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TSA-DC-CTL 免疫治疗联合奥希替尼治疗 EGFR 突变晚期肺腺癌一例应答

英文原题:A case of response to combination treatment with TSA-DC-CTL immunotherapy and osimertinib in EGFR mutated advanced lung adenocarcinoma.

PubMed 2024/08/09(内容时间) Mol Cancer Q1 · IF 42.2(JCR 2025)

研究概要

本报告展示了TSA-DC-CTL细胞免疫疗法联合奥希替尼治疗一例携带EGFR外显子19缺失的晚期肺腺癌患者的安全性和有效性。本研究为携带EGFR突变的晚期肺癌患者描述了一种有前景的新治疗选择。

研究思路结论见上方概要

本研究详细描述了一例携带EGFR基因外显子19缺失的晚期肺腺癌患者的病例。

一名46岁女性患者被诊断为IVb期左肺腺癌,伴多发骨及淋巴结转移。在鉴定出肿瘤特异性抗原肽后,患者接受了免疫治疗(TSA-DC-CTL)联合口服奥希替尼的治疗。治疗前后监测了外周血循环免疫细胞和循环肿瘤细胞(CTC)。采用PET-CT和CT扫描评估肿瘤对治疗的反应。

观察到患者总淋巴细胞百分比显著升高,CTCs数量减少。影像学检查显示肿瘤转移灶明显缩小。

展开英文摘要原文

BACKGROUND: This study details a case of a patient with advanced lung adenocarcinoma harboring an exon 19 deletion in the EGFR gene. METHOD: A 46-year-old female patient was diagnosed with stage IVb left lung adenocarcinoma, with multiple bone and lymph node metastases. Following the identification of tumor-specific antigen peptides, the patient received a combination treatment of immunotherapy (TSA-DC-CTL) and oral osimertinib. Peripheral blood circulating immune cells and circulating tumor cells (CTCs) were monitored before and after treatment. PET-CT and CT scans were used to assess the tumor response to treatment. RESULTS: A significant increase in total lymphocyte percentage and decrease in the number of CTCs in the patient was observed. Imaging studies showed a notable reduction in tumor metastases. CONCLUSION: This report demonstrates the safety and efficacy of TSA-DC-CTL cell immunotherapy combined with osimertinib in the treatment of a patient with advanced lung adenocarcinoma with an EGFR exon 19 deletions. This study describes a promising new treatment option for patients with advanced lung cancer with EGFR mutations.

论文信息

作者
Han Z、Li T、Zhang H、Liang K、You M、Xu M、Bai F、Zhang T
第一作者单位
Department of Surgery, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, China.China
通讯作者单位
Department of Medical Oncology, Beijing Chest Hospital, Beijing Tuberculosis and Thoracic & Laboratory for Clinical Medicine, Capital Medical University, Beijing, 101149, China. tongmeibj@163.com.China
文献类型
病例报告 · 读者来信 · 非美国政府资助研究
期刊
Molecular cancer2024 Aug 9
原文标识
PubMed 39123231 · DOI 10.1186/s12943-024-02070-3