TW200831670A - Methods for the cultivation of tumor cells and application of the same - Google Patents

Methods for the cultivation of tumor cells and application of the same Download PDF

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TW200831670A
TW200831670A TW96102446A TW96102446A TW200831670A TW 200831670 A TW200831670 A TW 200831670A TW 96102446 A TW96102446 A TW 96102446A TW 96102446 A TW96102446 A TW 96102446A TW 200831670 A TW200831670 A TW 200831670A
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Taiwan
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cells
centrifuge tube
tumor
human
tumor cells
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TW96102446A
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Chinese (zh)
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Jian-Chuan Xia
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Koyo Internat Holding Corp
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Abstract

A fast and convenient method is applied to purify tumor cells by removing non-tumour tissue and slough without damaging the tumor cells, followed by extract a cellular activator ''Koyo'', and improving cell growth and proliferation. In addition, the application of the cellular activator ''Koyo '' is performed to activate the DC, CIK, and NK cells collected from the umbilical cord blood or peripheral blood, and the vaccines are made to improve the infection diseases, cancer, cancer metastasis and auto-immune diseases.

Description

200831670 xw \_xj_a\-2 18734twf.doc/0〇6 九、發明說明: 【發明所屬之技術領域】 本毛明是有關於-種細胞生物學,且特別是有關 > 於一種腫瘤生物学、肿瘤細胞分子遺傳學,腫瘤免疫 . $和抗腫瘤藥物的研究,同時具體涉及腫瘤細胞和腫 瘤細胞原代培養的研究領域及其應用。 【先前技術】 _ *期以來’如何在不損傷腫瘤細胞的情況下,從 腫瘤組織中分離出大量的高純化腫瘤細胞―直是_ 人們的;^難題。由於這一技術難於解決,使得腫瘤 細胞體外原代培養的成功率彳艮低(低於2〇%)。 而腫瘤細胞原代培養的成功與否常常是有關腫瘤 細胞研究的關鍵,同時大量的高純化的腫瘤細胞和原 代培養的腫瘤細胞又是肿瘤细胞生物学,腫瘤遺傳 學,腫瘤分子生物學,腫瘤免疫學以及抗腫瘤藥物等 • 料研究的重要工具。多數實驗顯示:腫瘤細胞原代 培養成功率很低的最主要原因是报難得到大量的高純 度的腫瘤細胞’腫瘤組織中常常混有許多正常細胞, 包括-些淋巴細胞,成纖維細胞,間質細胞和腫瘤壞 死細胞,這些細胞嚴重的干擾了腫瘤細胞的生長與增 • · 殖。 NK細胞是-種淋巴細胞族群,代表預防拮抗病毒 及腫瘤細胞的早期細胞株。服細胞涉及抗原非特里 性的抗腫瘤免疫力’以及在擔任免抑功能或遏止宿^ 200831670 一 wl 18734twf.doc/006 原發性腫瘤之預防或移轉。在腫瘤鼠實驗中,經1L_2 以及IL-12/IL_15處理,加入或未加LAK細胞(淋巴激 素-活化之NK細胞)、黏附性NK細胞(A-NK)、或 、 非黏附性NK細胞(NA-NK),觀察到具有抗腫瘤之 監視作用,且是體外以高劑量IL-2刺激NK細胞所得 之結果。 然而以NK細胞治療鼠類或人類腫瘤或其他失調 症,感染症之體内或體外方法,均涉及NK細胞之量 _ 化與活化,傳統是以細胞動素為基礎,目前可運用之 方式通常是必須施予宿主難以耐受之高劑量細胞動 素,且NK細胞體外存活困難度高,在無營養支持下 細胞動素也難以活化NK細胞。 樹突細胞(Dendritic cells,DCs)是人體内功能強 大之antigen process cells(APC),能將擷取之抗原處理 成胜肽片段,再移轉到次級淋巴器官,將這些抗原胜 肽片段與主要組織相容性複合物(major • histocompatibility complex,MHC)結合後承遞給 T 淋 巴細胞,誘導Τ淋巴細胞活化,激活初始免疫反應, 同時對DC細胞提供共刺激分子高度效應,如CD80, CD86等能在體内直接激活初始T淋巴細胞,促使輔 助T淋巴細胞和CTL細胞的生成,也能促進B淋巴 , 細胞產生抗體。 細胞因子誘導殺手細胞(cytokine-induced killer cells,CIK)是將人類外週血單核細胞在體外用多種細 胞因子共同培養一段時間所得。細胞因子誘導殺手細 6 200831670, 〜u\-2 18734twf.doc/006 胞可同時表現CD3+與CD56+等兩種蛋白分子,又稱為 NK細胞之T淋巴細胞,兼具有T淋巴細胞之抗腫瘤 活性與NK細胞的非MHC限制性殺瘤優點。CIK為新 ▼ 一代抗腫瘤過繼細胞免疫療法,然而臨床上在惡性實 體瘤的報告仍很少。 一 【發明内容】 本發明的目的就是在提供一種快速而簡便地,在 腫瘤細胞沒有得到任何損傷的情況下,去掉大量的非 Φ 腫瘤細胞和壞死的腫瘤細胞,將活的腫瘤細胞分離出 來的方法。 本發明的再一目的是提供一種從分離的活腫瘤 細胞萃取衍生之細胞激活素(Koyo),大量促進了腫瘤 細胞的生長與增殖,以及使大量純化的腫瘤細胞聚集 在起之腫瘤細胞群體效應,為腫瘤細胞的生長和增 殖培養提供了良好的條件。 本發明的又一目的是提供一種使腫瘤細胞體外 φ 長期培養、傳代乃至建系更加容易,並運用衍生萃取 之細胞激活素(Koyo)以活化DC、D_CIK、D-NK細胞 之方法。 本發明的另一目的是運用細胞激活素(尺〇^〇)以 活化由臍帶血或病人周邊血所得之DC、D-CIK、或 • 細胞,製成疫苗和抗肿瘤细胞再回輸以改善感 _ 染、癌症、移轉之癌症、自體免疫不良等病症。 本發明提出一種快速簡便地沒有損傷的情況 下’去掉大量的非腫瘤細胞和壞死的腫瘤細胞,將活 7 200831670 jlx^/ v_,xx^-2 18734twf.doc/006 的腫瘤細胞大量高純化的分離出來的方法,提高腫瘤 細胞原代培養的成功率。應用這種有效的純化技術, 可使由上皮细胞来源的腫瘤細胞原代培養的成功率可 達到85%以上。 本發明更提出一種純化腫瘤細胞衍生細胞激活素 (Koyo)以活化由臍帶血或病人周邊血所得之Dc'、、 D-CIK、D-服細胞之方法,其製成之疫苗和抗肿瘤细 胞回輸DC、D-CIK和D-NK成功改善改善感染、癌 # 移轉之癌症、自體免疫不良等病症,甚至晚期腎: 患病症,提供病人在外科手術或化療之外另―^、 改善並正及生活品質。 、禪以 本發明用於分離純化腫瘤細胞的優點是快速、μ 便、有效,而且成本較低,對腫瘤細胞沒有任何浐、間 可大量獲得純化的腫瘤細胞,大大地提高了腫’ 原代培養的成功率。同時也為肿瘤生物学,腫=、、、田胞 胞分子遺傳學,腫瘤免疫學和抗腫瘤藥物的研^細 珍貴的研究工具。 九钕供 鲁 I讓本發明之上述和其他目的、特徵和優點& 明顯易懂,下文特舉較佳實施例,並配合所附:更 作詳細說明如下。 國式’ 【實施方式】 腫痼細胞之分離純化丨 (1)、腫瘤細胞的純化前的處理。取手術切 腫瘤組織(l-2cm3),置於含有RpMI_164〇培参除的 〇 °夜(無 200831670 v.xx^-2 18734twf.doc/006 血清)的培養瓶内,立即送往實驗室。用消毒的眼科 剪刀剔除可見的非腫瘤組織和腫瘤壞死組織,用少許 含有RPMI-1640培養液(無血清)潤濕腫瘤組織並將 ^ 其儘快的剪碎,將這些剪碎的腫瘤組織置於50ml離心 管中,加入10-15 ml膠原酶4溶液(Sigma公司)(膠 原酶4溶解在D-hanks中,終濃度為lmg/ml,過濾 滅菌),在37°C水浴箱内溫浴1小時。1小時後,取出 該離心管(50ml的),用不含血清的1640溶液稀釋一 _ 倍,反復吹打,取細胞懸液用消毒過的70目濾網過 濾,離心,1200轉(8分鐘),去上清液,取20 ml含 有10%胎牛血清或人AB血清,1%雙抗的1640培 養基混勻這些離心後的細胞,即可得到肿瘤组织細胞 悬液。 (2)、腫瘤細胞的分離純化。取20 ml滅活的胎 牛血清或人AB血清置於一個A號50ml離心管中, 將20ml混勻的腫瘤組織的細胞懸液(其中含有淋巴細 ^ 胞,成纖維細胞,間質細胞和腫瘤壞死細胞)輕輕的 從管壁加入到A管中,靜置6分鐘,從A號50ml離 心管底部吸出6ml jk清,置B號50ml離心管中;再 將A號50ml離心管靜置6分鐘,從A號50ml離心管 底部吸出6ml血清,置於C號50ml離心管中。再將A . 號50ml離心管靜置6分鐘,從A號50ml離心管底部 吸出6ml血清,置第D號50ml離心管中。將B號50ml 離心管,C號50ml離心管和D號50ml離心管離心, 1200轉(8 min )。沉殿的細胞即為純化的腫瘤細胞。 9 18734twf.doc/006 200831670 V^XX'V"2 取5 ml 10%胎牛血清或人AB血清,1 %雙抗的1640 培養基混勻B號離心管沉殿的細胞並置6孔板中的一 個孔中,在顯微鏡下可見到許多純化的腫瘤細胞,將 純化的腫瘤細胞培養3-4天即可見腫瘤細胞分裂。C 號和D號離心管的細胞除腫瘤細胞外還含有少量非 腫瘤細胞,可重複上面的過程,即可得到更純化的腫 瘤細胞。 腫瘤細胞裂解物衍生細臉激活素(Koyoj^皇備: 新鮮癌症組織剪碎,過篩製作單細胞懸浮液,通 過本發明之腫瘤分離純化技術。萃取物經液態氮反覆 凍融,離心取得上清液,經〇·22ιι篩孔過濾滅菌,測 定蛋白質含量,於-80°C下保存。 DC ’ D_CIK,D-NK細胞培卷及定性: 自體周邊血液與臍帶之NK細胞培養相關步驟 與實施ί衣境均在符合GMP ( Good Manufacturing Practice GMP)優良實驗室規範之準則下操作。懸浮 步驟結合 Ficoll 與 sodium metrizoate (e.g· Hypague) 專常用標準淋巴球製備方法。全血以Ficoll-Hypaque 密度梯度離心取頂層,經過離心步驟後,大部分的淋 巴球被發現在介於Ficoll/Hypaque與血漿(plasma) 之間。 材料: 血液樣品(来自患者自体外周血和正常人臍带血) 200831670 y wm-2 18734twf.doc/006 乾淨離心管(美国BD公司) 一次性吸管(Pasteur Pipettes美国BD公司) 各种培养瓶(Culture flask) 24孔培養皿(24 well culture dish美国BD公司 燒杯 T25 flask 淋巴球培養基(Ficoll/metrizoate, adjust to 1.077 g/cc)200831670 xw \_xj_a\-2 18734twf.doc/0〇6 IX. Description of the invention: [Technical field to which the invention pertains] The present invention is related to - a variety of cell biology, and particularly related to > a tumor biology, Tumor cell molecular genetics, tumor immunity. $ and anti-tumor drugs, and specifically related to the research field of tumor cells and primary culture of tumor cells and their applications. [Prior Art] Since the _* period, how to isolate a large number of highly purified tumor cells from tumor tissues without damaging the tumor cells is straightforward. Due to the difficulty of this technique, the success rate of primary culture of tumor cells in vitro is low (less than 2%). The success of primary culture of tumor cells is often the key to tumor cell research. At the same time, a large number of highly purified tumor cells and primary cultured tumor cells are tumor cell biology, tumor genetics, and tumor molecular biology. An important tool for tumor immunology and anti-tumor drugs. Most experiments show that the main reason for the low success rate of primary culture of tumor cells is that it is difficult to obtain a large number of high-purity tumor cells. 'Tumor tissue is often mixed with many normal cells, including some lymphocytes, fibroblasts, and Qualitative cells and tumor necrotic cells, these cells severely interfere with the growth and growth of tumor cells. NK cells are a group of lymphocyte populations that represent early cell lines that prevent antagonism of viral and tumor cells. The cells involved in the anti-tumor immunity of the non-trio of the antigen and the prevention or transfer of the primary tumor were performed as a function of suppressing or suppressing the stagnation of 200831670 a wl 18734twf.doc/006. In the tumor mouse experiment, LAK cells (lymphocyte-activated NK cells), adhesion NK cells (A-NK), or non-adhesive NK cells were added or not treated with 1L 2 and IL-12/IL_15 ( NA-NK) was observed to have anti-tumor surveillance and was the result of in vitro stimulation of NK cells with high doses of IL-2. However, in the treatment of murine or human tumors or other disorders with NK cells, in vivo or in vitro methods of infection involve the amount of NK cells, which are traditionally based on cytokines and are currently available. It is necessary to administer a high dose of cytokines that are difficult to tolerate by the host, and NK cells have high difficulty in survival in vitro, and it is difficult for cytokines to activate NK cells without nutritional support. Dendritic cells (DCs) are powerful human process cells (APCs) that process the extracted antigen into peptide fragments and then transfer