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CIK 增强的抗 PD1/CTLA4 免疫治疗通过三方机制协同作用根除化疗耐药的卵巢癌

英文原题:CIK-augmented anti-PD1/CTLA4 immunotherapy eradicates chemo-resistant ovarian cancer via tripartite mechanistic synergy.

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CIK-augmented anti-PD1/CTLA4 immunotherapy eradicates chemo-resistant ovarian cancer via tripartite mechanistic synergy.

PubMed 2025/11/19(内容时间) Front Oncol Q2 · IF 3.4(JCR 2025)

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研究思路按摘要原文分段

免疫检查点抑制剂(ICIs)联合过继性细胞治疗是治疗卵巢癌的有前景的策略,但其协同机制仍未得到充分探索。本研究评估了Nivolumab/Ipilimumab联合细胞因子诱导的杀伤(CIK)细胞在卵巢癌模型中的治疗效果。

人卵巢癌细胞(A2780/SKOV3)接受三种处理条件:未处理对照、双免疫检查点抑制剂(ICIs:4 μg/mL Nivolumab + 4 μg/mL Ipilimumab),或ICIs联合CIK细胞(5×10 4 cells/insert),并通过综合实验评估功能影响,包括CCK-8增殖、transwell侵袭、Annexin V-FITC/PI凋亡检测、基于碘化丙啶的细胞周期分析以及定量伤口愈合迁移评估。

三联疗法表现出协同疗效,在matrigel-transwell实验中显著抑制SKOV3细胞增殖达62.3%(P<0.001),并抑制侵袭能力达71.5%(P<0.01)。同时,该疗法在A2780细胞中诱导显著凋亡(增加3.2倍,22.8% vs 对照组7.1%),在SKOV3中引发明显的G0/G1期阻滞(55% vs 对照组40%),并伴随S期减少,在联合治疗组中抑制伤口闭合能力达64.7%。

三联组合疗法通过强效阻断G1/S检查点、对ICI耐药群体选择性细胞毒性以及抑制迁移活性,协同增强抗肿瘤疗效,从而确立CIK-ICI联合给药作为晚期卵巢恶性肿瘤的临床可转化策略。

展开英文摘要原文

Immune checkpoint inhibitors (ICIs) combined with adoptive cell therapy represent promising strategies against ovarian cancer, yet their synergistic mechanisms remain underexplored. This study evaluated the therapeutic efficacy of Nivolumab/Ipilimumab plus Cytokine-Induced Killer (CIK) cells in ovarian carcinoma models.

Human ovarian cancer cells (A2780/SKOV3) were subjected to three treatment conditions: untreated controls, dual immune checkpoint inhibitors (ICIs: 4 μg/mL Nivolumab + 4 μg/mL Ipilimumab), or ICIs combined with CIK cells (5×10 4 cells/insert), with functional impacts evaluated through comprehensive assays including CCK-8 proliferation, transwell invasion, Annexin V-FITC/PI apoptosis detection, propidium iodide-based cell cycle analysis, and quantitative wound healing migration assessment.

The triple-combination therapy demonstrated synergistic efficacy, significantly reducing SKOV3 cell proliferation by 62.3% (P<0.001) and suppressing invasion capacity by 71.5% (P<0.01) in matrigel-transwell assays. Concurrently, it induced substantial apoptosis in A2780 cells (3.2-fold increase, 22.8% vs 7.1% control), triggered pronounced G0/G1 phase arrest in SKOV3 (55% vs 40% control) with concomitant S-phase depletion, and inhibited wound closure capacity by 64.7% in combinatorial treatment groups.

The triple-combination therapy synergistically enhances antitumor efficacy through potent G1/S checkpoint blockade, selective cytotoxicity against ICI-resistant populations, and migration-inhibitory activity, thus establishing CIK-ICI coadministration as a clinically translatable strategy for advanced ovarian malignancies.

论文信息

作者
Chen P、Pan J、Chen L、Feng X
单位
Obstetrics and Gynecology Department, Fujian Medical University Union Hospital, Fuzhou,&#xa0;China.China
期刊
Frontiers in oncology2025
原文标识
PubMed 41347070 · DOI 10.3389/fonc.2025.1670033