Kumar Chaitanya, Bagga Jasmine, Chiliveru Srikanth, Kohli Sakshi, Bharadwaj Asmi, Jain Minish, Inamdar Shriram, Sharan Bandana
R&D, APAC Biotech Pvt Ltd, Gurgaon, India.
Medical Oncology, Ruby Hall Clinic, Pune, India.
Future Sci OA. 2019 Oct 29;5(10):FSO435. doi: 10.2144/fsoa-2019-0086.
Of the most prevalent solid tumors with advanced disease, prostate and ovarian cancer and non-small cell lung carcinoma have the fewest therapeutic options. Herein, we report the case of a 63-year-old male with metastatic prostate adenocarcinoma showing substantial remission post-administration of personalized dendritic cell-based vaccine APCEDEN in combination with chemotherapeutic drug Mitoxantrone. Therapeutic response displayed an interesting clinical correlation validated by PET scan images showing decreased fluorodeoxyglucose (FDG) avidity in the prostate gland, reduced skeletal metastases further established by the drop in serum Prostate Specific Antigen (PSA) levels and expression of immune assessment markers (IFN-γ, Tregs, neutrophil lymphocyte ratio and platelet lymphocyte ratio). This case demonstrates the potential efficacy of dendritic cell immunotherapy, showing a potent antitumor activity by enhancing the host immune responses, and improving quality of life.
在患有晚期疾病的最常见实体瘤中,前列腺癌、卵巢癌和非小细胞肺癌的治疗选择最少。在此,我们报告一例63岁男性转移性前列腺腺癌患者,在给予个性化树突状细胞疫苗APCEDEN联合化疗药物米托蒽醌后出现显著缓解。治疗反应显示出有趣的临床相关性,PET扫描图像证实前列腺中氟脱氧葡萄糖(FDG)摄取减少,血清前列腺特异性抗原(PSA)水平下降以及免疫评估标志物(IFN-γ、调节性T细胞、中性粒细胞淋巴细胞比率和血小板淋巴细胞比率)的表达进一步证实骨转移减少。该病例证明了树突状细胞免疫疗法的潜在疗效,通过增强宿主免疫反应显示出强大的抗肿瘤活性,并改善了生活质量。