Long-term tumor suppression in cholangiocarcinoma using cytokine-induced killer cell therapy and high-dose vitamin C: a case report.

Korean journal of clinical oncology Pub Date : 2024-12-01 Epub Date: 2024-12-31 DOI:10.14216/kjco.24012
Kangseok Kim, Hyunhye Wang, Jiewon Lee, Changhwan Yeom
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Abstract

This case study explores the effectiveness of autologous cytokine-induced killer (CIK) cell-based immunotherapy in a 49-year-old male patient with inoperable stage IIIb cholangiocarcinoma, characterized by high levels of the sodium-dependent vitamin C transporter-2 (SVCT2) in immune cells. Despite an initial lack of tumor reduction following chemotherapy, the patient showed a significant decrease in tumor markers and stabilization of the tumor after undergoing radiation and proton therapy. Subsequently, CIK cell therapy, combined with high-dose vitamin C, was administered 52 times over 6 years. The patient's tumor size reduced, and no cancer activity was detected for 7 years and 10 months post-diagnosis, indicating a successful long-term outcome without recurrence. This study suggests that CIK cell therapy, particularly in patients with elevated SVCT2 levels, may offer a promising adjuvant treatment for cholangiocarcinoma and potentially other cancers. Further research is needed to validate SVCT2 as a biomarker for the effectiveness of CIK cell therapy.

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使用细胞因子诱导的杀伤细胞疗法和大剂量维生素C长期抑制胆管癌肿瘤:1例报告。
本病例研究探讨了自体细胞因子诱导杀伤(CIK)细胞免疫疗法对一名49岁男性无法手术的IIIb期胆管癌患者的有效性,该患者的特征是免疫细胞中钠依赖性维生素C转运蛋白-2 (SVCT2)水平高。尽管化疗后最初缺乏肿瘤缩小,但患者在接受放射和质子治疗后,肿瘤标志物显著减少,肿瘤稳定。随后,CIK细胞治疗联合大剂量维生素C, 6年52次。患者肿瘤缩小,诊断后7年10个月未检测到肿瘤活动,表明长期预后成功,无复发。这项研究表明,CIK细胞治疗,特别是对于SVCT2水平升高的患者,可能为胆管癌和潜在的其他癌症提供有希望的辅助治疗。需要进一步的研究来验证SVCT2作为CIK细胞治疗有效性的生物标志物。
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Exploring the clinicopathological parameters of HER2 low breast cancers: insights from a retrospective cohort study. Long-term tumor suppression in cholangiocarcinoma using cytokine-induced killer cell therapy and high-dose vitamin C: a case report. The evolution of cancer immunotherapy: a comprehensive review of its history and current perspectives. Association of stromal tumor-infiltrating lymphocytes with clinicopathological parameters in endometrial cancer. COVID-19 and cancer: reflections 2 years into the pandemic.
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