DC-CIK免疫治疗联合化疗对晚期结直肠癌患者的临床疗效
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甘肃省生物治疗与再生医学重点实验室开放基金课题(zdsyskfkt-201708);兰大一院院内基金资助项目(ldyyyn2017-16)


Clinical efficacy of dendritic cells/cytokine induced killer cells immunotherapy combined with chemotherapy for advanced colorectal cancer
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    摘要:

    目的 探讨树突状细胞(DC)-细胞因子诱导的杀伤细胞(CIK)免疫治疗联合化疗对晚期结直肠癌(CRC)的临床疗效及安全性。方法 选取2013年6月~2016年1月在兰州大学第一医院东岗院区住院接受DC-CIK免疫治疗联合CapeOX方案化疗的45例晚期CRC患者为观察组,另外选取仅进行CapeOX方案化疗的45例晚期CRC患者为对照组。对两组患者的免疫功能、临床疗效及毒副反应进行比较。结果 观察组治疗前后外周血T细胞亚群无明显变化(P>0.05);治疗后,对照组外周血中CD3+、CD3+CD4+、CD3+CD8+、NK及NKT细胞比例较治疗前显著下降,且明显低于观察组(P<0.05);观察组和对照组总有效率(RR) 未见明显差异(P>0.05);观察组疾病控制率(DCR)明显高于对照组(P<0.05);观察组白细胞减少、血小板减少及腹泻的发生率均显著低于对照组(P<0.05);观察组无进展生存(PFS)时间较对照组明显延长(P<0.05),与对照组总生存(OS)时间比较差异无统计学意义(P>0.05)。结论 DC-CIK免疫治疗联合化疗能够显著改善晚期结直肠癌患者的免疫功能,提高患者抗肿瘤能力,明显延长患者无进展生存时间,并减轻化疗不良反应,可在临床推广应用。

    Abstract:

    Objective To explore the clinical efficacy and safety of dendritic cell (DC)-cytokine induced killer cell (CIK) immunotherapy combined with chemotherapy for advanced colorectal cancer (CRC). Methods From June 2013 to January 2016, 45 patients with advanced colorectal cancer who receiving DC-CIK immunotherapy combined with CapeOX chemotherapy were collected as the observation group in the Donggang District of The First Hospital of Lanzhou University. In addition, 45 patients with advanced colorectal cancer who received only CapeOX chemotherapy during the same period were collected as the control group. The immune function status, clinical efficacy and toxic reaction of the two groups of patients were observed. Results There was no significant change in T lymphocyte subsets in the observation group before and after treatment. The proportion of CD3+,CD3+CD4+, CD3+CD8+, NK and NKT cells in peripheral blood after treatment was significantly lower than before treatment in the control group, and was significantly lower than that in the observation group after treatment (P<0.05). There was no significant difference in the response rate (RR) between the observation group and the control group. The disease control rate(DCR) in the observation group was significantly higher than that in the control group (P<0.05). The incidence of leukopenia, thrombocytopenia and diarrhea in the observation group was significantly lower than that in the control group (P<0.05).The progression-free survival (PFS) time of patients in the observation group was significantly longer than in the control group (P<0.05). There was no statistically significant difference in overall survival (OS) time between the observation group and the control group. Conclusion DC-CIK immunotherapy combined with chemotherapy can significantly prolonged the progression-free survival time of patients with advanced colorectal cancer, significantly improve the patient's immune function and the anti-tumor ability of patients, and reduce the adverse reactions of chemotherapy.

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  • 在线发布日期: 2022-03-23
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