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Efficacy and safety of co-cultured autologous tumor antigen-loaded dendritic cells and cytokine-induced killer cells combined with routine therapy in the treatment of advanced retinoblastoma |
CHANG Xiaowen1, WANG Jun2, SUN Yanfeng2, MIAO Lixia2, YUAN Hailian2, LIU Hongyan2, LI Yanshan2, YANG Xinji3, ZHANG Xianglan2, LIU Qiuling1, 2 |
1.Graduate School of Anhui Medical University, Hefei 230032, China; 2. Department of Pediatrics, 3. Department of Orbital Disease Research Institute,the General Hospital of the Chinese People’s Armed Police Forces, Beijing 100039, China |
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Abstract Objective To evaluate the clinical efficacy and safety of co-cultured autologous tumor antigen-loaded dendritic cells (DC) and cytokine-induced killer cells (CIK) (Ag-DC-CIK) combined with routine therapy in the treatment of advanced retinoblastoma (RB). Methods 26 patients suffering from RB who were diagnosed as advanced RB in the General Hospital of the Chinese People’s Armed Police Forces between December 2011 and December 2014. 13 patients received Ag-DC-CIK combined with routine treatment (combination group). The other patients received routine therapy (routine group). Results The combination group totally received 67 cycles (134 times) Ag-DC-CIK therapy. At the end of the follow-up, all patients in combination group who suffered D got the opportunity of reserving eyes; 2 out of 4 patients who lost the opportunity of operation had surgery eventually. All the group D patients of routine group underwent enucleation. 1 out of 4 patients who lost the opportunity of operation had surgery eventually. CD3+, CD4+ , CD4+/CD8+ and CD3+ CD56+ proportion in the combination group was higher than in another group, CD8+ proportion in the combination group was lower than in the routine group, and the difference was statistically significant (P<0.05). Only one patient had a fever (37.8 ℃) during the therapy, and could return to normal itself. Both groups of patients’ hepatorenal function, blood biochemistry and ECG had no statistically significant differences. Conclusions Ag-DC-CIK combined with routine therapy in the treatment of advanced RB is efficient and safe.
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Received: 02 March 2015
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