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使用肾母细胞瘤抗原1(WT1)树突状细胞疫苗、自然杀伤(NK)细胞疗法和纳武单抗联合治疗,晚期系统性多发转移卵巢癌显示出明显缩小。

Late-Stage Ovarian Cancer With Systemic Multiple Metastases Shows Marked Shrinkage Using a Combination of Wilms' Tumor Antigen 1 (WT1) Dendritic Cell Vaccine, Natural Killer (NK) Cell Therapy, and Nivolumab.

作者信息

Nagai Hisashi, Karube Ryusuke

机构信息

Human and Environmental Studies, Tokai University, Hiratsuka, JPN.

Oncology, Ginza Phoenix Clinic, Tokyo, JPN.

出版信息

Cureus. 2024 Mar 22;16(3):e56685. doi: 10.7759/cureus.56685. eCollection 2024 Mar.

Abstract

A patient with bilateral ovarian cancer, peritoneal dissemination, and multiple liver and lung metastases was found with a sudden accumulation of ascites six months after delivery. Chemotherapy was started, but the prognosis was judged to be poor, so immuno-cell therapy was combined with chemotherapy. After multiple cycles of Wilms' tumor antigen 1 (WT1) dendritic cell vaccine therapy and highly activated natural killer (NK) cell therapy, the patient showed a disappearance of ascites and a remarkable reduction of multiple cancers in the whole body. Furthermore, there were no side effects other than reactive fever caused by the administration of immune cells, and no damage to the patient's body was observed. This case suggests that not only the combined effects of chemotherapy and immunotherapy but also the combined use of various types of immuno-cell therapy may provide beneficial clinical effects in patients with extremely poor prognoses and few options for standard treatment.

摘要

一名患有双侧卵巢癌、腹膜播散以及多发肝肺转移的患者在分娩后六个月突然出现腹水积聚。开始进行化疗,但预后被判定为较差,因此将免疫细胞疗法与化疗联合使用。经过多个周期的肾母细胞瘤抗原1(WT1)树突状细胞疫苗疗法和高度活化自然杀伤(NK)细胞疗法后,患者腹水消失,全身多处癌症明显缩小。此外,除了免疫细胞给药引起的反应性发热外没有其他副作用,且未观察到对患者身体的损害。该病例表明,不仅化疗与免疫疗法的联合作用,而且各种类型免疫细胞疗法的联合使用,可能会为预后极差且标准治疗选择有限的患者带来有益的临床效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4abd/10960621/bebfb8283e6d/cureus-0016-00000056685-i01.jpg

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