Department of Urology, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, China.
Department of Pediatric Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, China.
Int Urol Nephrol. 2023 Aug;55(8):1957-1970. doi: 10.1007/s11255-023-03650-w. Epub 2023 May 30.
PURPOSE: Cisplatin-based chemotherapy is now an important treatment for improving bladder cancer prognosis. However, challenges in clinical treatment remain due to the numerous side effects of chemotherapy. Natural killer (NK) cells regulate certain immune responses and play a significant role in tumor surveillance and control. The efficacy of NK cells combined with cisplatin for chemoimmunotherapy in bladder cancer remains poorly understood. METHODS: In this study, we established an MB49 tumor-bearing mouse model, tumor growth was measured in a control group and in groups treated with cisplatin, NK cells or both. Organ indices, biochemical indicators of blood serum, and expression of apoptotic proteins were used to assess the extent of organ damage. ELISA and immunohistochemistry were used to analyze the levels of immune cells and cytokine expression in serum, spleen, and tumor tissue. RESULTS: NK cells combined with cisplatin exhibited better antitumor activity. NK cells also alleviated the organ damage caused by cisplatin and improved the survival rate. Treatment with NK cells increased the expression of IL-2 and IFN-γ as well as the number of CD4 + T cells. Additionally, cisplatin increased the expression of natural killer group 2, member D (NKG2D) ligands thus activating NK cells to kill tumor cells. CONCLUSION: NK cells could alleviate the side effects of cisplatin treatment and enhance antitumor activity. The combination of NK cells and cisplatin thus provides a promising option for chemoimmunotherapy for bladder cancer.
目的:顺铂为基础的化疗目前是改善膀胱癌预后的重要治疗手段。然而,由于化疗的许多副作用,临床治疗仍存在挑战。自然杀伤 (NK) 细胞调节某些免疫反应,在肿瘤监测和控制中发挥重要作用。NK 细胞联合顺铂用于膀胱癌的化免疫治疗的疗效仍知之甚少。
方法:本研究建立了 MB49 荷瘤小鼠模型,在对照组和用顺铂、NK 细胞或两者治疗的组中测量肿瘤生长。用器官指数、血清生化指标和凋亡蛋白表达来评估器官损伤程度。ELISA 和免疫组化用于分析血清、脾脏和肿瘤组织中免疫细胞和细胞因子表达水平。
结果:NK 细胞联合顺铂表现出更好的抗肿瘤活性。NK 细胞还减轻了顺铂引起的器官损伤,提高了存活率。NK 细胞治疗增加了白细胞介素 2 和干扰素-γ的表达以及 CD4+T 细胞的数量。此外,顺铂增加了自然杀伤组 2,成员 D (NKG2D) 配体的表达,从而激活 NK 细胞杀死肿瘤细胞。
结论:NK 细胞可以减轻顺铂治疗的副作用,并增强抗肿瘤活性。因此,NK 细胞与顺铂的联合为膀胱癌的化免疫治疗提供了一种有前途的选择。
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