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连续化疗后先天免疫下降的IIIA期炎性乳腺癌的细胞免疫治疗:一例报告

Cell-based immunotherapy in stage IIIA inflammatory breast cancer with declining innate immunity following successive chemotherapies: A case report.

作者信息

Chidambaram Ranganathan, Terunuma Hiroshi, Balamurugan Madasamy, Dedeepiya Vidyasagar Devaprasad, Sumana Premkumar, Senthilkumar Rajappa, Rajmohan Mathaiyan, Karthick Ramalingam, Preethy Senthilkumar, Abraham Samuel J K

机构信息

RUMA Biotherapy and Research Centre, Moolakulam, Puducherry-605010, India.

Department of Radiology, Sri Lakshmi Narayana Institute of Medical Sciences, Bharath University, Chennai, Tamil Nadu 600073, India.

出版信息

Mol Clin Oncol. 2017 Sep;7(3):493-497. doi: 10.3892/mco.2017.1333. Epub 2017 Jul 19.

Abstract

Cancer stem cells in breast cancer migrating to the bone marrow may cause future metastasis, particularly during periods of decreased immunity. Natural killer (NK) cells have a role in immune surveillance and are able to target cancer stem cells. The present study reported a case in which NK cell-based autologous immune enhancement therapy was used combined with conventional treatments in a patient with stage IIIA breast cancer, yielding >28 months of disease-free survival. However, there was a gradual decline in the in vitro expansion of NK cells with subsequent chemotherapeutic treatments. As this NK cell decline following chemotherapy may contribute to cancer cell immune evasion and future metastasis; modifying current cancer therapies in order to avoid potentially compromising the immune system may lead to improved treatment outcomes.

摘要

乳腺癌中的癌症干细胞迁移至骨髓可能会导致未来的转移,尤其是在免疫力下降期间。自然杀伤(NK)细胞在免疫监视中发挥作用,并且能够靶向癌症干细胞。本研究报告了一例使用基于NK细胞的自体免疫增强疗法联合传统治疗方法治疗IIIA期乳腺癌患者的病例,该患者实现了超过28个月的无病生存期。然而,随着后续化疗的进行,NK细胞的体外扩增逐渐下降。由于化疗后NK细胞数量的下降可能会导致癌细胞免疫逃逸和未来转移;调整当前的癌症治疗方法以避免潜在地损害免疫系统可能会改善治疗效果。

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