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CIK细胞治疗局限性肾癌的疗效[J]. 肿瘤防治研究, 2011, 38(08): 950-953. DOI: 10.3971/j.issn.1000-8578.2011.08.025
引用本文: CIK细胞治疗局限性肾癌的疗效[J]. 肿瘤防治研究, 2011, 38(08): 950-953. DOI: 10.3971/j.issn.1000-8578.2011.08.025
Effect of CIK Treatment on Localized Renal Carcinoma Patients after Radical Operation[J]. Cancer Research on Prevention and Treatment, 2011, 38(08): 950-953. DOI: 10.3971/j.issn.1000-8578.2011.08.025
Citation: Effect of CIK Treatment on Localized Renal Carcinoma Patients after Radical Operation[J]. Cancer Research on Prevention and Treatment, 2011, 38(08): 950-953. DOI: 10.3971/j.issn.1000-8578.2011.08.025

CIK细胞治疗局限性肾癌的疗效

Effect of CIK Treatment on Localized Renal Carcinoma Patients after Radical Operation

  • 摘要: 目的观察细胞因子诱导杀伤细胞(CIK)对局限性肾癌患者的治疗作用。方法肾癌根治术后患者12例,分成两组:(1)CIK细胞治疗组8例,根治术后15天应用CIK细胞治疗,随访1~4年,研究CIK细胞对患者的免疫状态及生存情况的影响;(2)对照组4例,只行肾癌根治术后出院。从治疗组患者外周血中分离单个核细胞,在体外经CD3McAb和细胞因子诱导培养成CIK细胞;应用免疫组织化学方法对培养前后的细胞表型进行鉴定;术后7d和术后45d分别检测两组患者外周血T淋巴细胞亚群活性。结果诱导培养后,作为CIK主要效应细胞的CD3+CD56+T细胞数量增多,从(0.75±0.89)增加到(30.25±3.06) (P<0.01);治疗组CIK细胞治疗后CD3+、CD4+、CD8+及CD56+细胞活性较治疗前增高,与对照组相比差异有统计学意义(P均<0.05);治疗组患者生存情况良好,其中6例完全缓解(CR),1例部分缓解(PR),有效率为87.5%,均未观察到明显不良反应。对照组患者术后2~15月发现远处转移,肺转移2例,肝转移1例,脑转移1例;术后生存期为5~34月,平均14.25月。 结论CIK治疗局限性肾癌安全有效,可以改善预后,为该类患者提供了一种有效的术后辅助治疗手段。

     

    Abstract: ObjectiveTo investigate the roles of cytokine-induced killer (CIK) cells to treat localized renal cell carcinoma (RCC) patients after radical operation. Methods Overall 12 RCC patients with radical nephrectomy were assigned to 2 groups:(1)CIK therapy group included 8 cases, in which the CIK cells were infused into the patients in 15 days after operation.(2)Control group included 4 cases, in which biotherapy was not done. The follow-up duration was from 1 to 4 years after CIK treatment.The mononuclear cells were isolated from the peripheral blood of localized RCC patients after radical operation.The CIK were induced and cultured by CD3McAb、IL-2 and IFN-γ. Phenotype of CIK cells was identified by immuno-histochemistry technology.T lymphocyte subgroup activity in the peripheral blood was analyzed on day 7 and day 45. ResultsThe CIKs, also named CD3+ CD56+ NKT cells, were successfully induced from 0.75±0.89 to 30.25±3.06 (P<0.01) .Compared with the control group,the activity of CD3+、CD4+、CD8+、CD56+ cells in CIK group was increased(P<0.05).After CIK treatment, the total effective rates were 87.5% with 6 cases complete remission (CR), and 1 case partial remission.The adverse reactions such as fever,itching and edema were not observed.Four cases in control group were found metastasis in 2 to 15 months after operation. The medium survival of control group was 14.25 months (ranged from 5 to 34 months). ConclusionCIK cells treatment provided a safe and effective therapy method for localized renal carcinoma patients after operation.

     

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