← 返回

辅助细胞因子诱导的杀伤细胞免疫治疗改善 I-II 期非小细胞肺癌根治性手术后患者的长期生存

英文原题:Adjuvant cytokine-induced killer cell immunotherapy improves long-term survival in patients with stage I-II non-small cell lung cancer after curative surgery.

查看英文原题

Adjuvant cytokine-induced killer cell immunotherapy improves long-term survival in patients with stage I-II non-small cell lung cancer after curative surgery.

PubMed 2022/11/12(内容时间) Cytotherapy Q1 · IF 4.5(JCR 2025)

分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。

研究概要

作者的数据表明,辅助 CIK 细胞治疗是一种安全有效的治疗策略,可改善 I-II 期 NSCLC 患者根治性切除术后的 OS 和 DFS。

研究思路结论见上方概要

非小细胞肺癌(NSCLC)仍然是全球最常见的癌症,年发病率约为130万。在早期NSCLC中,手术是可施行时的标准治疗。然而,由于癌症复发,只有约53%的I期和II期NSCLC患者在根治性手术后存活5年。作者进行了一项回顾性研究,以探讨细胞因子诱导的杀伤(CIK)细胞免疫治疗对I-II期NSCLC患者根治性切除术后长期生存的影响。

研究纳入57例NSCLC患者,对照组41例,CIK组16例。采用t检验和χ2检验比较临床特征。采用Kaplan-Meier法对NSCLC患者进行生存分析。通过流式细胞术评估CIK细胞的表型及抗肿瘤功能。

CIK 组患者的总生存期(OS)和无病生存期(DFS)均显著长于对照组。亚组分析表明,复发风险较高的患者从 CIK 治疗中获益更多,与对照组相比获得了更长的 OS 和 DFS。未发生与 CIK 治疗相关的严重不良事件。与外周血单个核细胞相比,CIK 细胞中 CD3 + CD56 + 自然杀伤(NK)T 细胞以及 CD3 + 和 CD8 + T 细胞比例更高,CD3 - CD56 + NK 细胞比例更低。CIK 细胞表现出强大的杀瘤能力,与肿瘤细胞的接触时间更长,且暴露于肿瘤细胞的细胞数量更多。

展开英文摘要原文

Fifty-seven patients with NSCLC were included in the study, with 41 and 16 in the control and CIK groups, respectively. Clinical characteristics were compared using a t-test and χ 2 test. Survival analysis of patients with NSCLC was performed using the Kaplan-Meier method. The phenotypes and anti-tumor functions of CIK cells were evaluated by flow cytometry.

Patients in the CIK group exhibited significantly longer overall survival (OS) and better disease-free survival (DFS) than those in the control group. Subgroup analysis indicated that patients with a higher risk of recurrence benefited more from CIK treatment and attained longer OS and DFS compared with those in the control group. No severe adverse events related to CIK treatment occurred. CIK cells contained a higher proportion of CD3 + CD56 + natural killer (NK) T cells and CD3 + and CD8 + T cells and a lower proportion of CD3 - CD56 + NK cells compared with peripheral blood mononuclear cells. CIK cells exhibited potent tumor-killing ability, with longer contact times with tumor cells and a greater number of cells exposed to tumor cells.

The authors' data suggest that adjuvant CIK cell therapy is a safe and effective therapeutic strategy for improving OS and DFS in patients with stage I-II NSCLC after curative resection.

论文信息

作者
Huang J、Zhao X、Zhang Z、Yang S、Chen X、Shen C、Wang L、Qi Y
第一作者单位
Biotherapy Center, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.China
通讯作者单位
Biotherapy Center, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China; Cancer Center, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China; School of Life Sciences, Zhengzhou University, Zhengzhou, China; State Key Laboratory of Esophageal Cancer Prevention and Treatment, Zhengzhou, China. Electronic address: yizhang@zzu.edu.cn.China
文献类型
非美国政府资助研究
期刊
Cytotherapy2023 Feb
原文标识
PubMed 36379882 · DOI 10.1016/j.jcyt.2022.10.008