them to secondary lymphoid organs. The major histocompatibility complex (MHC) is bound to T lymphocytes, induces lymphocyte activation, activates the initial immune response, and provides co-stimulatory molecular effects on DC cells, such as CD80, CD86. It can directly activate the initial T lymphocytes in the body, promote the formation of helper T lymphocytes and CTL cells, and also promote B lymphocytes, which produce antibodies. Cytokine-induced killer cells (CIK) are obtained by co-culturing human peripheral blood mononuclear cells in vitro with various cytokines for a period of time. Cytokine-induced killer fine 6 200831670, ~u\-2 18734twf.doc/006 cells can simultaneously express two protein molecules such as CD3+ and CD56+, also known as T lymphocytes of NK cells, and anti-tumor with T lymphocytes Activity and non-MHC restrictive tumoricidal advantages of NK cells. CIK is a new generation of anti-tumor adoptive cell immunotherapy, but clinical reports on malignant solid tumors are still rare. SUMMARY OF THE INVENTION The object of the present invention is to provide a rapid and simple method for removing a large number of non-Φ tumor cells and necrotic tumor cells without any damage to tumor cells, and separating living tumor cells. method. A further object of the present invention is to provide a cell activin (Koyo) derived from the extraction of isolated living tumor cells, which greatly promotes the growth and proliferation of tumor cells, and the accumulation of a large number of purified tumor cells in the tumor cell population effect. It provides good conditions for the growth and proliferation of tumor cells. A further object of the present invention is to provide a method for activating DC, D_CIK, and D-NK cells by using a cell extract activator (Koyo) derived from tumor cells in vitro for long-term culture, passage, and even establishment. Another object of the present invention is to use a cell activin to activate DC, D-CIK, or cells derived from cord blood or peripheral blood of a patient to prepare a vaccine and anti-tumor cells for reinfusion to improve Sense _ infection, cancer, metastatic cancer, autoimmune and other diseases. The present invention provides a rapid and simple no-injury case of removing a large number of non-tumor cells and necrotic tumor cells, and the tumor cells of the live 7 200831670 jlx^/ v_, xx^-2 18734twf.doc/006 are highly purified. The method of isolation improves the success rate of primary culture of tumor cells. Using this efficient purification technique, the success rate of primary culture of tumor cells derived from epithelial cells can be more than 85%. The present invention further provides a method for purifying tumor cell-derived cell activin (Koyo) to activate Dc', D-CIK, D-administered cells obtained from cord blood or peripheral blood of a patient, and the vaccine and anti-tumor cell thereof are prepared. Returning DC, D-CIK and D-NK successfully improved the improvement of infection, cancer # transfer of cancer, autoimmune and other diseases, and even advanced kidney: suffering from illness, providing patients in addition to surgery or chemotherapy -^ Improve and be positive about the quality of life. The advantages of the present invention for separating and purifying tumor cells are rapid, convenient, effective, and low in cost, and there is no sputum in tumor cells, and a large number of purified tumor cells can be obtained, which greatly enhances the swelling of the primary cells. The success rate of cultivation. At the same time, it is also a valuable research tool for tumor biology, swollen=,,, cell molecular genetics, tumor immunology and anti-tumor drugs. The above and other objects, features, and advantages of the present invention will be apparent from the description of the appended claims. [Formula] [Embodiment] Isolation and purification of swollen cells 丨 (1) Treatment of tumor cells before purification. The tumor tissue (1-2 cm3) was surgically removed and placed in a culture flask containing RpMI_164 参 参 ( ( ( 无 无 无 无 无 无 无 无 无 无 无 无 无 无 无 无 无 无 无 无 无 无 无 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 The visible non-tumor tissue and tumor necrotic tissue were removed with sterile ophthalmic scissors, and the tumor tissue was wetted with a little RPMI-1640 medium (serum free) and the shredded tumor tissue was placed as soon as possible. In a 50 ml centrifuge tube, add 10-15 ml of collagenase 4 solution (Sigma) (collagenase 4 dissolved in D-hanks, final concentration of 1 mg/ml, filter sterilized), and warm bath in a 37 ° C water bath. hour. After 1 hour, the centrifuge tube (50 ml) was taken out, diluted one-fold with a serum-free 1640 solution, repeatedly blown, and the cell suspension was filtered through a sterile 70 mesh filter, centrifuged, and 1200 rpm (8 minutes). The supernatant was removed, and 20 ml of 1640 medium containing 10% fetal bovine serum or human AB serum and 1% double antibody was mixed to mix the centrifuged cells to obtain a tumor tissue cell suspension. (2) Separation and purification of tumor cells. Take 20 ml of inactivated fetal bovine serum or human AB serum in a 50 ml centrifuge tube, and mix 20 ml of the cell suspension of the tumor tissue (which contains lymphocytes, fibroblasts, interstitial cells and The tumor necrotic cells were gently added to the A tube from the tube wall, allowed to stand for 6 minutes, and 6 ml of jk clear was taken from the bottom of the A 50 ml centrifuge tube, and placed in a 50 ml centrifuge tube; then the A 50 ml centrifuge tube was allowed to stand. 6 minutes, 6 ml of serum was aspirated from the bottom of a 50 ml centrifuge tube, and placed in a 50 ml centrifuge tube. Then, the A. 50 ml centrifuge tube was allowed to stand for 6 minutes, and 6 ml of serum was aspirated from the bottom of the A 50 ml centrifuge tube, and placed in a No. D 50 ml centrifuge tube. Centrifuge tube No. B 50 ml, centrifuge tube No. C 50 ml and centrifuge tube No. D 50 ml, centrifuge at 1200 rpm (8 min). The cells of the Shen Dian are purified tumor cells. 9 18734twf.doc/006 200831670 V^XX'V"2 Take 5 ml of 10% fetal bovine serum or human AB serum, 1% double-antibody 1640 medium and mix the cells of the B-cell centrifuge tube and place them in a 6-well plate. In one well, many purified tumor cells were visible under the microscope, and the purified tumor cells were cultured for 3-4 days to see tumor cell division. The cells of the C and D centrifuge tubes contain a small amount of non-tumor cells in addition to the tumor cells, and the above process can be repeated to obtain more purified tumor cells. Tumor cell lysate-derived fine-face activin (Koyoj^huangfu: fresh cancer tissue is shredded, sieved to make a single cell suspension, and the tumor is isolated and purified by the present invention. The extract is repeatedly frozen and thawed by liquid nitrogen, and obtained by centrifugation. The clear liquid was filtered and sterilized by 〇·22ιι sieve, and the protein content was determined and stored at -80 ° C. DC ' D_CIK, D-NK cell culture and characterization: The steps related to NK cell culture of autologous peripheral blood and umbilical cord The implementation is in accordance with the Good Manufacturing Practice GMP (Good Manufacturing Practice GMP) guidelines. The suspension step combines Ficoll with sodium metrizoate (eg Hypague) to prepare the standard lymphocyte preparation method. The whole blood is Ficoll-Hypaque density. Gradient centrifugation takes the top layer, and after centrifugation, most of the lymphocytes are found between Ficoll/Hypaque and plasma. Materials: Blood samples (from patient autologous peripheral blood and normal human cord blood) 200831670 y wm -2 18734twf.doc/006 Clean Centrifuge Tube (BD, USA) Disposable Straw (Pasteur Pipettes, USA BD) Various culture bottles Culture flask) 24 well culture dish (24 well culture dish U.S. BD Biosciences beaker T25 flask lymphocyte medium (Ficoll / metrizoate, adjust to 1.077 g / cc)

