Kim Kangseok, Wang Hyunhye, Lee Jiewon, Yeom Changhwan
Department of Surgery, Bangre Hospital, Incheon, Korea.
Department of Radiology, Bangre Hospital, Incheon, Korea.
Korean J Clin Oncol. 2024 Dec;20(2):84-87. doi: 10.14216/kjco.24012. Epub 2024 Dec 31.
This case study explores the effectiveness of autologous cytokine-induced killer (CIK) cell-based immunotherapy in a 49-year-old male patient with inoperable stage IIIb cholangiocarcinoma, characterized by high levels of the sodium-dependent vitamin C transporter-2 (SVCT2) in immune cells. Despite an initial lack of tumor reduction following chemotherapy, the patient showed a significant decrease in tumor markers and stabilization of the tumor after undergoing radiation and proton therapy. Subsequently, CIK cell therapy, combined with high-dose vitamin C, was administered 52 times over 6 years. The patient's tumor size reduced, and no cancer activity was detected for 7 years and 10 months post-diagnosis, indicating a successful long-term outcome without recurrence. This study suggests that CIK cell therapy, particularly in patients with elevated SVCT2 levels, may offer a promising adjuvant treatment for cholangiocarcinoma and potentially other cancers. Further research is needed to validate SVCT2 as a biomarker for the effectiveness of CIK cell therapy.
本病例研究探讨了自体细胞因子诱导杀伤(CIK)细胞免疫疗法在一名49岁不可切除的IIIb期胆管癌男性患者中的疗效,该患者免疫细胞中钠依赖性维生素C转运蛋白2(SVCT2)水平较高。尽管化疗后最初肿瘤没有缩小,但患者在接受放疗和质子治疗后肿瘤标志物显著下降,肿瘤稳定。随后,CIK细胞疗法联合高剂量维生素C在6年内进行了52次。患者肿瘤大小缩小,诊断后7年10个月未检测到癌症活动,表明长期预后成功且无复发。本研究表明,CIK细胞疗法,特别是在SVCT2水平升高的患者中,可能为胆管癌及其他潜在癌症提供一种有前景的辅助治疗方法。需要进一步研究以验证SVCT2作为CIK细胞疗法有效性的生物标志物。