We use cookies to improve your experience. By continuing to browse this site, you accept our cookie policy.×
Skip main navigation
Aging Health
Bioelectronics in Medicine
Biomarkers in Medicine
Breast Cancer Management
CNS Oncology
Colorectal Cancer
Concussion
Epigenomics
Future Cardiology
Future Medicine AI
Future Microbiology
Future Neurology
Future Oncology
Future Rare Diseases
Future Virology
Hepatic Oncology
HIV Therapy
Immunotherapy
International Journal of Endocrine Oncology
International Journal of Hematologic Oncology
Journal of 3D Printing in Medicine
Lung Cancer Management
Melanoma Management
Nanomedicine
Neurodegenerative Disease Management
Pain Management
Pediatric Health
Personalized Medicine
Pharmacogenomics
Regenerative Medicine
Systematic Review

The long-term efficacy of cytokine-induced killer cellular therapy for hepatocellular carcinoma: a meta-analysis

    Jiaxue Wang

    Department of Pharmacy, Peking University People’s Hospital, Beijing, China

    Department of Pharmacy Administration & Clinical Pharmacy, School of Pharmaceutical, Peking University, Beijing, China

    ,
    Tiantian Shen

    Department of Pharmacy, Peking University People’s Hospital, Beijing, China

    School of Pharmacy, Xuzhou Medical University, Xuzhou, China

    ,
    Qi Wang

    Department of Pharmacy, Peking University People’s Hospital, Beijing, China

    Department of Pharmacy Administration & Clinical Pharmacy, School of Pharmaceutical, Peking University, Beijing, China

    ,
    Tan Zhang

    Department of Pharmacy, Peking University People’s Hospital, Beijing, China

    Department of Pharmacy Administration & Clinical Pharmacy, School of Pharmaceutical, Peking University, Beijing, China

    ,
    Lujin Li

    The Center for Drug Clinical Research of Shanghai University of TCM, Shanghai, China

    ,
    Yu Wang

    Immunotech Applied Science Limited, Beijing, China

    &
    Yi Fang

    *Author for correspondence:

    E-mail Address: phaseistudy@163.com

    Department of Pharmacy, Peking University People’s Hospital, Beijing, China

    Published Online:https://doi.org/10.2217/imt-2019-0079

    Aim: The long-term efficacy of cytokine-induced killer cellular therapy for hepatocellular carcinoma patients after curative treatments remains controversial. Methods: A meta-analysis was conducted, and the outcomes were the recurrence rate and overall survival. Results: Eight randomized clinical trials with 1038 participants were included. Compared with the control group, cytokine-induced killer cellular therapy group could reduce 1-year, 3-year recurrence rates, as well as improve 1–5 years overall survival for hepatocellular carcinoma patients (p < 0.05). However, it failed to affect the 5-year recurrence rate and 6-year overall survival (p > 0.05). Conclusion: Cytokine-induced killer cellular adjuvant therapy exerted a favorable role in improving early and long-term efficacy for hepatocellular carcinoma patients.