無jk清培養基(AIM-V medium,GIBCO; therapeutic level) 滅菌滴管 Pasteur Pipettes 24 孔培養24 well culture dishAja-V medium, GIBCO; therapeutic level Sterilization dropper Pasteur Pipettes 24 well culture 24 well culture dish

Anti-CD56, Anti-CD 16 ^ Anti-CD3 (OKT-3)及Anti-CD56, Anti-CD 16 ^ Anti-CD3 (OKT-3) and

Anti-IL-2 等單珠抗體Single-bead antibody such as Anti-IL-2

Human recombinant IL-2 ( Chiron Company)Human recombinant IL-2 ( Chiron Company)

Human recombinant IFN-α: ( Immunex company) Human recombinant IL-1 a : ( Ppeprotech company )Human recombinant IFN-α: ( Immunex company) Human recombinant IL-1 a : ( Ppeprotech company )

Human recombinant CD3 (anti-CD3 MoAb). ( Chiron Company)Human recombinant CD3 (anti-CD3 MoAb). ( Chiron Company)

Human recombinant GM-CSF: ( Immunex company) Human recombinant IL-4: ( R & D System company)Human recombinant GM-CSF: ( Immunex company) Human recombinant IL-4: ( R & D System company)

Human recombinant TNF- a : ( R & D System company)Human recombinant TNF- a : ( R & D System company)

Human recombinant IL-7: From R & D System company 染色劑 Trypan blue 11 20083 1 tZL _tw_a6 細胞計數器 Hemocytometer or cell counter 生理食鹽水Saline 交叉感染之預防: ^ 為預禦可能之交互感染。採取下列防禦措施。 1·僅從聲譽卓著之單位取樣。 2. —次只允許操作一個樣品。 3·滴管絕不允許重複使用於不同樣品。 4·同容器内培養基絕不允許重複使用於不同樣品。 • 5·使用過滴管絕不允許置於培養基之容器内。 DC瘛苗之製備: 取病患外週血50-60ml,分離得單核細胞置於函有 培養液之培養瓶中,在37 °C及5% C02培養箱中溫浴 1小時,吸出懸浮細胞以培養DC細胞。貼壁細胞加 入新鮮之DC培養液(1640完全培養液+GM-CSF 100ng/ml+IL_4 30 ng/ml),置於 37°C 及 5% C02 培養 鲁 環境。在培養的第三天加入自體腫瘤細胞裂解物衍生 細胞激活素(Koyo)致敏DC,腫瘤細胞裂解物蛋白質之 最終濃度為l〇〇mg/ml。第六天加入TNFa,第七天收 集成熟DC疫苗。 ‘ D-CIK細胞增殖之製備: 取懸浮細胞(依據該腫瘤細胞之分離純化:(1)),加入 ‘ INFy-lOOOU/ml之D-CIK完全培養液,置於37°C及 5% C02培養環境。在培養的24小時後加入最終濃度 12 '-2 18734twf.doc/006 200831670 為100mg/ml小鼠抗人CD3單株抗體、l〇〇〇U/ml IL-2 和1000U/ml IL-Ια,繼續培養。每日觀察,每2-3天 換液一次,添加新鮮之IL-2培養液,在培养的第七天 加人成熟的DC细胞,同时加入GM-CSF (Working concentration: 800 …1000 iu/ml),IL-2 ( Working concentration: 20 …40 lU/rnl ), IL_7 ( Working concentration: 20ng 40 ng/ml),在培養 14 天左右, 開始收集D-CIK細胞、離心、洗蘇、於1 〇〇毫升生理 食鹽水,3-5毫升20%人白蛋白重量細胞,通常在一 小时内从靜脉回输给病人。 成熟DC細胞和D-CIK細胞免疫表型檢測 用FITC標記的鼠抗人類CD80、CD83、CD86、 MHC-1、和MHC-II單株抗體進行染色,流式細胞儀 檢測這些表面分子在DC細胞表面抗原的表达情況; 回輸前抽少量 D-CIK 細胞(1χ1〇6),用 Cy-chromeTManti-human CD3 ,Human recombinant IL-7: From R & D System company stain Trypan blue 11 20083 1 tZL _tw_a6 Cell counter Hemocytometer or cell counter Saline cross-infection prevention: ^ For the possible interaction of possible infections. Take the following defensive measures. 1. Only sample from well-reputed units. 2. - Only one sample is allowed to be operated. 3. The dropper must never be reused in different samples. 4. The same medium in the container must never be reused in different samples. • 5. The used dropper must never be placed in the container of the medium. Preparation of DC seedlings: Take 50-60ml of peripheral blood of the patient, separate the mononuclear cells into the culture flask with the culture medium, and warm the bath for 1 hour at 37 °C and 5% CO 2 incubator, aspirate and suspend. The cells are cultured with DC cells. The adherent cells were added with fresh DC medium (1640 complete medium + GM-CSF 100 ng/ml + IL_4 30 ng/ml), and placed in a culture environment of 37 ° C and 5% CO 2 . Autologous tumor cell lysate-derived cytokine (Koyo) sensitized DC was added on the third day of culture, and the final concentration of tumor cell lysate protein was 10 mg/ml. On the sixth day, TNFa was added, and on the seventh day, the mature DC vaccine was collected. Preparation of D-CIK cell proliferation: Take suspension cells (according to the isolation and purification of the tumor cells: (1)), add 'INFy-lOOOU/ml D-CIK complete medium, place at 37 ° C and 5% C02 Develop the environment. After 24 hours of culture, a final concentration of 12 '-2 18734 twf.doc/006 200831670 was added to 100 mg/ml mouse anti-human CD3 monoclonal antibody, l〇〇〇U/ml IL-2 and 1000 U/ml IL-Ια, Continue to train. Daily observation, change every 2-3 days, add fresh IL-2 medium, add mature DC cells on the seventh day of culture, and add GM-CSF (Working concentration: 800 ... 1000 iu/ml ), IL-2 ( Working concentration: 20 ... 40 lU/rnl ), IL_7 ( Working concentration: 20ng 40 ng/ml), began to collect D-CIK cells, centrifuged, washed, and 1 在 in culture for about 14 days. 〇ml of physiological saline, 3-5 ml of 20% human albumin weight cells, usually returned to the patient from the vein within one hour. Immunophenotypic assays of mature DC cells and D-CIK cells were stained with FITC-labeled murine anti-human CD80, CD83, CD86, MHC-1, and MHC-II monoclonal antibodies, and these surface molecules were detected by flow cytometry in DC cells. Expression of surface antigen; a small amount of D-CIK cells (1χ1〇6) were taken before reinfusion, using Cy-chromeTM anti-human CD3,

