Autologous cytokine-induced killer cells in immunological treatment of hepatocellular carcinoma and their effect on immunological effector cells: a clinical study
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Autologous cytokine-induced killer cells in immunological treatment of hepatocellular carcinoma and their effect on immunological effector cells: a clinical study
Journal of Army Medical UniversityVol. 37, Issue 23, Pages: 2386-2390(2015)
Song Juan,Qian Cheng.Autologous cytokine-induced killer cells in immunological treatment of hepatocellular carcinoma and their effect on immunological effector cells: a clinical study[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(23):2386-2390.
Song Juan,Qian Cheng.Autologous cytokine-induced killer cells in immunological treatment of hepatocellular carcinoma and their effect on immunological effector cells: a clinical study[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(23):2386-2390.DOI:
Autologous cytokine-induced killer cells in immunological treatment of hepatocellular carcinoma and their effect on immunological effector cells: a clinical study
占外周血单个核细胞百分比较治疗前升高,DC1/DC2亦升高,差异均有统计学意义(P0.05)。治疗组复发率低于对照组(11.1% vs 33.3%,P0.05),治疗组死亡率亦低于对照组,但差异无统计学意义(11.1% vs 18.5%,P0.05)。治疗组无明显不良反应。 结论 原发性肝癌患者自身免疫环境发生变化,CIK细胞在提高患者免疫功能,降低肝癌复发率方面有一定效果。
Abstract
Objective To determine the effect of continuous infusion of autologous cytokine-induced killer cells (CIK) on the immunological function in the patients with primary hepatocellular carcinoma
and investigate the efficiency in the prevention of tumor recurrence after surgery. Methods Full clinical data of 54 cases of primary hepatocellular carcinoma in Southwest Hospital from September 2012 to September 2014 were collected in the study. They were divided into 2 groups
treatment group (receiving CIK treatment after operation for 2 courses
n=27) and control group (receiving conventional therapy
n=27). Sixteen healthy individuals taking physical examination meanwhile served as normal control. All cases were followed up
and flow cytometry was used to detect the percentages of T lymphocyte subsets and dendritic cell subsets before and after continuous infusion. The recurrence was compared between the treatment group and control group in 1 year after treatment. Results Peripheral blood CD8+/CD4+and DC1/DC2 were significantly lower in the patients with primary hepatocellular carcinoma before CIK treatment than the normal control (P0.05). After continuous infusion
the CD8+ percentage and DC1/DC2 ratio were significantly increased in the treatment group than before (P0.05). The treatment group had obviously lower recurrence than the control group (11.1% vs 33.3%
P0.05)
and lower mortality though without statistical difference (11.1% vs 18.5%
P0.05). No obvious adverse reaction was observed in the treatment group. Conclusion The immune functions of primary hepatocellular carcinoma patients are declined. CIK infusion improves their immune functions and decrease cancer recurrence.