Determinants of response and resistance to cytokine-induced killer cell
immunotherapy for advanced solid tumors
Abstract
This study aimed to understand the influence of naïve T cells in
cytokine-induced killer (CIK) cell immunotherapy. A total of 68 patients
with advanced solid tumors received activated autologous CIK cells
weekly. Objective responses (complete or partial responses, CR/PR) were
observed in 11 patients (16.2%, 11/68), with five of 11 responses
lasting more than 8 months, and in 16 patients with SD (23.5%, 16/68).
The absolute number of CD4+ naïve T cells in patients who achieved CR/PR
was higher in SD and PD patients (CR/PR vs SD vs PD= 90 vs 149 vs 226
cells/μL), as were the absolute number of CD8+ naïve T cells (CR/PR vs
SD vs PD= 47 vs 60 vs 103 cells/μL). Patients with high absolute numbers
of naïve T cells ({greater than or equal to}298 cells/μL in naïve CD4+
and {greater than or equal to}156 cells/μL in naïve CD8+ cells) had a
better response to ACT (PFS=8 months vs 5 months). In this study, we
found that Patients with a high absolute number of naïve T cells in
circulating blood had a better response to ACT, which showed the
potential of naïve T cells as a biomarker for the response to ACT.