Clinical observation of autologous cytokine-induced killer cells in the treatment of renal cell carcinoma
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Clinical observation of autologous cytokine-induced killer cells in the treatment of renal cell carcinoma
Journal of Chongqing Medical UniversityVol. 38, Issue 1, Pages: 26-29(2014)
作者机构:
1. 山东省德州市夏津县人民医院外三科,德州,253200
2. 山东大学附属省立医院东院区保健泌尿外科,济南,250000
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Published:2014,
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Lyu Xinting, Liu Mingtao, Zhang Jun, et al. Clinical observation of autologous cytokine-induced killer cells in the treatment of renal cell carcinoma. [J]. Journal of Chongqing Medical University 38(1):26-29(2014)
DOI:
Lyu Xinting, Liu Mingtao, Zhang Jun, et al. Clinical observation of autologous cytokine-induced killer cells in the treatment of renal cell carcinoma. [J]. Journal of Chongqing Medical University 38(1):26-29(2014)DOI:
Clinical observation of autologous cytokine-induced killer cells in the treatment of renal cell carcinoma
目的:探讨自体细胞因子诱导的杀伤细胞(cytokine-induced killer cells,CIK)治疗肾癌的临床疗效。方法:将71例肾癌患者随机分入2组,其中治疗组36例,对照组35例,2组患者均先行手术切除,治疗组术后给予白细胞介素(interleukin,IL)-2和干扰素(interferon,IFN)治疗,然后再行CIK细胞回输治疗。对照组术后仅给予IL-2和IFN治疗。观察2组患者的免疫功能、生活质量、生存率及不良反应。结果:治疗组治疗后CD3+、CD4+及CD16+CD56+显著上升,CD8+细胞显著下降,与治疗前比较有明显统计学差异。对照组治疗后CD3+、CD4+、CD4+/CD8+比值及CD16+CD56+及CD8+均无显著变化。治疗组生活质量(quanlity of life,QOL)评分改善83.3%,明显高于对照组的57.1%,2组比较差异有统计学意义。治疗组和对照组的1年生存率分别为91.7%和 80.0%,1年转移率分别为13.9%和22.9%,1年复发率分别为5.6%和11.4%,2组比较差异均无统计学意义。治疗组和对照组的毒副反应比较差异无统计学意义。结论:CIK细胞联合手术治疗肾癌可以提高肾癌患者的免疫功能,改善生活质量。
Abstract
Objective:To observe the clinical efficacy of autologous cytokine-induced killer cells(CIK) in the treatment of renal carcinoma. Methods:Totally 71 patients with renal carcinoma were randomly divided into treatment group(n=36) and control group(n=35). Patients in treatment group and control group were received surgical resection first. Then patients in treatment group were treated with interleukin-2 and interferon treatment postoperatively and received CIK cell transfusion therapy at the end of treatment. Patients in control group only received interleukin-2 and interferon treatment. Immune function,quality of life,survival rate and adverse reactions were analyzed. Results:Ratios of CD3+,CD4+ and CD16+CD56+ were increased while those of CD8+ were decreased significantly after the treatment compared with those before the treatment in treatment group. There was no significant change before and after the treatment in ratios of CD3+,CD4+,CD4+/CD8+,CD16+ CD56+ and CD8+ in control group. Quality of life of 83.3% patients in the treatment group was improved while that of 57.1% patients in control group was improved,with statistical differences between two groups. One-year survival rates in treatment group and control group were 91.7% and 80.0%,one-year transfer rates in two groups were 13.9% and 22.9% and one-year recurrence rates in two groups were 5.6% and 11.4 %,respectively,without statistical differences between two groups. There was no statistical difference in side effects between treatment group and control group. Conclusions:CIK cells combined with surgical treatment can improve immune function and quality of life of patients with renal carcinoma.