Inhibition of human gastric cancer growth by cytokine-induced killer cells plus chemotherapy with or without cadonilimab in a mouse xenograft tumor model

BackgroundCytokine-induced killer (CIK) cell therapy has shown potent antitumor cytotoxicity. To date, no study has evaluated the efficacy and safety of combining CIK cell therapy with chemotherapy, with or without the immune checkpoint inhibitor (ICI) cadonilimab, for treating gastric cancer (GC).M...

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Main Authors: Wenwei Yang, Jingwei Liu, Tiantian Hou, Xu Lu, Lin Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1609320/full
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author Wenwei Yang
Jingwei Liu
Tiantian Hou
Xu Lu
Lin Yang
author_facet Wenwei Yang
Jingwei Liu
Tiantian Hou
Xu Lu
Lin Yang
author_sort Wenwei Yang
collection DOAJ
description BackgroundCytokine-induced killer (CIK) cell therapy has shown potent antitumor cytotoxicity. To date, no study has evaluated the efficacy and safety of combining CIK cell therapy with chemotherapy, with or without the immune checkpoint inhibitor (ICI) cadonilimab, for treating gastric cancer (GC).MethodsIn vitro cytotoxicity, in vivo distribution, and acute toxicity of CIK cells were assessed. A nude mouse subcutaneous xenograft model of GC was established. To determine the antitumor effect of the CIK cells + chemotherapy regimen, 32 mice were randomized into the following four groups: control, CIK cells alone, chemotherapy alone, and CIK cells + chemotherapy. To evaluate the antitumor effect of CIK cells + chemotherapy supplemented with the cadonilimab regimen, mice subcutaneously inoculated with MGC803 cells were randomly assigned to the following eight experimental groups: vehicle, CIK cells, cadonilimab, chemotherapy, cadonilimab + chemotherapy, CIK cells + cadonilimab, CIK cells + chemotherapy, and CIK cells + cadonilimab + chemotherapy.ResultsIn vitro cytotoxicity assays indicated that CIK cells possessed good biocompatibility and sufficient therapeutic efficacy. An in vivo biodistribution assay revealed that CIK cells were mainly distributed in the spleen, lung, and liver. Acute toxicity analysis suggested that CIK cells had low toxicity. According to the tumor volume, the CIK cells + chemotherapy and chemotherapy-alone groups showed significantly higher tumor growth inhibition rates (34.2% and 50.8%, respectively) with well-tolerable toxicity than the control group (p < 0.01). The CIK cells + chemotherapy group exhibited a stronger, but not statistically significant, antitumor effect than the chemotherapy-alone group. In the safety and efficacy evaluation of CIK cells + chemotherapy + cadonilimab, the results showed that the tumor inhibitory effects of the cadonilimab + chemotherapy, CIK cells + chemotherapy, and CIK cells + cadonilimab + chemotherapy groups were significantly higher with tolerable toxicity than those of the CIK cells and cadonilimab groups (p < 0.05). The antitumor effect of the CIK cells + cadonilimab + chemotherapy regimen was also superior to that of the CIK cells + cadonilimab regimen (p = 0.0364). However, the tumor lysis ability showed no significant difference between the chemotherapy-based combination treatment groups and the chemotherapy-alone group.ConclusionsThe combination of CIK cells and chemotherapy with or without ICIs can serve as a potential therapeutic option for treating GC, with promising efficacy and good tolerability.
