祁岩超, 王德周, 杨波, 卢敏莹, 赵鹏. 脐血CD3AK细胞治疗恶性肿瘤的临床应用研究[J]. 中国肿瘤临床, 2004, 31(17): 973-976.
引用本文: 祁岩超, 王德周, 杨波, 卢敏莹, 赵鹏. 脐血CD3AK细胞治疗恶性肿瘤的临床应用研究[J]. 中国肿瘤临床, 2004, 31(17): 973-976.
Qi Yanchao, Wang Dezhou, Yang Bo et al, . The Study of Clinic Application on Malignant Tumor by CD3AK Cell from Umbilical Blood[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2004, 31(17): 973-976.
Citation: Qi Yanchao, Wang Dezhou, Yang Bo et al, . The Study of Clinic Application on Malignant Tumor by CD3AK Cell from Umbilical Blood[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2004, 31(17): 973-976.

脐血CD3AK细胞治疗恶性肿瘤的临床应用研究

The Study of Clinic Application on Malignant Tumor by CD3AK Cell from Umbilical Blood

  • 摘要: 目的:研究用脐血单个核细胞制备CD3AK细胞的抗肿瘤作用,探讨肿瘤生物治疗近期疗效的免疫指标.方法:分离脐血单个核细胞,分别用IL-2和IL-2+CD3Ab诱导LAK和CD3AK细胞,并测其扩增数量和对K562细胞的杀伤活性;测定肿瘤患者用CD3AK细胞治疗前后外周血T淋巴细胞亚群绝对计数的变化情况和外周血单核细胞(PBMC)的NK杀伤活性.结果:脐血LAK细胞和脐血CD3AK细胞均于培养后11天时扩增倍数最高,分别是培养前的18倍、24倍,对K562的杀伤活性分别是培养前的2.6倍和3.2倍;肿瘤患者输注CD3AK细胞一疗程后,其外周血T淋巴细胞亚群绝对计数有明显升高:总T升高66.0%,Th升高68.0%,Ts升高58.0%;其PBMC的NK杀伤活性由63.0%升高到81.0%,平均升高28.0%.结论:1)脐血单个核细胞是LAK细胞和CD3AK细胞良好的前体细胞.2)LAK和CD3AK细胞的数量和杀伤能力在培养的11天时达高峰,而且CD3AK细胞数量和杀伤活性明显优于LAK细胞.3)CD3AK细胞输注能明显提高肿瘤患者外周血T淋巴细胞亚群绝对计数和PBMC的NK活性.4)肿瘤患者的外周血T淋巴细胞计数和PBMC的NK活性测定可望成为肿瘤生物治疗的一个近期疗效参数.

     

    Abstract: Objective: To study the anti -tumor effect of CD3AK cell prepared from umbilical blood and to explore the recent curative effect on tumor cases and seek better immune index for biotherapy. Methods: IL-2 and IL-2+CD3Ab was used to induce LAK cell and CD3AK cell from umbilical blood mononuclear cells (UBMC). The expanding number and bio-activity of LAK cell and CD3AK cell were examined in different time after culture, the T cells subgroup absolute count and the NK activity of peripheral blood mononuclear cells (PBMC) of malignant tumor patients were examined before and after CD3AK cell adopting immune therapy as well. Results: The number and bio-activity (NK killing cancer K562) of LAK and CD3AK cells reached their peaks on 11th day. The number of LAK and CD3AK cells were 18 folds and 24 folds of the number before culture; the T cells subgroup absolute count of peripheral blood had grown up obviously: all T cell rise 66%, Th cell rise 68%, Ts cell rise 58%; the NK activity (killing K562 cell) of PBMC had grown up to 81% from 63% by CD3AK cell transfusing, the even rising ratio is 28%. Conclusions: 1) The UBMC is a potential and better source of predecessor for LAK and CD3AK. 2) The NK activity of LAK and CD3AK cells from UBMC reached their peaks at 11th day after culture, and the NK activity of CD3AK cell is much greater than that of LAK cell. 3) The T cells subgroup absolute count and the NK activity of malignant tumor patient's PBMC can be obviously elevated by transfusing CD3AK cell. 4) The test of the T cells subgroup absolute count and the NK activity of PBMC may become a recent objective immune index for tumor biotherapy.

     

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