高艳, 曹水, 任秀宝, 于津浦, 张乃宁, 张静. CIK细胞治疗转移性肾癌48例的疗效预测因素分析[J]. 中国肿瘤临床, 2011, 38(2): 108-111 . DOI: 10.3969/j.issn.1000-8179.2011.02.013
引用本文: 高艳, 曹水, 任秀宝, 于津浦, 张乃宁, 张静. CIK细胞治疗转移性肾癌48例的疗效预测因素分析[J]. 中国肿瘤临床, 2011, 38(2): 108-111 . DOI: 10.3969/j.issn.1000-8179.2011.02.013

CIK细胞治疗转移性肾癌48例的疗效预测因素分析

  • 摘要: 目的:探讨细胞因子诱导的杀伤细胞(cytokine-induced killer cells, CIK)治疗转移性肾癌(metastatic renal cell carcino?ma,MRCC)的疗效及预后预测因素。方法:48例MRCC患者,采用CIK细胞治疗,所有患者均接受至少2个周期的治疗。治疗后定期复查进行疗效评价,并将无进展生存期 (progression-free survival,PFS)与临床特征、生化参数等因素进行相关性分析,疗效相关性采用Kaplan-Meier法及Cox回归分析分别进行单因素及多因素分析。用中位数检验法进行不同脏器转移组之间中位PFS的比较。结果:48例患者中,PR 2例,SD 30例,PD 16例。PR+SD占66.7%。中位PFS为7个月。多因素分析提示脏器转移数目、血小板(platelet, PLT)计数与PFS明显相关(P值分别为0.034、 0.046)。对33例仅有单个脏器转移的病例进行的分层分析表明转移部位对CIK治疗疗效的影响可能不大。结论:CIK细胞是治疗MRCC的一种安全、有效的治疗方法。脏器转移数目和PLT计数是其疗效的独立预测因素,提示脏器转移数目>1和PLT升高的患者预后差。

     

    Abstract: Predictive Factors of Cytokine Induced Killer Cell Treatment forMetastatic Renal Cell CarcinomaYan GAO1, Shui CAO1, Xiubao REN1, Jinpu YU2, Naining ZHANG1, Jing ZHANG1Correspondence to: Xiubao REN, E-mail: rwziyi@yahoo.com1Department of Biotherapy, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China2Department of Immunology, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, ChinaAbstract Objective: To analyze the efficacy of cytokine induced killer cells (CIK) for metastatic renal cell carcinoma (MRCC).Methods: In this study, 48 MRCC patients received at least two cycles of CIK therapy. The clinical therapeutic effect was observed andthe progression-free survival (PFS) time was determined. Kaplan-Meier analysis and Cox proportional hazards regression were per-formed respectively to analyze clinical features and baseline biochemical parameters associated with PFS. Results: Of the 48 cases, 2had PR, 30 had SD, and 16 had PD. PR+SD accounted for 66.7%. The overall median PFS was 7 months. Multivariate analysis identi-fied the number of metastatic sites and baseline platelet (PLT) counts as independent prognostic factors for PFS ( P = 0.034 and 0.046,respectively ). The stratified analysis of the 33 cases that had only one metastatic site showed that metastatic sites may not have an im-pact on the effect of CIK administration. Conclusions: Administering CIK is safe and effective in the treatment of MRCC. Havingmore than one site of metastasis and high PLT counts are independent negative prognostic factors for PFS.Keywords Cytokine induced killer (CIK); Metastatic renal cell carcinoma (MRCC); Predictive factors

     

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