Cy-chromeTManti-human CD4? FITCanti-human CD8, PE-anti-human CD 19 ? PE-anti-human CD56(均为 Pharmingen公司產品)检测淋巴细胞亚群的分布情况。 實施例一:人卵巢癌細胞的純化 A、製備卵巢癌細胞懸液 (1)、取手術切除的卵巢癌組織(l-2cm3,置於 含有RPMI-1640培養液(無金清)的培養瓶内,立 即送往實驗室。用消毒的眼科剪刀剔除非腫瘤組織 13 18734twfdoc/006 200831670 和腫瘤壞死組織,用少許含有RPMI-1640培養液(無 血清)潤濕腫瘤組織並將其儘快的剪碎,將這些剪 碎的腫瘤組織置50ml的離心管中,加入10-15 ml 膠原酶溶液(Sigma公司)(膠原酶4溶解在 D-hanks中,終濃度為lmg/ml,過濾、滅菌),在37 °C水浴箱内溫浴1小時。1小時後,取出50ml的離 心管,用不含血清的1640溶液稀釋一倍,反復吹打, 取細胞懸液用消毒過的70目濾網過濾,離心,1200 _ 轉(8分鐘),去上清液,取20 ml含有10%胎牛血 清或人AB血清,1%雙抗的1640培養基混勻這些 離心後的細胞,即可得卵巢癌組織的細胞懸液。 B、卵巢癌細胞的分離純化 (2)、腫瘤細胞的分離純化取20ml滅活的胎牛 血清或人AB血清置於一個A號50ml離心管中,將 20ml混勻的卵巢癌組織的細胞懸液(其中含有淋巴細 胞,成纖維細胞,間質細胞和腫瘤壞死細胞)(圖1-1) 輕輕的從管壁加入到A管中,靜置6分鐘,從A號 50ml離心管底部吸出6ml血清·,置B號50ml離心管 中;再將A號50ml離心管靜置6分鐘,從A號50ml 離心管底部吸出6ml血清,置於C號50ml離心管中。 再將A號50ml離心管靜置6分鐘,從A號50ml離心 管底部吸出6ml血清,置第D號50ml離心管中。將B 號50ml離心管,C號50ml離心管和D號50ml離心 管離心,1200轉(8 min)。沉殿的細胞即為純化的卵 14 200831670 i^w^iK-2 18734twf.doc/006 巢癌細胞。取5 ml 10%胎牛血清或人AB血清,1 %雙 抗的1640培養基混勻B號離心管沉澱的細胞並置6 孔板中的一個孔中,在顯微鏡下可見到一串一串的卵 巢癌細胞(圖1-2),將純化的卵巢癌細胞培養3-4天 即可見腫瘤細胞分裂。C號和D號離心管的細胞除卵 ^ 巢癌細胞外還含有少量非腫瘤細胞,可重複上面的過 程,即可得到更純化的卵巢癌細胞。 # 實施例二:人腎癌細胞的純化 A、製備腎癌组織細胞懸液 取手術切除的腎癌組織(l-2cm3),置於含有 RPMI-1640培養液(無血清)的培養瓶内,立即送 往實驗室。用消毒的眼科剪刀剔除非腫瘤組織和腫 瘤壞死組織,用少許含有RPMI-1640培養液(無血 清)潤濕腫瘤組織並將其儘快的剪碎,將這些剪碎 的腫瘤組織置50ml的離心管中,加入10-15 ml膠原 I 酶溶液(Sigma公司)(膠原酶4溶解在D-hanks 中,終濃度為lmg/ml,過濾滅菌),在37°C水浴箱 内溫浴1小時。1小時後,取出50ml的離心管,用 不含血清的1640溶液稀釋一倍,反復吹打,取細胞 懸液用消毒過的70目濾網過濾,離心,1200轉(8 ^ 分鐘),去上清液,取20 ml含有10%胎牛血清或人 AB血清,1%雙抗的1640培養基混勻這些離心後 的細胞,即可得肾癌組織的細胞懸液。 15 18734twfdoc/006 200831670 JL-^ V^/ V-/XX'%."2 往實驗室。用消毒的眼科剪刀剔除非腫瘤組織和腫 瘤壞死組織,用少許含有RPMI-1640培養液(無血 清)潤濕腫瘤組織並將其儘快的剪碎,將這些剪碎 的腫瘤組織置50ml的離心管中,加入10-15 ml膠原 酶溶液(Sigma公司)(膠原酶4溶解在D-hanks 中,終濃度為lmg/ml,過濾滅菌),在37°C水浴箱 内溫浴1小時。1小時後,取出5〇ml的離心管,用 不含血清的1640溶液稀釋一倍,反復吹打,取細胞 _ 懸液用消毒過的70目濾網過濾,離心,1200轉(8 分鐘),去上清液,取20 ml含有10%胎牛血清或人 AB血清,1%雙抗的1640培養基混勻這些離心後 的細胞,即可得肺癌組織的細胞懸液。 B、肺癌細胞的分離和純化 肺癌細胞的分離純化取20 ml滅活的胎牛血清 或人AB血清置於一個A號50ml離心管中,將20ml 混勻的肺癌組織的細胞懸液(其中含有淋巴細胞, I 成纖維細胞,間質細胞和腫瘤壞死細胞)(圖3-1 )Cy-chromeTM anti-human CD4? FITCanti-human CD8, PE-anti-human CD 19 ? PE-anti-human CD56 (all products of Pharmingen) were used to detect the distribution of lymphocyte subsets. Example 1: Purification of human ovarian cancer cells A, preparation of ovarian cancer cell suspension (1), surgically resected ovarian cancer tissue (l-2 cm3, placed in a culture flask containing RPMI-1640 medium (no gold clearance) Immediately, send it to the laboratory. Use sterile eye scissors to remove the tumor tissue 13 18734twfdoc/006 200831670 and tumor necrotic tissue, moisten the tumor tissue with a little RPMI-1640 medium (serum free) and cut it as soon as possible. Place the shredded tumor tissue in a 50 ml centrifuge tube and add 10-15 ml of collagenase solution (Sigma) (collagenase 4 is dissolved in D-hanks to a final concentration of 1 mg/ml, filtered, sterilized). The bath was incubated in a 37 ° C water bath for 1 hour. After 1 hour, a 50 ml centrifuge tube was taken out, diluted with a serum-free 1640 solution, repeatedly blown, and the cell suspension was filtered through a sterile 70 mesh filter. Centrifuge, 1200 _ turn (8 minutes), remove the supernatant, and take 20 ml of 1640 medium containing 10% fetal bovine serum or human AB serum and 1% double antibody. Mix the centrifuged cells to obtain ovarian cancer tissue. Cell suspension. B. Isolation of ovarian cancer cells Purification (2), isolation and purification of tumor cells 20 ml of inactivated fetal bovine serum or human AB serum is placed in a 50 ml centrifuge tube, and 20 ml of mixed cell suspension of ovarian cancer tissue (which contains lymphocytes, Fibroblasts, stromal cells and tumor necrotic cells) (Fig. 1-1) Gently added to the A tube from the tube wall, allowed to stand for 6 minutes, and aspirate 6 ml of serum from the bottom of the A 50 ml centrifuge tube. In a 50 ml centrifuge tube, place the A 50 ml centrifuge tube for 6 minutes, and aspirate 6 ml of serum from the bottom of the A 50 ml centrifuge tube and place it in a 50 ml centrifuge tube. Place the A 50 ml centrifuge tube for 6 minutes. Aspirate 6 ml of serum at the bottom of a 50 ml centrifuge tube, and place it in a 50 ml centrifuge tube of No. D. Centrifuge tube No. B 50 ml, centrifuge tube No. C 50 ml and centrifuge tube No. D 50 ml, centrifuge at 1200 rpm (8 min). That is, the purified egg 14 200831670 i^w^iK-2 18734twf.doc/006 nest cancer cells. Take 5 ml of 10% fetal bovine serum or human AB serum, 1% double-antibody 1640 medium and mix B centrifuge tube sediment Cells are juxtaposed in a well of a 6-well plate, and a series of ovarian cancer cells are visible under the microscope (Figure 1-2). The ovarian cancer cells can be cultured for 3-4 days to see the tumor cell division. The cells of the C and D centrifuge tubes contain a small amount of non-tumor cells in addition to the nest cancer cells, and the above process can be repeated to obtain more purification. Ovarian cancer cells. #Example 2: Purification of human renal cancer cells A. Preparation of renal cancer tissue cell suspensions Surgical resected renal cancer tissues (1-2 cm3) were placed in RPMI-1640-containing medium (no serum) The flask is immediately sent to the laboratory. Exfoliate the tumor tissue and tumor necrotic tissue with sterile ophthalmic scissors, wet the tumor tissue with a little RPMI-1640 medium (serum free) and cut it as quickly as possible. Place the shredded tumor tissue in a 50 ml centrifuge tube. Into, 10-15 ml of collagen I enzyme solution (Sigma) was added (collagenase 4 was dissolved in D-hanks at a final concentration of 1 mg/ml, and sterilized by filtration), and the mixture was incubated in a 37 ° C water bath for 1 hour. After 1 hour, remove the 50 ml centrifuge tube, dilute it twice with serum-free 1640 solution, repeatedly blow, take the cell suspension and filter with a sterile 70 mesh filter, centrifuge, 1200 rpm (8 ^ minutes), go to To remove the 20 ml of 1640 medium containing 10% fetal bovine serum or human AB serum and 1% double antibody, the cells after centrifugation are mixed to obtain a cell suspension of renal cancer tissue. 15 18734twfdoc/006 200831670 JL-^ V^/ V-/XX'%."2 Go to the laboratory. Exfoliate the tumor tissue and tumor necrotic tissue with sterile ophthalmic scissors, wet the tumor tissue with a little RPMI-1640 medium (serum free) and cut it as quickly as possible. Place the shredded tumor tissue in a 50 ml centrifuge tube. Into, 10-15 ml of collagenase solution (Sigma) was added (collagenase 4 was dissolved in D-hanks to a final concentration of 1 mg/ml, and sterilized by filtration), and the mixture was incubated in a 37 ° C water bath for 1 hour. After 1 hour, remove 5 〇ml of the centrifuge tube, dilute with serum-free 1640 solution, repeatedly blow, take the cell _ suspension with a sterile 70 mesh filter, centrifuge, 1200 rpm (8 minutes), The supernatant was removed, and 20 ml of the 1640 medium containing 10% fetal bovine serum or human AB serum and 1% double antibody was mixed to obtain the cell suspension of the lung cancer tissue. B. Isolation and purification of lung cancer cells Isolation and purification of lung cancer cells 20 ml of inactivated fetal bovine serum or human AB serum is placed in a 50 ml centrifuge tube, and 20 ml of cell suspension of lung cancer tissue is mixed (including Lymphocytes, I fibroblasts, interstitial cells and tumor necrotic cells) (Figure 3-1)

