一种用于克服非小细胞肺癌治疗中抗原异质性的多靶向 CAR-T 细胞平台
A Multi-Targeting Chimeric Antigen Receptor-T Cell Platform to Overcome Antigen Heterogeneity in the Treatment of Non-Small Cell Lung Cancer.
这些发现支持采用多靶点CAR-T 策略来应对NSCLC及可能其他实体瘤中的抗原异质性。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Treatment of refractory non-small cell lung cancer with combined infusion of modified CIK cells and PD1 antibody: safety and efficacy.
Treatment of refractory non-small cell lung cancer with combined infusion of modified CIK cells and PD1 antibody: safety and efficacy.
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评估修饰的CIK细胞联合PD-1抗体治疗难治性非小细胞肺癌(NSCLC)的安全性和疗效。
选取2015年1月至2020年12月在我院接受治疗的15例难治性NSCLC患者进行本临床研究。所有患者均在完成常规治疗后出现疾病进展。
12例患者中2例达到部分缓解,6例疾病稳定,4例疾病进展。未发生严重副作用。免疫治疗后,患者T辅助细胞和NKT样细胞百分比显著升高(P < 0.05)。此外,抗肿瘤细胞因子(IL-2和INF-γ)显著升高(P < 0.05)。尽管免疫治疗后抗炎细胞因子IL-10无明显变化(P > 0.05),但Karnofsky功能状态评分得到改善。脐带血单个核细胞可被诱导为NKT样细胞。诱导后的NKT样细胞在体外与PD1抗体联合时对肿瘤细胞系具有强大的细胞毒性。
免疫治疗对难治性NSCLC也具有显著的治疗效果,且体内未出现严重副作用。
To evaluate the safety and efficacy of modified CIK cells combined with PD-1 antibody in the treatment of refractory non-small cell lung cancer (NSCLC). Fifteen patients with refractory NSCLC who were treated in our hospital were recruited for this clinical study from January 2015 to December 2020.
All patients had disease progression after completing routine treatment. Two of 12 patients achieved a partial remission, 6 had stable disease, and 4 had progressive disease. No serious side effects occurred. The percentage of T helper and NKT-like cells in patients increased significantly after immunotherapy (P < 0. 05).
In addition, the anti-tumor cytokines (IL-2 and INF-γ) increased significantly (P < 0. 05). Although the anti-inflammatory cytokine, IL-10, did not change markedly after immunotherapy (P > 0. 05), the Karnofsky Performance Scale was improved. Umbilical cord blood mononuclear cells can be induced into NKT-like cells. Induced NKT-like cells had powerful cytotoxicity against tumor cell lines in vitro when combined with PD1 antibody. Immunotherapy also had a significant therapeutic effect on refractory NSCLC with no serious side effects in vivo.
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