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HER2过表达复发性乳腺癌患者的肿瘤冷冻消融联合自然杀伤细胞疗法及赫赛汀治疗

Tumor cryoablation in combination with natural killer cells therapy and Herceptin in patients with HER2-overexpressing recurrent breast cancer.

作者信息

Liang Shuzhen, Niu Lizhi, Xu Kecheng, Wang Xiaohua, Liang Yingqing, Zhang Mingjie, Chen Jibing, Lin Mao

机构信息

Department of Biological Treatment Center, Fuda Cancer Hospital, Jinan University School of Medicine, No 2, Tangde Xi Road, Tianhe District, Guangzhou, China; Fuda Cancer Institute, No 2,Tangde Xi Road, Tianhe District, Guangzhou, China.

Department of Biological Treatment Center, Fuda Cancer Hospital, Jinan University School of Medicine, No 2, Tangde Xi Road, Tianhe District, Guangzhou, China.

出版信息

Mol Immunol. 2017 Dec;92:45-53. doi: 10.1016/j.molimm.2017.10.003. Epub 2017 Oct 14.

Abstract

In this study, we investigated the clinical benefits of a combination of tumor cryoablation with natural killer (NK) cells therapy and Herceptin for human epidermal growth factor (HER) 2-overexpressing recurrent breast cancer. From May 2015 to May 2016, 48 patients who met the enrollment criteria were assigned to three groups (n=16): cryoablation group (group I), cryoablation-NK cells therapy group (group II) and cryoablation-NK cells therapy-Herceptin group (group III). Safety and short-term effects were evaluated. All the adverse effects were manageable and acceptable. The three-therapy combination treatment not only yielded good clinical efficacy, it also improved the quality of life; reduced levels of circulating tumor cells (CTCs); reduced carcino-embryonic antigen (CEA) and cancer antigen 15-3 (CA15-3) expression; enhanced immune function significantly. Furthermore, it can resulte in significant prolongation of progression free survival (PFS). This is the first clinical study to demonstrate the benefit of the three-therapy combination of tumor cryoablation, NK cells therapy, and Herceptin for HER2-overexpressing recurrent breast cancer.

摘要

在本研究中,我们调查了肿瘤冷冻消融联合自然杀伤(NK)细胞疗法及赫赛汀治疗人表皮生长因子(HER)2过表达复发性乳腺癌的临床疗效。2015年5月至2016年5月,48例符合入组标准的患者被分为三组(n = 16):冷冻消融组(I组)、冷冻消融-NK细胞治疗组(II组)和冷冻消融-NK细胞治疗-赫赛汀组(III组)。对安全性和短期疗效进行了评估。所有不良反应均可控且可接受。三联疗法不仅产生了良好的临床疗效,还改善了生活质量;降低了循环肿瘤细胞(CTC)水平;降低了癌胚抗原(CEA)和癌抗原15-3(CA15-3)的表达;显著增强了免疫功能。此外,它可显著延长无进展生存期(PFS)。这是第一项证明肿瘤冷冻消融、NK细胞疗法和赫赛汀三联疗法对HER2过表达复发性乳腺癌有益的临床研究。

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