    References

    • 1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2019. CA-Cancer J. Clin. 69(1), 7–34 (2019).
    • 2. Li KW, Li X, Wen TF, Lu WS. The effect of postoperative TACE on prognosis of HCC: an update. Hepatogastroenterology 60(122), 248–251 (2013).
    • 3. Zhu GQ, Shi KQ, Yu HJ et al. Optimal adjuvant therapy for resected hepatocellular carcinoma: a systematic review with network meta-analysis. Oncotarget 6(20), 18151–18161 (2015).
    • 4. Malek NP, Sebastian S, Petra H, Manns MP, Greten TF. The diagnosis and treatment of hepatocellular carcinoma. Dtsch. Arztebl. Int. 111(7), 101–106 (2014).
    • 5. Bruix J, Takayama T, Mazzaferro V et al. Adjuvant sorafenib for hepatocellular carcinoma after resection or ablation (STORM): a Phase III, randomised, double-blind, placebo-controlled trial. Lancet Oncol. 16(13), 1344–1354 (2015).
    • 6. Xie Y, Xiang Y, Sheng J et al. Immunotherapy for hepatocellular carcinoma: current advances and future expectations. J. Immunol. Res. 2018, 8740976 (2018).
    • 7. Lefterova P, Marten AP, Weineck S, Scheffold C, Huhn D, Schmidt WI. Targeting of natural killer-like T immunologic effector cells against leukemia and lymphoma cells by reverse antibody-dependent cellular cytotoxicity. J. Immunother. 23(3), 304–310 (2000).
    • 8. Hontscha C, Borck Y, Zhou H, Messmer D, Schmidt-Wolf IGH. Clinical trials on CIK cells: first report of the international registry on CIK cells (IRCC). J. Exp. Clin. Cancer Res. 137(2), 305 (2011).
    • 9. Hui KM. CIK cells – current status, clinical perspectives and future prospects – the good news. Expert Opin. Biol. Ther. 12(6), 659 (2012).
    • 10. Pan K, Li YQ, Wang W et al. The efficacy of cytokine-induced killer cell infusion as an adjuvant therapy for postoperative hepatocellular carcinoma patients. Ann. Surg. Oncol. 20(13), 4305–4311 (2013).
    • 11. Wang H, Liu A, Bo W et al. Adjuvant immunotherapy with autologous cytokine-induced killer cells for hepatocellular carcinoma patients after curative resection, a systemic review and meta-analysis. Digest. Liver Dis. 48(11), 1275–1282 (2016).
    • 12. Jiuwei C, Nanya W, Hengjun Z et al. Combination of radiofrequency ablation and sequential cellular immunotherapy improves progression-free survival for patients with hepatocellular carcinoma. Int. J. Cancer 134(2), 342–351 (2013).
    • 13. Hui D, Qiang L, Jian W, Ti Z, Da-Lu K. A randomized, controlled trial of postoperative adjuvant cytokine-induced killer cells immunotherapy after radical resection of hepatocellular carcinoma. Digest Liver Dis. 41(1), 36–41 (2009).
    • 14. Lee JH, Lee JH, Lim YS et al. Sustained efficacy of adjuvant immunotherapy with cytokine-induced killer cells for hepatocellular carcinoma: an extended 5-year follow-up. Cancer Immunol. Immun. 68(1), 23–32 (2019).
    • 15. Xu L, Wang J, Kim Y et al. A randomized controlled trial on patients with or without adjuvant autologous cytokine-induced killer cells after curative resection for hepatocellular carcinoma. Oncoimmunology 5(3), e1083671 (2016).
    • 16. Liberati A, Altman DG, Tetzlaff J et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. BMJ 6(4), e1–e34 (2009).
    • 17. Higgins JPT, Altman DG, Gotzsche PC et al. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ 343(7829), 889–893 (2011).
    • 18. Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat. Med. 21(11), 1539–1558 (2002).
    • 19. Takayama T, Sekine T, Makuuchi M et al. Adoptive immunotherapy to lower postsurgical recurrence rates of hepatocellular carcinoma: a randomised trial. Lancet 356(9232), 802–807 (2000).
    • 20. Pan CC, Huang ZL, Li W et al. Serum α-fetoprotein measurement in predicting clinical outcome related to autologous cytokine-induced killer cells in patients with hepatocellular carcinoma undergone minimally invasive therapy. Chin. J. Cancer 29(6), 596–602 (2010).
    • 21. Weng D-S, Zhou J, Zhou Q-M et al. Minimally invasive treatment combined with cytokine-induced killer cells therapy lower the short-term recurrence rates of hepatocellular carcinomas. J. Immunother. 31(31), 63–71 (2008).
    • 22. Xiaozhou Y, Hua Z, Liang L et al. A randomized Phase II study of autologous cytokine-induced killer cells in treatment of hepatocellular carcinoma. J. Clin. Immunol. 34(2), 194 (2014).
    • 23. Zhang QC, Pan GZ, Li GQ et al. DC-CIK cell therapy combined with transcatheter arterial chemoembolization and radiofrequency ablation for treatment of small hepatocellular carcinoma. World Chin. J. Digestology 22(16), 2237 (2014).
    • 24. Hui Z, Min Z, Kun W, Lianmin W, Tao W. A meta-analysis of adoptive immunotherapy in postoperative hepatocellular carcinoma. J. Cancer Res. Ther. 14(4), 807 (2018).
    • 25. Rosenberg SA, Restifo NP. Adoptive cell transfer as personalized immunotherapy for human cancer. Science 348(6230), 62 (2015).
    • 26. Kim HM, Kang JS, Lim J et al. Inhibition of human ovarian tumor growth by cytokine-induced killer cells. Arch. Pharm. Res. 30(11), 1464–1470 (2007).
    • 27. Juyoun J, Kyeung Min J, Se Jeong L et al. Synergistic therapeutic effects of cytokine-induced killer cells and temozolomide against glioblastoma. Oncol. Rep. 25(1), 33 (2011).
