用于癌症患者的过继性细胞免疫疗法,但目前仍没有任何标准化系统来评估其抗肿瘤疗效。世界卫生组织(WHO)和实体瘤疗效评价标准(RECIST)已经确立数年,但仍不足以全面表征免疫疗法的活性。基于这两个标准,提出了免疫反应修正标准(irRC)来评估免疫疗法的疗效。已经建立了多种用于免疫监测的生物测定方法,包括特异性和非特异性方法。我们建议检测各种免疫细胞、免疫分子和可溶性分子的水平,以找出它们之间以及与临床病理特征的相关性,从而建立免疫分类标准。我们还建议肿瘤学家在评估免疫疗法时进行范式转变,以确保根据临床相关标准和时间点评估活性。