輕輕的從管壁加入到A管中,靜置6分鐘,從A號 50ml離心管底部吸出6ml血清,置B號50ml離心 管中;再將A號號50ml離心管靜置6分鐘,從A 號50ml離心管底部吸出6ml血清,置於C號50ml . 離心管中。再將A號50ml離心管靜置6分鐘,從A 號50ml離心管底部吸出6ml血清,置第D號50ml • 離心管中。將B號50ml離心管,C號50ml離心管 和D號50ml離心管離心,1200轉(8 min)。沉殿 17 200831670 〜m-2 18734twf.doc/006 的細胞即為純化的腫瘤細胞。取5 ml 1 0%胎牛jk清 或人AB血清,1%雙抗的1640培養基混勻B號離 心管沉澱的細胞並置6孔板中的一個孔中,在顯微 鏡下可見到許多一串一串的肺癌細胞(圖3-2),將 純化的腫瘤細胞培養3-4天即可見肺癌細胞分裂。C _ 號和D號離心管的細胞除腎癌細胞外還含有少量非 肺癌細胞,可重複上面的過程,即可得到更純化的 肺癌細胞。 實施例四:人乳腺癌細胞的純化 A、製備乳腺巢癌组織細胞懸液 取手術切除的乳腺癌組織(l-2cm3),置於含有 RPMI-1640培養液(無血清)的培養瓶内,立即送 往實驗室。用消毒的眼科剪刀剔除非腫瘤組織和腫 瘤壞死組織,用少許含有RPMM640培養液(無血 清)潤濕腫瘤組織並將其儘快的剪碎,將這些剪碎 ^ 的腫瘤組織置50ml的離心管中,加入10-15 ml膠原 酶溶液(Sigma公司)(膠原酶4溶解在D-hanks 中,終濃度為lmg/ml,過濾滅菌),在37t:水浴箱 内溫浴1小時。1小時後,取出50ml的離心管,用 不含血清的1640溶液稀釋一倍·,反復吹打,取細胞 , 懸液用消毒過的70目濾網過濾,離心,1200轉(8 分鐘),去上清液,取20 ml含有10%胎牛血清或人 ‘ AB血清,1%雙抗的1640培養基混勻這些離心後 的細胞,即可得乳腺癌組織的細胞懸液。 18 200831670-2 18734twf.doc/006 B、乳腺癌細胞的分離純化 取20 ml滅活的胎牛血清或人AB血清置於一個 A號50ml離心管中,將20ml混勻的乳腺癌組織的 細胞懸液(圖4-1 )(其中含有淋巴細胞,成纖維細 胞,間質細胞和腫瘤壞死細胞)輕輕的從管壁加入 到A管中,靜置6分鐘,從A號50ml離心管底部 吸出6ml血清,置B號50ml離心管中;再將A號 _ 50ml離心管靜置6分鐘,從A號50ml離心管底部 吸出6ml血清,置於C號50ml離心管中。再將A 號50ml離心管靜置6分鐘,從A號50ml離心管底 部吸出6ml血清,置第D號50ml離心管中。將B 號50ml離心管,C號50ml離心管和D號50ml離心 管離心,1200轉(8 min )。沉殿的細胞即為純化的 乳腺癌細胞。取5 ml 10%胎牛血清或人AB血清, 1%雙抗的1640培養基混勻B號離心管沉澱的細胞 並置6孔板中的一個孔中,在顯微鏡下可見到許多 純化的乳腺細胞(圖4-2),將純化的乳腺癌細胞培 養3 -4天即可見腫瘤細胞分裂。C號和D號離心管 的細胞除乳腺細胞外還含有少量非乳腺癌細胞,可 重複上面的過程,即可得到更純化的乳腺癌細胞。 實施例五:人鼻咽癌細胞的純化 A、製備鼻咽癌组織細胞懸液 取手術切除的鼻咽癌組織(l-2cm3),置於含有 19 200831670 〜ΑΑ\-2 18734twf.doc/006 RPMI-1640培養液(無血清)的培養瓶内,立即送 往實驗室。用消毒的眼科剪刀剔除非腫瘤組織和腫 瘤壞死組織,用少許含有RPMI-1640培養液(無血 清)潤濕腫瘤組織並將其儘快的與砰5將這些與坪 的腫瘤組織置50ml的離心管中,加入10-15 ml膠原 酶溶液(Sigma公司)(膠原酶4溶解在D-hanks 中,終濃度為lmg/ml,過濾滅菌),在37°C水浴箱 内溫浴1小時。1小時後,取出50ml的離心管,用 _ 不含血清的1640溶液稀釋一倍,反復吹打,取細胞 懸液用消毒過的70目濾網過濾,離心,1200轉(8 分鐘),去上清液,取20 ml含有10%胎牛血清或人 AB血清,1%雙抗的1640培養基混勻這些離心後 的細胞,即可得鼻咽癌組織的細胞懸液。 B、鼻咽癌細胞的分離純化 取20 ml滅活的胎牛血清或人AB血清置於一個 A號50ml離心管中,將20ml混勻的鼻咽癌組織的 細胞懸液(圖5-1 )(其中含有淋巴細胞,成纖維細 胞,間質細胞和腫瘤壞死細胞)輕輕的從管壁加入 到A管中,靜置6分鐘,從A號50ml離心管底部 吸出6ml血清,置B號50ml離心管中;再將A號 50ml離心管靜置6分鐘,從A號50ml離心管底部 吸出6ml血清,置於C號50ml離心管中。再將A 號50ml離心管靜置6分鐘,從A號50ml離心管底 20 200831670 一 w 18734twf.cioc/006 部吸出6ml血清,置第D號50ml離心管中。將B 號50ml離心管,C號50ml離心管和D號50ml離心 管離心,1200轉(8 min)。沉澱的細胞即為純化的 鼻咽癌細胞。取5 ml 10%胎牛血清或人AB血清, 1%雙抗的1640培養基混勻B號離心管沉澱的細胞 ’並置6孔板中的一個孔中,在顯微鏡下可見到許多 純化的鼻咽細胞(圖5-2 ),將純化的鼻咽癌細胞培 養3-4天即可見腫瘤細胞分裂。C號和D號離心管 _ 的細胞除鼻咽細胞外還含有少量非鼻咽癌細胞,可 重複上面的過程,即可得到更純化的鼻咽癌細胞。 實施例六:人恶性小腦髄母細胞瘤的分離純化 A、製備人恶性小臈髄母細胞瘤组織懸液 取手術切除的人恶性小腦髓母細胞瘤組織 (l-2cm3),置於含有RPMI-1640培養液(無血清) 的培養瓶内,立即送往實驗室。用消毒的眼科剪刀 $ 剔除非腫瘤組織和腫瘤壞死組織,用少許含有 RPMI-1640培養液(無血清)潤濕腫瘤組織並將其 儘快的剪碎,將這些剪碎的腫瘤組織置50ml的離心 管中,加入10-15 ml膠原酶溶液(Sigma公司)(膠 原酶4溶解在D_hanks中,終濃度為lmg/m卜過濾 . 滅菌),在37°C水浴箱内溫浴1小時。1小時後,取 出50ml的離心管,用不含血清的1640溶液稀釋一 < 倍,反復吹打,取細胞懸液用消毒過的70目濾網過 濾、,離心,1200轉(8分鐘),去上清液,取20 ml 21 18734tw£doc/006 200831670 JL-^ V_// 含有10%胎牛血清或人AB血清,1%雙抗的1640 培養基混勻這些離心後的細胞,即可得恶性小腦髓 母細胞瘤組織的細胞懸液。 B、人恶性小腦髓母細胞瘤細胞的分離純化 取20 ml滅活的胎牛血清或人AB血清置於一個 A號50ml離心管中,將20ml混勻的恶性小腦髓母 _ 細胞瘤組織的細胞懸液(圖6-1)(其中含有淋巴細 胞,成纖維細胞,間質細胞和腫瘤壞死細胞)輕輕 的從管壁加入到A管中,靜置6分鐘,從A號50ml 離心管底部吸出6ml血清,置B號50ml離心管中; 再將A號50ml離心管靜置6分鐘,從A號50ml離 心管底部吸出6ml血清,置於C號50ml離心管中。 再將A號50ml離心管靜置6分鐘,從A號50ml離 心管底部吸出6ml血清,置第D號50ml離心管中。 • 將B號5〇1111離心管,(:號5〇1111離心管和0號5〇1111 離心管離心,1200轉(8 min )。沉澱的細胞即為純 化的恶性小腦髓母細胞瘤細胞。取5 ml 10%胎牛血 清或人AB血清,1 %雙抗的1640培養基混勻B號 離心管沉殿的細胞並置6孔板中的一個孔中,在顯 r 微鏡下可見到許多純化的小腦髓母細胞瘤細胞(圖 6-2),將純化的恶性小腦髓母細胞瘤細胞培養3-4天 即可見腫瘤細胞分裂。C號和D號離心管的細胞除 恶性小腦髓母細胞瘤細胞外還含有少量非恶性小腦 22 18734twf.doc/006 200831670 趙母細胞瘤細胞,可重複上面的過程,即可得到更 純化的恶性小腦趙母細胞瘤細胞。 實施例七:人結腸癌細胞的分離純化 A、製備人的結腸癌组織懸液 取手術切除的人結腸癌組織(l-2cm3),置於含 有RPMI-1640培養液(無血清)的培養瓶内,立即 送往實驗室。用消毒的眼科剪刀剔除非腫瘤組織和 腫瘤壞死組織,用少許含有RPMI-1640培養液(無 血清)潤濕腫瘤組織並將其儘快的剪碎,將這些剪 碎的腫瘤組織置50ml的離心管中,加入10-15 ml 膠原酶溶液(Sigma公司)(膠原酶4溶解在 D-hanks中,終濃度為lmg/ml,過濾滅菌),在37 °C水浴箱内溫浴1小時。1小時後,取出50ml的離 心管,用不含血清的1640溶液稀釋一倍,反復吹打, 取細胞懸液用消毒過的70目濾網過濾,離心,1200 轉(8分鐘),去上清液,取20 ml含有10%胎牛血 清或人AB血清,1%雙抗的1640培養基混勻這些 離心後的細胞’即可得结肠癌組織的細胞懸液。 B、人結勝癌細胞的分離純化 取20 ml滅活的胎牛血清或人AB血清置於一個 A號50ml離心管中,將20ml混勻的結腸癌組織的 細胞懸液(圖7-1)(其中含有淋巴細胞,成纖維細 胞,間質細胞和腫瘤壞死細胞)輕輕的從管壁加入 23 200831670? 18734twf.doc/006 到Α管中,靜置6分鐘,從Α號50ml離心管底部 吸出6ml血清,置B號50ml離心管中;再將A號 50ml離心管靜置6分鐘,從A號50ml離心管底部 吸出6ml血清,置於C號50ml離心管中。再將A 號50ml離心管靜置6分鐘,從A號50ml離心管底 部吸出6ml血清,置第D號50ml離心管中。將B 號50ml離心管,C號50ml離心管和D號50ml離心 管離心,1200轉(8 min)。沉澱的細胞即為純化的 結腸癌細胞。取5 ml 10%胎牛jk清或人AB血清, 1 %雙抗的1640培養基混勻B號離心管沉殿的細胞 並置6孔板中的一個孔中,在顯微鏡下可見到許多 純化的結腸癌細胞(圖7-2 )’將純化的結腸癌細胞 培養3胃4天即可見腫瘤細胞分裂。C號和D號離心 管的細胞除結腸癌細胞外运含有少量非結腸癌細 胞,可重複上面的過程,即可得到更純化的結腸癌。 實施例八:人肝癌細胞的分離纯化 A、製備人的肝癌組織懸液 取手術切除的人肝癌組織(l-2cm3),置於含有 RPMI-1640培養液(無血清)的培養瓶内,立即送 往實驗室。用消毒的眼科剪刀剔除非腫瘤組織和腫 瘤壞死組織,用少許含有RPMM640培養液(無血 清)潤濕腫瘤組織並將其儘快的剪碎,將這些剪碎 的腫瘤組織置50ml的離心管中,加入10-15 ml膠原 酶溶液(Sigma公司)(膠原酶4溶解在D-hanks 24 200831670 w w2 18734twf.doc/006 中,終濃度為lmg/ml,過濾滅菌),在37°C水浴箱 内溫浴1小時。1小時後,取出50ml的離心管,用 不含血清的1640溶液稀釋一倍,反復吹打,取細胞 懸液用消毒過的70目濾網過濾,離心,1200轉(8 分鐘),去上清液,取20 ml含有10%胎牛血清或人 ' AB血清,1%雙抗的1640培養基混勻這些離心後 的細胞,即可得肝癌組織的細胞懸液 _ B、人肝癌細胞的分離純化 取20 ml滅活的胎牛血清或人AB血清置於一個 A號50ml離心管中,將20ml混勻的肝癌組織的細 胞懸液(圖8-1)(其中含有淋巴細胞,成纖維細胞, 間質細胞和腫瘤壞死細胞)輕輕的從管壁加入到A 管中,靜置6分鐘,從A號50ml離心管底部吸出 6ml血清,置B號50ml離心管中;再將A號50ml 離心管靜置6分鐘,從A號50ml離心管底部吸出 ^ 6ml血清,置於C號50ml離心管中。再將A號50ml 離心管靜置6分鐘,從A號50ml離心管底部吸出 6ml血清,置第D號50ml離心管中。將B號50ml 離心管,C號50ml離心管和D號50ml離心管離心, 1200轉(8 min)。沉澱的細胞即為純化的肝癌細胞。 、 取5 ml 10%胎牛血清或人AB血清,1%雙抗的1640 培養基混勻B號離心管沉殿的細胞並置6孔板中的 一個孔中,在顯微鏡下可見到許多純化的肝癌細胞 (圖8-2),將純化的肝癌細胞培養3-4天即可見腫 25 2008316709 18734twf.doc/006 瘤細胞分裂。C號和D號離心管的細胞除肝癌細胞 外還含有少量非肝癌細胞,可重複上面的過程,即 可得到更純化的肝癌细胞。Gently add from the tube wall to the A tube, let stand for 6 minutes, aspirate 6ml serum from the bottom of the A 50ml centrifuge tube, set the B number 50ml centrifuge tube; then let the A number 50ml centrifuge tube stand for 6 minutes, from Aspirate 6 ml of serum at the bottom of a 50 ml centrifuge tube and place it in a 50 ml ml tube. Then, place the A 50 ml centrifuge tube for 6 minutes, and aspirate 6 ml of serum from the bottom of the A 50 ml centrifuge tube, and place the No. D 50 ml • centrifuge tube. Centrifuge tube No. B 50 ml, centrifuge No. C 50 ml and tube No. D 50 ml, centrifuge at 1200 rpm (8 min). Shen Dian 17 200831670 ~m-2 18734twf.doc/006 cells are purified tumor cells. Take 5 ml of 10% fetal bovine jk clear or human AB serum, 1% double-antibody 1640 medium and mix the cells precipitated in the B-cell centrifuge tube and place it in a hole in a 6-well plate. Many strings can be seen under the microscope. Strings of lung cancer cells (Fig. 3-2), the purified tumor cells were cultured for 3-4 days to see lung cancer cell division. The cells of the C_ and D centrifuge tubes contain a small amount of non-lung cancer cells in addition to the renal cancer cells, and the above process can be repeated to obtain more purified lung cancer cells. Example 4: Purification of human breast cancer cells A. Preparation of breast cancer cell suspensions Surgical resected breast cancer tissues (1-2 cm3) were placed in culture flasks containing RPMI-1640 medium (serum free). , immediately sent to the laboratory. Excise the tumor tissue and tumor necrotic tissue with sterile ophthalmic scissors, wet the tumor tissue with a little RPMM640 medium (serum free) and cut it as soon as possible. Place the shredded tumor tissue in a 50 ml centrifuge tube. 10-15 ml of collagenase solution (Sigma) was added (collagenase 4 was dissolved in D-hanks at a final concentration of 1 mg/ml, filter sterilized), and the mixture was incubated in a 37 t: water bath for 1 hour. After 1 hour, remove the 50 ml centrifuge tube and dilute it with the serum-free 1640 solution. Repeat the pipetting, take the cells, filter the suspension with a sterile 70 mesh filter, centrifuge, 1200 rpm (8 minutes), go The supernatant was mixed with 20 ml of 1640 medium containing 10% fetal bovine serum or human 'AB serum and 1% double antibody to obtain a cell suspension of breast cancer tissue. 18 200831670-2 18734twf.doc/006 B. Isolation and purification of breast cancer cells Take 20 ml of inactivated fetal bovine serum or human AB serum in a 50 ml centrifuge tube and mix 20 ml of cells of breast cancer tissue. The suspension (Fig. 4-1) (which contains lymphocytes, fibroblasts, mesenchymal cells and tumor necrotic cells) was gently added from the tube wall to the A tube and allowed to stand for 6 minutes from the bottom of the A 50 ml centrifuge tube. Aspirate 6 ml of serum and place it in a 50 ml centrifuge tube; then place the A-50 ml centrifuge tube for 6 minutes, and aspirate 6 ml of serum from the bottom of the A 50 ml centrifuge tube and place in a 50 ml centrifuge tube. Then, a 50 ml centrifuge tube was allowed to stand for 6 minutes, and 6 ml of serum was aspirated from the bottom of a 50 ml centrifuge tube, and placed in a No. D 50 ml centrifuge tube. Centrifuge tube No. B 50 ml, centrifuge No. C 50 ml and tube No. D 50 ml, centrifuge at 1200 rpm (8 min). The cells of Shen Dian are purified breast cancer cells. Take 5 ml of 10% fetal bovine serum or human AB serum, 1% double-antibody in 1640 medium and mix the cells precipitated in the B-cell centrifuge tube and place in one well of the 6-well plate. Many purified breast cells can be seen under the microscope ( Figure 4-2), the purified breast cancer cells can be seen for 3 to 4 days to see tumor cell division. The cells of the C and D centrifuge tubes contain a small amount of non-breast cancer cells in addition to the breast cells, and the above process can be repeated to obtain more purified breast cancer cells. Example 5: Purification of human nasopharyngeal carcinoma cells A, preparation of nasopharyngeal carcinoma tissue cell suspension, surgically removed nasopharyngeal carcinoma tissue (l-2 cm3), placed in containing 19 200831670 ~ ΑΑ \-2 18734twf.doc / 006 RPMI-1640 medium (serum-free) in a culture flask and immediately sent to the laboratory. Use sterile ophthalmic scissors to remove tumor tissue and tumor necrotic tissue, moisten the tumor tissue with a little RPMI-1640 medium (serum free) and place it with 砰5 to place the 50% centrifuge tube with the tumor tissue. Into, 10-15 ml of collagenase solution (Sigma) was added (collagenase 4 was dissolved in D-hanks to a final concentration of 1 mg/ml, and sterilized by filtration), and the mixture was incubated in a 37 ° C water bath for 1 hour. After 1 hour, remove the 50 ml centrifuge tube, dilute with _ serum-free 1640 solution, repeatedly blow, take the cell suspension and filter with a sterile 70 mesh filter, centrifuge, 1200 rpm (8 minutes), go to To remove the 20 ml of 1640 medium containing 10% fetal bovine serum or human AB serum and 1% double antibody, the cells after centrifugation are mixed to obtain a cell suspension of nasopharyngeal carcinoma