PMID- 29181186 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2049-9450 (Print) IS - 2049-9469 (Electronic) IS - 2049-9450 (Linking) VI - 7 IP - 5 DP - 2017 Nov TI - Enhanced antitumor effects and improved immune status of dendritic cell and cytokine-induced killer cell infusion in advanced cancer patients. PG - 903-910 LID - 10.3892/mco.2017.1415 [doi] AB - Little progress has been made in the treatment of advanced cancer. Dendritic cells (DCs) plus cytokine-induced killer (CIK) cells have exhibited antitumor effects. Thus, the aim of the present study was to evaluate the clinical efficacy of DC-CIK cell treatment in patients with advanced cancer. A paired study including 57 patients treated with DC-CIK cells (DC-CIK group) and 33 patients treated with best supportive care alone (BSC group) was performed. The patients in the DC-CIK group were matched to those in the control group in terms of sex, age, tumor type and clinical stage. T-cell subsets were detected and overall survival (OS) was compared between the two groups. The results demonstrated that CD4(+)/CD25(+) and CD8(+)/CD28(-) subsets significantly decreased following DC-CIK immunotherapy (P<0.05). The CD3(+), CD3(+)/CD8(+), CD8(+)/CD28(+) and CD3(+)/CD56(+) T-cell subsets were significantly increased in the DC-CIK group compared with the BSC group, while the CD8(+)/CD28(-) subset was significantly decreased. Univariate analysis demonstrated that a lower CD8(+)/CD28(-) and a higher CD8(+)/CD28(+) ratio were associated with prolonged OS in advanced cancer patients. In addition, DC-CIK treatment administration, age (>60 vs. <60 years), clinical stage and the frequency of CIK treatment significantly affected the OS of patients in the DC-CIK group. A CD8(+)/CD28(-) ratio of <21.12 was found to decrease the hazard ratio (HR) of OS to 0.50 [95% confidence interval (CI): 0.29-0.87] and a CD8(+)/CD28(+) ratio >9.04 was found to decrease the HR of OS to 0.45 (95% CI: 0.21-0.98). No serious side effects were observed in the DC-CIK group. Taken together, these data indicate that DC-CIK infusions were able to change the ratios of the T-cell subsets, which increased the T helper cell and cytotoxic T lymphocyte subsets, while it decreased regulatory T lymphocyte subsets. Thus, this method of immunotherapy was found to improve the imbalance in the immune system and prolong the OS in patients with advanced cancer. FAU - Chen, Feng AU - Chen F AD - Beijing Shijitan Hospital Cancer Center, Capital Medical University, Beijing Key Laboratory for Therapeutic Cancer Vaccines, Beijing 100038, P.R. China. FAU - Yang, Menghan AU - Yang M AD - Beijing Shijitan Hospital Cancer Center, Capital Medical University, Beijing Key Laboratory for Therapeutic Cancer Vaccines, Beijing 100038, P.R. China. FAU - Song, Qingkun AU - Song Q AD - Beijing Shijitan Hospital Cancer Center, Capital Medical University, Beijing Key Laboratory for Therapeutic Cancer Vaccines, Beijing 100038, P.R. China. FAU - Wu, Jiangping AU - Wu J AD - Beijing Shijitan Hospital Cancer Center, Capital Medical University, Beijing Key Laboratory for Therapeutic Cancer Vaccines, Beijing 100038, P.R. China. FAU - Wang, Xiaoli AU - Wang X AD - Beijing Shijitan Hospital Cancer Center, Capital Medical University, Beijing Key Laboratory for Therapeutic Cancer Vaccines, Beijing 100038, P.R. China. FAU - Zhou, Xinna AU - Zhou X AD - Beijing Shijitan Hospital Cancer Center, Capital Medical University, Beijing Key Laboratory for Therapeutic Cancer Vaccines, Beijing 100038, P.R. China. FAU - Yuan, Yanhua AU - Yuan Y AD - Beijing Shijitan Hospital Cancer Center, Capital Medical University, Beijing Key Laboratory for Therapeutic Cancer Vaccines, Beijing 100038, P.R. China. FAU - Song, Yuguang AU - Song Y AD - Beijing Shijitan Hospital Cancer Center, Capital Medical University, Beijing Key Laboratory for Therapeutic Cancer Vaccines, Beijing 100038, P.R. China. FAU - Jiang, Ni AU - Jiang N AD - Beijing Shijitan Hospital Cancer Center, Capital Medical University, Beijing Key Laboratory for Therapeutic Cancer Vaccines, Beijing 100038, P.R. China. FAU - Zhao, Yanjie AU - Zhao Y AD - Beijing Shijitan Hospital Cancer Center, Capital Medical University, Beijing Key Laboratory for Therapeutic Cancer Vaccines, Beijing 100038, P.R. China. FAU - Zhou, Lei AU - Zhou L AD - Beijing Shijitan Hospital Cancer Center, Capital Medical University, Beijing Key Laboratory for Therapeutic Cancer Vaccines, Beijing 100038, P.R. China. FAU - Ren, Jun AU - Ren J AD - Beijing Shijitan Hospital Cancer Center, Capital Medical University, Beijing Key Laboratory for Therapeutic Cancer Vaccines, Beijing 100038, P.R. China. LA - eng PT - Journal Article DEP - 20170919 PL - England TA - Mol Clin Oncol JT - Molecular and clinical oncology JID - 101613422 PMC - PMC5700278 OTO - NOTNLM OT - T-cell subsets OT - advanced cancer OT - cytokine-induced killer cells OT - dendritic cells OT - immunotherapy OT - overall survival EDAT- 2017/11/29 06:00 MHDA- 2017/11/29 06:01 PMCR- 2017/09/19 CRDT- 2017/11/29 06:00 PHST- 2017/03/06 00:00 [received] PHST- 2017/07/20 00:00 [accepted] PHST- 2017/11/29 06:00 [entrez] PHST- 2017/11/29 06:00 [pubmed] PHST- 2017/11/29 06:01 [medline] PHST- 2017/09/19 00:00 [pmc-release] AID - MCO-0-0-1415 [pii] AID - 10.3892/mco.2017.1415 [doi] PST - ppublish SO - Mol Clin Oncol. 2017 Nov;7(5):903-910. doi: 10.3892/mco.2017.1415. Epub 2017 Sep 19.