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病例报告:三例异体 CIK 治疗实体瘤

英文原题:Case Report: Three cases with allogeneic CIK therapy against solid tumors.

PubMed 2025/09/04(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

研究概要

我们推荐实体瘤患者术后早期应用CIK细胞治疗,特别是在以下情况中:(1) 化疗选择有限的癌症类型,(2) 化疗不耐受的患者,(3) 化疗失败的病例,以及(4) 已完成标准放化疗方案的患者。

研究思路结论见上方概要

许多恶性肿瘤患者无法从辅助化疗中获得充分获益。这一局限性源于两个主要因素。第一,某些癌症类型,如肾细胞癌、肝细胞癌和胆管癌,缺乏有效的化疗方案。第二,高龄、身体状况差和严重不良反应等因素可能使患者无法完成化疗。尽管靶向治疗和 PD-1/PD-L1 抑制剂显著扩展了治疗选择,但其疗效取决于基因检测结果,并且仍受限于耐药性、显著副作用和免疫相关不良事件。相比之下,细胞因子诱导的杀伤(CIK)细胞疗法涉及将高度活化的 CD3+ T 细胞回输到免疫功能低下的患者体内,表现出良好的安全性,没有严重副作用。这种方法在消除微转移和抑制肿瘤复发方面显示出显著潜力。病例介绍:本研究选取的三例病例均涉及恶性实体瘤,且均未接受过标准化疗。病例1被诊断为肾脏恶性肿瘤,没有合适的化疗方案可用。病例2为一名老年晚期胃癌患者,因担心化疗的不良反应而拒绝化疗。病例3被诊断为终末期肝细胞癌,化疗无效。他们均从 CIK 细胞治疗中获益。

展开英文摘要原文

BACKGROUND: Many patients with malignant tumors fail to derive full benefits from adjuvant chemotherapy. This limitation arises from two primary factors. First, certain cancer types, such as renal cell carcinoma, hepatocellular carcinoma and cholangiocarcinoma-lack effective chemotherapy regimens. Second, factors such as advanced age, poor physical condition, and severe adverse reactions may prevent patients from completing chemotherapy. Although targeted therapies and PD-1/PD-L1 inhibitors have significantly expanded the treatment options, their efficacy depends on genetic testing results, and they remain limited by drug resistance, substantial side effects, and immune-related adverse events. In contrast, cytokine-induced killer (CIK) cell therapy involves the reinfusion of highly activated CD3+ T cells into immunocompromised patients, demonstrating a favorable safety profile without severe side effects. This approach shows significant potential for eliminating micrometastases and suppressing tumor recurrence. CASE PRESENTATION: The three selected cases in this study involved malignant solid tumors, none of which had undergone standard chemotherapy. Case 1 was diagnosed with renal malignancy, for which no suitable chemotherapy regimen was available. Case 2 involved an elderly patient with advanced gastric cancer who declined chemotherapy because of concerns over its adverse effects. Case 3 was diagnosed with terminal-stage hepatocellular carcinoma, for which chemotherapy was ineffective. All of them benefited from CIK cell administration. CONCLUSION: We recommend the early postoperative application of CIK cell therapy for solid tumor patients, particularly in cases involving: (1) cancer types with limited chemotherapeutic options, (2) chemotherapy-intolerant patients, (3) cases of chemotherapy failure, and (4) patients who have completed standard chemoradiotherapy regimens.

论文信息

作者
Li Y、Wang X、Yao L、Lin J、Wang R、Zheng Q
单位
Cell Therapy Research Center, Xiamen Humanity Hospital, Xiamen, China.China
文献类型
病例报告
期刊
Frontiers in immunology2025
原文标识
PubMed 40977702 · DOI 10.3389/fimmu.2025.1658864