tissue. B. Isolation and Purification of Nasopharyngeal Carcinoma Cells Take 20 ml of inactivated fetal bovine serum or human AB serum in a 50 ml centrifuge tube and mix 20 ml of cell suspension of nasopharyngeal carcinoma tissue (Figure 5-1). ) (containing lymphocytes, fibroblasts, mesenchymal cells and tumor necrotic cells) gently added to the tube A from the tube wall, allowed to stand for 6 minutes, and aspirate 6 ml of serum from the bottom of the A 50 ml centrifuge tube, set the B number In a 50 ml centrifuge tube, the A 50 ml centrifuge tube was allowed to stand for 6 minutes, and 6 ml of serum was aspirated from the bottom of the A 50 ml centrifuge tube and placed in a C 50 ml centrifuge tube. Then, a 50 ml centrifuge tube was allowed to stand for 6 minutes, and 6 ml of serum was aspirated from the bottom of a 50 ml centrifuge tube 20 200831670 a w 18734 twf.cioc/006, and placed in a No. D 50 ml centrifuge tube. Centrifuge tube No. B 50 ml, centrifuge No. C 50 ml and tube No. D 50 ml, centrifuge at 1200 rpm (8 min). The precipitated cells are purified nasopharyngeal carcinoma cells. Take 5 ml of 10% fetal bovine serum or human AB serum, 1% double-antibody in 1640 medium and mix the cells precipitated in the B-cell centrifuge tube into a well of a 6-well plate. Many purified nasopharynx can be seen under the microscope. Cells (Fig. 5-2), the purified nasopharyngeal carcinoma cells were cultured for 3-4 days to see tumor cell division. The cells of the C and D centrifuge tubes contain a small amount of non-nasopharynx cancer cells in addition to the nasopharyngeal cells, and the above process can be repeated to obtain more purified nasopharyngeal carcinoma cells. Example 6: Isolation and purification of human malignant cerebellar blastoma A. Preparation of human malignant sputum blastoma tissue suspension. Human malignant cerebellar medulloblastoma tissue (l-2cm3) was surgically removed and placed in the containing The RPMI-1640 medium (serum-free) was immediately sent to the laboratory. Exclude tumor tissue and tumor necrotic tissue with sterile ophthalmic scissors $, moisten the tumor tissue with a little RPMI-1640 medium (serum free) and cut it as quickly as possible, and place the shredded tumor tissue in 50 ml centrifugation. In the tube, 10-15 ml of collagenase solution (Sigma) was added (collagenase 4 was dissolved in D_hanks, and the final concentration was 1 mg/m b. sterilized), and the bath was incubated in a 37 ° C water bath for 1 hour. After 1 hour, remove the 50 ml centrifuge tube, dilute it with a serum-free 1640 solution, repeatedly beat, and take the cell suspension with a sterile 70 mesh filter, centrifuge, 1200 rpm (8 minutes). Remove the supernatant and take 20 ml 21 18734 tw£doc/006 200831670 JL-^ V_// Mix the centrifuged cells with 1640 medium containing 10% fetal bovine serum or human AB serum and 1% double antibody. A cell suspension of malignant cerebellar medulloblastoma tissue. B. Isolation and purification of human malignant cerebellar medulloblastoma cells 20 ml of inactivated fetal bovine serum or human AB serum is placed in a 50 ml centrifuge tube, and 20 ml of mixed malignant cerebellar medullary _ cell tumor tissue The cell suspension (Fig. 6-1) (which contains lymphocytes, fibroblasts, mesenchymal cells and tumor necrotic cells) was gently added from the tube wall to the A tube and allowed to stand for 6 minutes from the A 50 ml centrifuge tube. 6 ml of serum was aspirated at the bottom and placed in a 50 ml centrifuge tube. Then, a 50 ml centrifuge tube was allowed to stand for 6 minutes, and 6 ml of serum was aspirated from the bottom of the A 50 ml centrifuge tube and placed in a C 50 ml centrifuge tube. Then, a 50 ml centrifuge tube was allowed to stand for 6 minutes, and 6 ml of serum was aspirated from the bottom of the 50 ml centrifuge tube of No. A, and placed in a No. D 50 ml centrifuge tube. • Centrifuge tube B 5〇1111, (: No. 5〇1111 centrifuge tube and No. 5 5〇1111 centrifuge tube, centrifuge for 1200 rpm (8 min). The precipitated cells are purified malignant cerebellar medulloblastoma cells. Mix 5 ml of 10% fetal bovine serum or human AB serum, 1% double-antibody in 1640 medium, mix the cells of the B-cell centrifuge tube and place it in a well of a 6-well plate. Many purifications can be seen under the micro-mirror. The cerebellar medulloblastoma cells (Fig. 6-2), the purified malignant cerebellar medulloblastoma cells can be cultured for 3-4 days to see the tumor cell division. The cells of the C and D centrifuge tubes except the malignant cerebellar The cell tumor cells also contain a small amount of non-malignant cerebellum 22 18734twf.doc/006 200831670 blastoma cells, and the above process can be repeated to obtain more purified malignant cerebellar Zhaoblastoma cells. Example 7: Human colon cancer Isolation and purification of cells A, preparation of human colon cancer tissue suspension, surgically resected human colon cancer tissue (1-2 cm3), placed in a culture flask containing RPMI-1640 medium (serum-free), immediately sent to the experiment Room. Use sterile eye scissors to remove tumor tissue and Tumor necrotic tissue, wet the tumor tissue with a little RPMI-1640 medium (serum free) and cut it as soon as possible. Place the shredded tumor tissue in a 50 ml centrifuge tube and add 10-15 ml collagenase solution. (Sigma) (collagenase 4 dissolved in D-hanks, final concentration of lmg/ml, filter sterilization), warm bath for 1 hour in a 37 ° C water bath. After 1 hour, remove 50 ml of centrifuge tube, use no The serum-containing 1640 solution is diluted twice, repeatedly blown, and the cell suspension is filtered with a sterile 70 mesh filter, centrifuged, 1200 rpm (8 minutes), the supernatant is removed, and 20 ml of 10% fetal bovine serum is taken or Human AB serum, 1% double-antibody 1640 medium mixes these centrifuged cells to obtain a cell suspension of colon cancer tissue. B. Separation and purification of human cancer cells Take 20 ml of inactivated fetal bovine serum or Human AB serum was placed in a 50 ml centrifuge tube, and 20 ml of the mixed cell colon tissue suspension (Fig. 7-1) containing lymphocytes, fibroblasts, mesenchymal cells and tumor necrotic cells was light. Light from the tube wall to join 23 200831670? 18734twf.doc/006 into the fistula After standing for 6 minutes, 6 ml of serum was aspirated from the bottom of the 50 ml centrifuge tube, and placed in a 50 ml centrifuge tube. Then, a 50 ml centrifuge tube was allowed to stand for 6 minutes, and 6 ml of serum was aspirated from the bottom of the A 50 ml centrifuge tube, and placed in C. No. 50ml centrifuge tube. Then stand the A 50ml centrifuge tube for 6 minutes, aspirate 6ml serum from the bottom of the A 50ml centrifuge tube, and place it in the No. D 50ml centrifuge tube. Add the B number 50ml centrifuge tube, C No. 50ml centrifuge tube. Centrifuge in a 50 ml centrifuge tube with D, 1200 rpm (8 min). The precipitated cells are purified colon cancer cells. Take 5 ml of 10% fetal bovine jk clear or human AB serum, 1% double-antibody 1640 medium and mix the cells of the B-cell centrifuge tube and place it in one well of the 6-well plate. Many purified colons can be seen under the microscope. Cancer cells (Fig. 7-2) 'The purified colon cancer cells were cultured for 3 days in the stomach for 4 days to see tumor cell division. The cells of the C and D centrifuge tubes contain a small amount of non-colon cancer cells in addition to the colon cancer cells, and the above process can be repeated to obtain a more purified colon cancer. Example 8: Isolation and Purification of Human Hepatoma Cells A. Preparation of Human Hepatocellular Carcinoma Tissue Suspensions Human liver cancer tissues (l-2 cm3) were surgically removed and placed in a culture flask containing RPMI-1640 medium (serum free) immediately. Transfer to the lab. Exfoliate the tumor tissue and tumor necrotic tissue with sterile ophthalmic scissors, wet the tumor tissue with a little RPMM640 medium (serum free) and cut it as quickly as possible. Place the shredded tumor tissue in a 50 ml centrifuge tube. Add 10-15 ml collagenase solution (Sigma) (collagenase 4 dissolved in D-hanks 24 200831670 w w2 18734twf.doc/006, final concentration 1mg/ml, filter sterilized), in a 37 ° C water bath Warm bath for 1 hour. After 1 hour, remove the 50 ml centrifuge tube, dilute with the serum-free 1640 solution, repeatedly blow, take the cell suspension and filter with a sterile 70 mesh filter, centrifuge, 1200 rpm (8 minutes), remove the supernatant. Liquid, 20 ml of 1040 fetal bovine serum or human 'AB serum, 1% double-antibody 1640 medium mixed with these centrifuged cells, you can get the cell suspension of liver cancer tissue _ B, human liver cancer cells isolated and purified Take 20 ml of inactivated fetal bovine serum or human AB serum in a 50 ml centrifuge tube and mix 20 ml of cell suspension of liver cancer tissue (Fig. 8-1) containing lymphocytes, fibroblasts, Mesenchymal cells and tumor necrotic cells were gently added to the A tube from the tube wall, allowed to stand for 6 minutes, and 6 ml of serum was aspirated from the bottom of the A 50 ml centrifuge tube, placed in a 50 ml centrifuge tube; then centrifuged at 50 ml A. The tube was allowed to stand for 6 minutes, and 6 ml of serum was aspirated from the bottom of a 50 ml centrifuge tube, and placed in a C 50 ml centrifuge tube. Then, the No. 50 50 ml centrifuge tube was allowed to stand for 6 minutes, and 6 ml of serum was aspirated from the bottom of the A 50 ml centrifuge tube, and placed in a No. D 50 ml centrifuge tube. Centrifuge tube No. B 50 ml, centrifuge No. C 50 ml and centrifuge tube No. D 50 ml, centrifuge at 1200 rpm (8 min). The precipitated cells are purified liver cancer cells. Take 5 ml of 10% fetal bovine serum or human AB serum, 1% double-antibody 1640 medium and mix the cells of the B-cell centrifuge tube and place it in a hole in a 6-well plate. Many purified liver cancers can be seen under the microscope. Cells (Fig. 8-2), the purified hepatoma cells were cultured for 3-4 days to see swelling 25 2008316709 18734twf.doc/006 tumor cell division. The cells of the C and D centrifuge tubes contain a small amount of non-hepatoma cells in addition to the liver cancer cells, and the above process can be repeated to obtain more purified liver cancer cells.