    • 28. Kim YJ, Lim J, Kang JS et al. Adoptive immunotherapy of human gastric cancer with ex vivo expanded T cells. Arch. Pharm. Res. 33(11), 1789–1795 (2010).
    • 29. Guo-Qing Z, Fang L, Sheng-Jie S et al. Adoptive immunotherapy for small cell lung cancer by expanded activated autologous lymphocytes: a retrospective clinical analysis. Asian Pac. J. Cancer Prev. 16(4), 1487–1494 (2015).
    • 30. JäKel CE, Schmidt-Wolf IGH. An update on new adoptive immunotherapy strategies for solid tumors with cytokine-induced killer cells. Expert Opin. Biol. Ther. 14(7), 905–916 (2014).
    • 31. Linn YC, Lau SKJ, Liu BH, Ng LH, Hao XY, Hui KM. Characterization of the recognition and functional heterogeneity exhibited by cytokine-induced killer cell subsets against acute myeloid leukaemia target cell. Insect Sci. 126(3), 423–435 (2010).
    • 32. Firouzeh K, Bastian HC, Manns MP, Greten TF. Immune responses in hepatocellular carcinoma. Digest Dis. 28(1), 150–154 (2010).
    • 33. Yao W, He J, Yang Y et al. The prognostic value of tumor-infiltrating lymphocytes in hepatocellular carcinoma: a systematic review and meta-analysis. Sci. Rep. 7(1), 7525 (2017).
    • 34. Lu PH, Negrin RS. A novel population of expanded human CD3+CD56+ cells derived from T cells with potent in vivo antitumor activity in mice with severe combined immunodeficiency. J. Immunol. 153(4), 1687–1696 (1994).
    • 35. Piconese S, Colombo MP. Regulatory T cells in cancer. Blood 108(3), 804–811 (2006).
    • 36. Zamarron BF, Wanjun C. Dual roles of immune cells and their factors in cancer development and progression. Int. J. Bio. Sci. 7(5), 651–658 (2011).
    • 37. Zhang W, Song TQ, Zhang TI et al. Adjuvant interferon for early or late recurrence of hepatocellular carcinoma and mortality from hepatocellular carcinoma following curative treatment: a meta-analysis with comparison of different types of hepatitis. Mol. Clin. Oncol. 2(6), 1125 (2014).
    • 38. Ma Y, Xu YC, Tang L, Zhang Z, Wang J, Wang HX. Cytokine-induced killer (CIK) cell therapy for patients with hepatocellular carcinoma: efficacy and safety. Exp. Hematol. Oncol. 1(1), 11–11 (2012).
    • 39. Yu R, Yang B, Chi X et al. Efficacy of cytokine-induced killer cell infusion as an adjuvant immunotherapy for hepatocellular carcinoma: a systematic review and meta-analysis. Drug Des. Dev. Ther. 11, 851–864 (2017).
    • 40. Cai XR, Li X, Lin JX et al. Autologous transplantation of cytokine-induced killer cells as an adjuvant therapy for hepatocellular carcinoma in Asia: an update meta-analysis and systematic review. Oncotarget 8(19), 31318–31328 (2017).
    • 41. Kornacker M, Verneris MR, Kornacker B, Ganten TM, Scheffold C, Negrin RS. The apoptotic and proliferative fate of cytokine-induced killer cells after redirection to tumor cells with bispecific Ab. Cytotherapy 8(1), 13–23 (2006).
    • 42. Ryosei N, Jeanette B, Andreas B et al. In vivo trafficking and survival of cytokine-induced killer cells resulting in minimal GVHD with retention of antitumor activity. Blood 112(6), 2563–2574 (2008).
    • 43. Eberl G, Brawand P, Macdonald HR. Selective bystander proliferation of memory CD4+ and CD8+ T cells upon NK T or T cell activation. J. Immunol. 165(8), 4305 (2000).
    • 44. Avril T, Vauleon E, Hamlat A et al. Human glioblastoma stem-like cells are more sensitive to allogeneic NK and T cell-mediated killing compared with serum-cultured glioblastoma cells. Brain Pathol. 22(2), 159–174 (2012).
    • 45. Rossana T, Matilde T, Simone DF et al. Human NK cells selective targeting of colon cancer-initiating cells: a role for natural cytotoxicity receptors and MHC class I molecules. J. Immunol. 190(5), 2381 (2013).
    • 46. Hongeng S, Pctviscs S, Worapongpaiboon S, Rcrkamnuaychoke B, Pakakasama S, Jootar S. Generation of CD3+ CD56+ cytokine-induced killer cells and their in vitro cytotoxicity against pediatric cancer cells. Int. J. Hematol. 77(2), 175–179 (2003).
    • 47. Terrault NA, Bzowej NH, Chang KM, Hwang JP, Jonas MM, Murad MH. AASLD guidelines for treatment of chronic hepatitis B. Hepatology 63(1), 261–283 (2016).
    • 48. Tanaka H, Tsukuma H, Yamano H et al. Hepatitis C virus 1b(II) infection and development of chronic hepatitis, liver cirrhosis and hepatocellular carcinoma: a case–control study in Japan. J. Epidemiol. 8(4), 244–249 (1998).
    • 49. Kao JH, Chen PJ, Chen DS. Chapter 2 – recent advances in the research of hepatitis B virus-related hepatocellular carcinoma: epidemiologic and molecular biological aspects. Adv. Cancer Res. 108(108), 21 (2010).
    • 50. Galle PR, Forner A, Llovet JM et al. EASL clinical practice guidelines: management of hepatocellular carcinoma. J. Hepatol. 69(1), 182–236 (2018).
    • 51. Meng Y, Yu Z, Wu Y et al. Cell-based immunotherapy with cytokine-induced killer (CIK) cells: from preparation and testing to clinical application. Hum. Vacc. Immunother. 13(4), 1 (2017).
    • 52. Guo Y, Han W. Cytokine-induced killer (CIK) cells: from basic research to clinical translation. Cancer Commun. (Lond.) 34(1), 6 (2015).