基础医学与临床 ›› 2014, Vol. 34 ›› Issue (4): 475-479.

• 研究论文 • 上一篇    下一篇

自体及健康人CIK细胞治疗临床恶性肿瘤的比较

李壮1,董晨辉1,徐祥2,何静3,黄宏2,郭韡1,邢伟2,王爱民4   

  1. 1. 第三军医大学第三附属医院 野战外科研究所
    2. 第三军医大学大坪医院
    3. 第三军医大治疗中心学附属大坪医院细胞生物
    4. 第三军医大学附属大坪医院
  • 收稿日期:2013-08-09 修回日期:2013-10-30 出版日期:2014-04-05 发布日期:2014-03-31
  • 通讯作者: 王爱民 E-mail:trauma2@163.com.cn

Comparison of clinic applications in malignant tumor immunotherapy between autologous and healthy CIK cells

  • Received:2013-08-09 Revised:2013-10-30 Online:2014-04-05 Published:2014-03-31

摘要: 目的 比较恶性肿瘤患者和健康人来源的细胞因子诱导的杀伤细胞(CIK cells)体外抗瘤效应和临床疗效。方法 恶性肿瘤患者(n=12)和健康人(n=12)外周血单个核细胞(PBMC)经IFN-γ、CD3 Ab、IL-1和IL-2体外诱导获得CIK,锥虫蓝染色检测体外增殖,CCK-8检测抑瘤活性,流式细胞术检测细胞表型,PCR分析CIK在患者外周血的代谢,最后比较近期疗效。结果 健康人CIK较患者CIK体外增殖快、CD3+CD56+比例高且抑瘤效应强(P<0.01),能在患者外周血中存在5~8 周并有效改善其免疫机能,两者近期疗效无显著差异。结论 健康人CIK治疗恶性肿瘤高效可行,有着广阔的临床应用前景。

关键词: 细胞因子诱导的杀伤细胞, 恶性肿瘤, T淋巴细胞亚群

Abstract: Objective To compare the clinical anti-tumor effect of cytokine-induced killer cells(CIK) derived from patients with malignancies or healthy doners. Methods Peripheral blood mononuclear cells(PBMC) of patients(n=12) or healthy doners(n=12) were cultured in presence of IFN-γ, CD3 Ab, IL-1 and IL-2. The proliferation was counted by Trypan blue test, the in vitro anti-tumor cytotoxicity was analysed by CCK-8 assay, the phenotypes were analyzed by flow cytometry, the duration of healthy CIK was determined by PCR, the clinical effects were compared finally. Results Compared with autologous CIK, healthy CIK showed higher proliferative ability and enhanced in vitro anti-tumor cytotoxicity(P<0.05), and led to an efficient recovery of immunologic function of recipients. 5~8w after infusion, healthy CIK could also be detected in recipients’ peripheral blood. More importantly, healthy CIK showed equivalent therapeutic effect and minimal adverse reactions. Conclusion Application of healthy CIK cells in treatment of malignancies is efficient and feasible, which would gain a better clinic application prospect.

Key words: cytokine-induced killer cells, malignancy, T lymphocyte subset

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