實施例九:肝癌使用D-CIK合併NK 一 77歲男性,因體檢於2004年8月18日入院接 受肝臟病理活檢診斷為高分化肝細胞癌。在執行CT 引導下肝射頻消融術2次,自體D-CIK細胞回輸1次, NK細胞回輸5次·現患者生命現象平穩,一般情況 可,無任何不適· 表1: 一 77歲男性診斷為高分化肝細胞癌射頻消融術 聯合自體NK治療情況 曰期 治療 細胞計數 2004-08-26 二τ引導下行肝射頻消融 術 2004-09-01 行自體CIK細胞回輸 細胞計數3·2χ109 2004-09-21 CT引導下行肝射頻消融 術 2004-09-29 行NK細胞治療 細胞計數1.21 X 109 2004-10-12 行NK細胞治療 細胞計數2.0x109 2004-10-22 行NK細胞治療 細胞計數1.25 X 109 2004-11-1 行NK細胞治療 細胞計數4.35 X 109 2004-11-10 行NK細胞治療 細胞計數4.15 X 109 26 18734tw£doc/006 200831670 X^K^I WXX^"2 表2: — 77歲男性診斷為高分化肝細胞癌射頻消融 術聯合自體NK治療追蹤腫瘤標記物及HBV-DNA 定量 8/20 11/23 參考值 AFP 47.22 ng/ml 99 ng/ml 0 〜25ng/ml CA199 27.33 u/ml 》0·99 u/ml 0 〜35u/ml CEA 6.65 ng/ml 5.61 ng/ml 0 〜5ng/ml HBV-DNA 5.37 x 105 copy/ml L.51 x 105 copy/ml 0 〜1·0 x 103 copy/ml 表3·. — 77歲男性診斷為高分化肝細胞癌射頻消融 術聯合自體NK治療追蹤T淋巴細胞亞群檢測 8/25 9/17 10/20 11/23 參考值 CD3+% 58.1 51.5 52.4 54.0 67·0+"7·9 CD3+CD4+% 42.4 42.6 43.6 42.1 33.5+/-6.9 CD3+CD8+% 14.1 13.3 12.7 13.6 29.7+/-6.1 CD4+/CD8+ 3.01 3.20 3.43 3.10 1.31+/-0.5 CD19+% 8.68 7.42 7.74 7.46 9.8+M.3 CD56+% 18.1 27.8 28.6 43.8 18.7+/-6.3 CD3+CD56+% 3.62 2.58 3.24 2.68 3.0+/-2.0 27 18734twf.doc/006 200831670 實施例10:肝癌使用D-CIK合併nk治瘙 一 43歲男性,因HbsAg (+),AFP持續升高, 在2002年12月份體檢時診斷為原發性肝癌,在執行 肝TACE術1次,肝RFA術2次及6次D-CIK細胞 回輸後,執行NK細胞回輸3次,患者現在一般情況 可,HbsAg (-),AFP 2.02 ng/ml 。 表4: 一 43歲診斷為原發性肝癌男性執行射頻消融術 _ 聯合D-CIK與自體NK治療情況 _ 曰期 治療 細胞計數 2002年12月 TACE術1次 2003-0144 行肝RFA術 2003-0347 行肝RFA術 2003-04-01 )--CIK細胞回輸 細胞計數1·2χ101() 2003-04-15 )-CIK細胞回輸 細胞計數l.lxlO10 2003-05-01 P—CIK細胞回輸 細胞計數1·21χ101() 2003-05-14 )--CIK細胞回輸 細胞計數1·22χ101() 2003-06-01 )--CIK細胞回輸 細胞計數1·3χ101() 2003-06-15 )-CIK細胞回輸 細胞計數1.21xl01G 2004-09-29 行NK細胞回輸 細胞計數3·5χ109 2004-10-12 行NK細胞回輸 細胞計數1·72χ109 2004-11-01 行NK細胞回輸 細胞計數4·78χ109 28 200831670 .-2 18734twf.doc/006 聯合D-CIK與自體NK治療後追蹤T漱队、〆肖融術 '~2004-6-30 2004-9-9 2004-10-11Example 9: Liver cancer using D-CIK combined with NK A 77-year-old man was diagnosed with highly differentiated hepatocellular carcinoma by liver biopsy on August 18, 2004. After performing CT-guided liver radiofrequency ablation twice, autologous D-CIK cells were returned once, and NK cells were returned 5 times. The patient's life is stable, and the general condition is OK without any discomfort. Table 1: One 77 years old Male diagnosis of high-differentiated hepatocellular carcinoma radiofrequency ablation combined with autologous NK treatment in the treatment of cell count 2004-08-26 2τ guided descending liver radiofrequency ablation 2004-09-01 Autologous CIK cell reinfusion cell count 3 ·2χ109 2004-09-21 CT-guided liver radiofrequency ablation 2004-09-29 NK cell therapy cell count 1.21 X 109 2004-10-12 NK cell therapy cell count 2.0x109 2004-10-22 NK cell therapy Cell count 1.25 X 109 2004-11-1 NK cell therapy cell count 4.35 X 109 2004-11-10 NK cell therapy cell count 4.15 X 109 26 18734 tw£doc/006 200831670 X^K^I WXX^"2 Table 2: - 77-year-old male diagnosed as highly differentiated hepatocellular carcinoma with radiofrequency ablation combined with autologous NK therapy to track tumor markers and HBV-DNA quantification 8/20 11/23 Reference AFP 47.22 ng/ml 99 ng/ml 0 〜 25ng/ml CA199 27.33 u/ml 》0·99 u/ml 0 〜35u/ml CEA 6.65 ng/ml 5.61 Ng/ml 0 〜5ng/ml HBV-DNA 5.37 x 105 copy/ml L.51 x 105 copy/ml 0 〜1·0 x 103 copy/ml Table 3·. — 77-year-old man diagnosed with highly differentiated hepatocellular carcinoma Radiofrequency ablation combined with autologous NK therapy to track T lymphocyte subsets detection 8/25 9/17 10/20 11/23 Reference value CD3+% 58.1 51.5 52.4 54.0 67·0+"7·9 CD3+CD4+% 42.4 42.6 43.6 42.1 33.5+/-6.9 CD3+CD8+% 14.1 13.3 12.7 13.6 29.7+/-6.1 CD4+/CD8+ 3.01 3.20 3.43 3.10 1.31+/-0.5 CD19+% 8.68 7.42 7.74 7.46 9.8+M.3 CD56+% 18.1 27.8 28.6 43.8 18.7 +/-6.3 CD3+CD56+% 3.62 2.58 3.24 2.68 3.0+/-2.0 27 18734twf.doc/006 200831670 Example 10: Liver cancer using D-CIK combined with nk treatment A 43-year-old male, due to HbsAg (+), AFP continued Elevated, diagnosed as primary liver cancer at the time of physical examination in December 2002, performed liver TACE 1 time, liver RFA 2 times and 6 times D-CIK cell reinfusion, performed NK cell reinfusion 3 times, patient Now generally, HbsAg (-), AFP 2.02 ng / ml. Table 4: Radiofrequency ablation performed in a 43-year-old man diagnosed with primary liver cancer _ Combined with D-CIK and autologous NK treatment _ Cycle treatment cell count December 2002 TACE 1 2003-0144 Liver RFA surgery 2003 -0347 Liver RFA surgery 2003-04-01)--CIK cell reinfusion cell count 1·2χ101() 2003-04-15 )-CIK cell reinfusion cell count l.lxlO10 2003-05-01 P-CIK cells Retransmission cell count 1·21χ101() 2003-05-14 )--CIK cell reinfusion cell count 1.22χ101() 2003-06-01 )--CIK cell reinfusion cell count 1.·3χ101() 2003-06 -15)-CIK cell reinfusion cell count 1.21xl01G 2004-09-29 NK cell reinfusion cell count 3. 5χ109 2004-10-12 NK cell reinfusion cell count 1.72χ109 2004-11-01 NK cells Return cell count 4·78χ109 28 200831670 .-2 18734twf.doc/006 Combined D-CIK and autologous NK treatment to track T漱 team, 〆肖融术'~2004-6-30 2004-9-9 2004- 10-11