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spelling doaj-art-47f7e2a7ce7c4990bde29028b67745432025-08-20T02:03:19ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-06-011610.3389/fimmu.2025.16093201609320Inhibition of human gastric cancer growth by cytokine-induced killer cells plus chemotherapy with or without cadonilimab in a mouse xenograft tumor modelWenwei Yang0Jingwei Liu1Tiantian Hou2Xu Lu3Lin Yang4Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Oncology, Karh Biohealthcare Biotechnology (Zhejiang) Co., Ltd., Jiaxing, ChinaNational Center for Safety Evaluation of Drugs, Beijing Key Laboratory of Quality Control and Non-clinical Research and Evaluation for Cellular and Gene Therapy Medicinal Products, National Institutes for Food and Drug Control, Beijing, ChinaDepartment of Oncology, Karh Biohealthcare Biotechnology (Zhejiang) Co., Ltd., Jiaxing, ChinaDepartment of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaBackgroundCytokine-induced killer (CIK) cell therapy has shown potent antitumor cytotoxicity. To date, no study has evaluated the efficacy and safety of combining CIK cell therapy with chemotherapy, with or without the immune checkpoint inhibitor (ICI) cadonilimab, for treating gastric cancer (GC).MethodsIn vitro cytotoxicity, in vivo distribution, and acute toxicity of CIK cells were assessed. A nude mouse subcutaneous xenograft model of GC was established. To determine the antitumor effect of the CIK cells + chemotherapy regimen, 32 mice were randomized into the following four groups: control, CIK cells alone, chemotherapy alone, and CIK cells + chemotherapy. To evaluate the antitumor effect of CIK cells + chemotherapy supplemented with the cadonilimab regimen, mice subcutaneously inoculated with MGC803 cells were randomly assigned to the following eight experimental groups: vehicle, CIK cells, cadonilimab, chemotherapy, cadonilimab + chemotherapy, CIK cells + cadonilimab, CIK cells + chemotherapy, and CIK cells + cadonilimab + chemotherapy.ResultsIn vitro cytotoxicity assays indicated that CIK cells possessed good biocompatibility and sufficient therapeutic efficacy. An in vivo biodistribution assay revealed that CIK cells were mainly distributed in the spleen, lung, and liver. Acute toxicity analysis suggested that CIK cells had low toxicity. According to the tumor volume, the CIK cells + chemotherapy and chemotherapy-alone groups showed significantly higher tumor growth inhibition rates (34.2% and 50.8%, respectively) with well-tolerable toxicity than the control group (p < 0.01). The CIK cells + chemotherapy group exhibited a stronger, but not statistically significant, antitumor effect than the chemotherapy-alone group. In the safety and efficacy evaluation of CIK cells + chemotherapy + cadonilimab, the results showed that the tumor inhibitory effects of the cadonilimab + chemotherapy, CIK cells + chemotherapy, and CIK cells + cadonilimab + chemotherapy groups were significantly higher with tolerable toxicity than those of the CIK cells and cadonilimab groups (p < 0.05). The antitumor effect of the CIK cells + cadonilimab + chemotherapy regimen was also superior to that of the CIK cells + cadonilimab regimen (p = 0.0364). However, the tumor lysis ability showed no significant difference between the chemotherapy-based combination treatment groups and the chemotherapy-alone group.ConclusionsThe combination of CIK cells and chemotherapy with or without ICIs can serve as a potential therapeutic option for treating GC, with promising efficacy and good tolerability.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1609320/fullgastric cancercytokine-induced killer cellsimmune checkpoint inhibitorschemotherapycombination therapymouse xenograft model
spellingShingle Wenwei Yang
Jingwei Liu
Tiantian Hou
Xu Lu
Lin Yang
Inhibition of human gastric cancer growth by cytokine-induced killer cells plus chemotherapy with or without cadonilimab in a mouse xenograft tumor model
Frontiers in Immunology
gastric cancer
cytokine-induced killer cells
immune checkpoint inhibitors
chemotherapy
combination therapy
mouse xenograft model
title Inhibition of human gastric cancer growth by cytokine-induced killer cells plus chemotherapy with or without cadonilimab in a mouse xenograft tumor model
title_full Inhibition of human gastric cancer growth by cytokine-induced killer cells plus chemotherapy with or without cadonilimab in a mouse xenograft tumor model
title_fullStr Inhibition of human gastric cancer growth by cytokine-induced killer cells plus chemotherapy with or without cadonilimab in a mouse xenograft tumor model
title_full_unstemmed Inhibition of human gastric cancer growth by cytokine-induced killer cells plus chemotherapy with or without cadonilimab in a mouse xenograft tumor model
title_short Inhibition of human gastric cancer growth by cytokine-induced killer cells plus chemotherapy with or without cadonilimab in a mouse xenograft tumor model
title_sort inhibition of human gastric cancer growth by cytokine induced killer cells plus chemotherapy with or without cadonilimab in a mouse xenograft tumor model
topic gastric cancer
cytokine-induced killer cells
immune checkpoint inhibitors
chemotherapy
combination therapy
mouse xenograft model
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1609320/full
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