Correlation Between Natural Killer Cell Activity and Treatment Effect in Patients with Disseminated Cancer1

INTRODUCTION : The aim of the present study was to analyze the possible correlation between Natural Killer (NK) cell activity as measured by the NK Vue assay and treatment efficacy in patients with disseminated cancer. MATERIALS AND METHODS : The study included four trials encompassing palliative tr...

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Veröffentlicht in:Translational oncology 2019-05, Vol.12 (7), p.968-972
Hauptverfasser: Hansen, Torben Frøstrup, Nederby, Line, Zedan, Ahmed H., Mejlholm, Inge, Henriksen, Jon R., Steffensen, Karina D., Thomsen, Caroline B., Raunkilde, Louise, Jensen, Lars Henrik, Jakobsen, Anders
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container_end_page 972
container_issue 7
container_start_page 968
container_title Translational oncology
container_volume 12
creator Hansen, Torben Frøstrup
Nederby, Line
Zedan, Ahmed H.
Mejlholm, Inge
Henriksen, Jon R.
Steffensen, Karina D.
Thomsen, Caroline B.
Raunkilde, Louise
Jensen, Lars Henrik
Jakobsen, Anders
description INTRODUCTION : The aim of the present study was to analyze the possible correlation between Natural Killer (NK) cell activity as measured by the NK Vue assay and treatment efficacy in patients with disseminated cancer. MATERIALS AND METHODS : The study included four trials encompassing palliative treatment, i.e. one trial on prostate- and ovarian cancer, respectively, and two trials on colorectal cancer. The current results are based on 93 patients with mature data on treatment effect. Blood samples were collected at baseline and prior to each treatment cycle into NK Vue. Following 24 hours of stimulation the level of interferon-gamma (IFNγ) in the plasma was measured as a surrogate for NK cell activity. RESULTS : The relationship between NK cell activity and treatment response was similar across tumor types and treatment. The IFNγ either remained at or dropped to an abnormal level (200 pg/mL), while in group 3 (n = 28) it increased from an abnormal to a normal level. The response rate was 14%, 47%, and 82%, respectively, P  
doi_str_mv 10.1016/j.tranon.2019.04.002
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MATERIALS AND METHODS : The study included four trials encompassing palliative treatment, i.e. one trial on prostate- and ovarian cancer, respectively, and two trials on colorectal cancer. The current results are based on 93 patients with mature data on treatment effect. Blood samples were collected at baseline and prior to each treatment cycle into NK Vue. Following 24 hours of stimulation the level of interferon-gamma (IFNγ) in the plasma was measured as a surrogate for NK cell activity. RESULTS : The relationship between NK cell activity and treatment response was similar across tumor types and treatment. The IFNγ either remained at or dropped to an abnormal level (&lt;200 pg/mL) during treatment in group 1 (n = 35). In group 2 (n = 30) the level remained within a normal range (&gt;200 pg/mL), while in group 3 (n = 28) it increased from an abnormal to a normal level. The response rate was 14%, 47%, and 82%, respectively, P  &lt; .001. The median progression free survival was 2.6 months (95% confidence interval (CI) 2.1–3.9), 10.0 months (95% CI 6.5–11.1), and 8.3 months (95% CI 6.5–8.7), respectively, P  &lt; .001 (log-rank). CONCLUSION : Patients lacking the ability to mount an immune response during the first 2 months of treatment have a poor prognosis, and their clinical benefit of the treatment is questionable.</description><identifier>EISSN: 1936-5233</identifier><identifier>DOI: 10.1016/j.tranon.2019.04.002</identifier><identifier>PMID: 31103777</identifier><language>eng</language><publisher>Neoplasia Press</publisher><subject>Original article</subject><ispartof>Translational oncology, 2019-05, Vol.12 (7), p.968-972</ispartof><rights>2019 The Authors 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6554227/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6554227/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27903,27904,53769,53771</link.rule.ids></links><search><creatorcontrib>Hansen, Torben Frøstrup</creatorcontrib><creatorcontrib>Nederby, Line</creatorcontrib><creatorcontrib>Zedan, Ahmed H.</creatorcontrib><creatorcontrib>Mejlholm, Inge</creatorcontrib><creatorcontrib>Henriksen, Jon R.</creatorcontrib><creatorcontrib>Steffensen, Karina D.</creatorcontrib><creatorcontrib>Thomsen, Caroline B.</creatorcontrib><creatorcontrib>Raunkilde, Louise</creatorcontrib><creatorcontrib>Jensen, Lars Henrik</creatorcontrib><creatorcontrib>Jakobsen, Anders</creatorcontrib><title>Correlation Between Natural Killer Cell Activity and Treatment Effect in Patients with Disseminated Cancer1</title><title>Translational oncology</title><description>INTRODUCTION : The aim of the present study was to analyze the possible correlation between Natural Killer (NK) cell activity as measured by the NK Vue assay and treatment efficacy in patients with disseminated cancer. 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The median progression free survival was 2.6 months (95% confidence interval (CI) 2.1–3.9), 10.0 months (95% CI 6.5–11.1), and 8.3 months (95% CI 6.5–8.7), respectively, P  &lt; .001 (log-rank). 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title Correlation Between Natural Killer Cell Activity and Treatment Effect in Patients with Disseminated Cancer1
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