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大体积卵巢癌的同种异体自然杀伤细胞免疫治疗:一例报告。

Allogenic natural killer cell immunotherapy of sizeable ovarian cancer: A case report.

作者信息

Xie Silun, Chen Jibing, Zhang Mingjiie, Wu Zhengyi

机构信息

Shenzhen Hank Bioengineering Institute, Shenzhen, Guangdong 518004, P.R. China.

Cancer Institute of Fuda Cancer Hospital, Jinan University School of Medicine, Guangzhou, Guangdong 510665, P.R. China.

出版信息

Mol Clin Oncol. 2017 Jun;6(6):903-906. doi: 10.3892/mco.2017.1230. Epub 2017 Apr 28.

Abstract

Masses are often detected in the abdomen of patients with sizeable ovarian cancer. There are currently no effective treatments available for late-stage ovarian cancer. Immunotherapy is gaining increasing attention worldwide in the clinical setting due to its ability to eliminate tumor cells and its favorable toxicity profile. We herein report the case of a 60-year-old woman who received allogenic natural killer (NK) cell immunotherapy for a sizeable ovarian carcinoma and achieved a noteworthy response. NK cells were isolated from the donor's peripheral blood mononuclear cells, and the cell numbers were increased to 8-10 billion [corrected]. The activated cells were expanded ex vivo for 14 days prior to intravenous infusion. After six infusions of NK cell therapy >3 months, the level of carbohydrate antigen 125 decreased significantly (from 11,270 to 580 U/ml). Furthermore, the size of the masses in the abdomen was markedly reduced. Overall, the treatment had few adverse effects and it prolonged patient survival. The present data and the patient response suggest that allogenic NK cell immunotherapy is a promising approach for ovarian cancer, with few treatment-related adverse effects. The patient received six intravenous infusions of allogenic HANK cells between March, 2015 and June, 2015, but discontinued in October, 2015 and succumbed to the disease in March, 2016 following relapse.

摘要

在患有较大卵巢癌的患者腹部常可检测到肿块。目前晚期卵巢癌尚无有效的治疗方法。免疫疗法因其能够消除肿瘤细胞且毒性特征良好,在临床环境中受到全球越来越多的关注。我们在此报告一例60岁女性患者,其因较大的卵巢癌接受了同种异体自然杀伤(NK)细胞免疫疗法,并取得了显著疗效。NK细胞从供体的外周血单个核细胞中分离出来,细胞数量增加至80 - 100亿[校正后]。活化后的细胞在体外扩增14天,然后进行静脉输注。在进行超过3个月的6次NK细胞治疗后,糖类抗原125水平显著下降(从11270降至580 U/ml)。此外,腹部肿块大小明显缩小。总体而言,该治疗几乎没有不良反应,且延长了患者生存期。目前的数据和患者反应表明,同种异体NK细胞免疫疗法是一种有前景的卵巢癌治疗方法,治疗相关不良反应较少。该患者在2015年3月至2015年6月期间接受了6次同种异体HANK细胞静脉输注,但于2015年10月停止治疗,并在2016年3月复发后死于该疾病。

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