RNF43 p.G659fs 通过 PI3K/AKT/mTOR 信号通路和 HLA-E 上调导致 MSI-high 结直肠癌中 NK 细胞功能障碍
RNF43 p.G659fs leads to natural killer cell dysfunction in MSI-high colorectal cancer through PI3K/AKT/mTOR signaling and HLA-E up-regulation.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Evaluating the Safety and Quality of Life of Colorectal Cancer Patients Treated by Autologous Immune Enhancement Therapy (AIET) in Vinmec International Hospitals.
Evaluating the Safety and Quality of Life of Colorectal Cancer Patients Treated by Autologous Immune Enhancement Therapy (AIET) in Vinmec International Hospitals.
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(1)近年来,结直肠癌(CRC)日益常见,死亡率较高。免疫细胞疗法已受到广泛关注,研究显示这类治疗毒性较低且有效。本研究评估自体免疫增强疗法(AIET)治疗CRC的安全性和疗效。(2)研究于2016年1月至2021年12月开展,为开放标签、单组研究,共纳入12例Ⅲ期或Ⅳ期CRC患者。患者接受1至7次自然杀伤(NK)细胞和细胞毒性T淋巴细胞(CTL)输注。研究采用多变量模型识别与健康相关生活质量(HRQoL)评分相关的因素。(3)培养20至21天后,NK细胞扩增3535倍,占培养细胞群的85%;CTL占培养细胞群的62.4%,扩增1220倍。
此外,EORTC QLQ-C30评分升高、症状严重程度下降,以及症状对日常生活的影响减轻(MDASI-GI报告),均表明生活质量改善。研究结束时,平均生存时间增加14.3±14.1个月。(4)在越南CRC患者中,AIET显示出良好安全性,并改善生存时间和健康相关生活质量。
(1) Colorectal cancer (CRC) is an increasingly prevalent disease with a high mortality rate in recent years. Immune cell-based therapies have received massive attention among scientists, as they have been proven effective as low-toxicity treatments.
This study evaluated the safety and effectiveness of autologous immune enhancement therapy (AIET) for CRC. (2) An open-label, single-group study, including twelve patients diagnosed with stages III and IV CRC, was conducted from January 2016 to December 2021. Twelve CRC patients received one to seven infusions of natural killer (NK)-cell and cytotoxic T-lymphocyte (CTL).
Multivariate modelling was used to identify factors associated with health-related quality-of-life (HRQoL) scores. (3) After 20 21 days of culture, the NK cells increased 3535-fold, accounting for 85% of the cultured cell population. Likewise, CTLs accounted for 62. 4% of the cultured cell population, which was a 1220-fold increase.
Furthermore, the QoL improved with increased EORTC QLQ-C30 scores, decreased symptom severity, and reduced impairment in daily living caused by these symptoms (MDASI-GI report).
Finally, a 14. 3 14. 1-month increase in mean survival time was observed at study completion. (4) AIET demonstrated safety and improved survival time and HRQoL for CRC patients in Vietnam.
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