Tumor cryoablation in combination with natural killer cells therapy and Herceptin in patients with HER2-overexpressing recurrent breast cancer

Mol Immunol. 2017 Dec:92:45-53. doi: 10.1016/j.molimm.2017.10.003. Epub 2017 Oct 14.

Abstract

In this study, we investigated the clinical benefits of a combination of tumor cryoablation with natural killer (NK) cells therapy and Herceptin for human epidermal growth factor (HER) 2-overexpressing recurrent breast cancer. From May 2015 to May 2016, 48 patients who met the enrollment criteria were assigned to three groups (n=16): cryoablation group (group I), cryoablation-NK cells therapy group (group II) and cryoablation-NK cells therapy-Herceptin group (group III). Safety and short-term effects were evaluated. All the adverse effects were manageable and acceptable. The three-therapy combination treatment not only yielded good clinical efficacy, it also improved the quality of life; reduced levels of circulating tumor cells (CTCs); reduced carcino-embryonic antigen (CEA) and cancer antigen 15-3 (CA15-3) expression; enhanced immune function significantly. Furthermore, it can resulte in significant prolongation of progression free survival (PFS). This is the first clinical study to demonstrate the benefit of the three-therapy combination of tumor cryoablation, NK cells therapy, and Herceptin for HER2-overexpressing recurrent breast cancer.

Keywords: Combination treatment; Herceptin; Natural killer cells; Progression free survival; Tumor cryoablation.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Breast Neoplasms / blood
  • Breast Neoplasms / immunology
  • Breast Neoplasms / therapy*
  • Carcinoembryonic Antigen / blood
  • Carcinoembryonic Antigen / immunology
  • Cryosurgery*
  • Female
  • Humans
  • Killer Cells, Natural / immunology
  • Killer Cells, Natural / metabolism
  • Killer Cells, Natural / transplantation*
  • Middle Aged
  • Mucin-1 / blood
  • Mucin-1 / immunology
  • Neoplastic Cells, Circulating / immunology
  • Neoplastic Cells, Circulating / metabolism
  • Receptor, ErbB-2 / biosynthesis
  • Receptor, ErbB-2 / immunology*
  • Trastuzumab / administration & dosage*

Substances

  • Carcinoembryonic Antigen
  • MUC1 protein, human
  • Mucin-1
  • ERBB2 protein, human
  • Receptor, ErbB-2
  • Trastuzumab