Department of Oncology, The Affiliated Central Hospital of Qingdao University, 127 Siliu South Road, Qingdao 266042, China.
Department of Clinical Laboratory, The Affiliated Central Hospital of Qingdao University, 127 Siliu South Road, Qingdao 266042, China.
Int Immunopharmacol. 2017 Nov;52:197-202. doi: 10.1016/j.intimp.2017.09.014. Epub 2017 Sep 21.
Regulatory T cells (Tregs) suppress antitumor immune responses. Cycles of Dendritic cells (DC) vaccination combined with cytokine-induced killer (CIK) cells (DC/CIK) treatment were significantly related with good prognosis. Therefore, we investigated whether increased cycles of immunotherapy could decrease frequency of Tregs in patients with resected non-small cell lung cancer (NSCLC). Previous study from our laboratory has determined that the optimal cutoff point of the cycle count was 3cycles. We examined the levels of Tregs and the related cytokines by flow cytometric and cytokine analysis in these patients after more than (≥) 3cycles or less than (<) 3cycles of DC/CIK cell treatment. Significant reduction of Tregs frequency, Treg-generated cytokines level and recurrence rate were presented in patients received with ≥3cycles of DC/CIK cell treatment compared with patients with <3cycles of treatment. Interestingly, Tregs frequency and the related cytokines level were similar between patients suffered tumor recurrence and patients without recurrence in both groups. Together, our findings reveal that increased cycle count of DC/CIK cell immunotherapy contribute to decline of Tregs frequency and cancer recurrence rate in patients with resected NSCLC.
调节性 T 细胞(Tregs)抑制抗肿瘤免疫反应。树突状细胞(DC)疫苗接种与细胞因子诱导的杀伤(CIK)细胞(DC/CIK)治疗的循环周期与良好的预后显著相关。因此,我们研究了增加免疫治疗周期是否可以降低接受手术治疗的非小细胞肺癌(NSCLC)患者 Tregs 的频率。我们实验室之前的研究确定了周期计数的最佳临界值为 3 个周期。我们通过流式细胞术和细胞因子分析检测了这些患者在接受≥3 个周期或<3 个周期的 DC/CIK 细胞治疗后的 Tregs 水平和相关细胞因子。与接受<3 个周期治疗的患者相比,接受≥3 个周期 DC/CIK 细胞治疗的患者 Tregs 频率、Treg 产生的细胞因子水平和复发率均显著降低。有趣的是,两组中复发和未复发患者的 Tregs 频率和相关细胞因子水平相似。总之,我们的研究结果表明,增加 DC/CIK 细胞免疫治疗的周期数有助于降低接受手术治疗的 NSCLC 患者 Tregs 的频率和癌症复发率。
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