表5: — 43歲診斷為原發性肝癌男性執行射_、> 實施例11:直勝癌移轆肝癌(Rectum cancer with liver 里gtastasis)使用D_CIK合# NK治瘙 一 71歲女性被診斷為直腸癌肝轉移患者。患者于 2003年5月份因大便困難因此到醫院診察並執行腸鏡 (病理··管狀腺癌Π級)、腹部CT檢查診斷為:直 腸癌肝轉移。2003年5月12日再執行直腸Dixon,s 術,肝轉移瘤射頻消融術2次,D-CIK細纟包回輸6次 以及NK細胞回輸4次,現患者生命體征平穩,一般 情況可,無任何不適。 29 v-2 18734twf.doc/006 200831670 表6: — 71歲女性被診斷為直腸癌肝轉移經過射頻消融術聯合 D-CIK及自體NK治療情況 曰期 治療 細胞計數 2003-05-12 行直腸Dixon,s術 2003-06-28 行肝轉移瘤射頻消融術 2003-07-04 肝轉移瘤射頻消融術 2003-08-14 行D-CIK細胞回輸6次 3.2xl09 2003-09-16 行D-CIK細胞回輸6次 5.6xl09 2003-11-18 行D-CIK細胞回輸6次 5.8xl09 2004-01-28 行D-CIK細胞回輸6次 6.2x10" 2004-04-28 行D-CIK細胞回輸6次 6.6xl09 2004-06-8 行D-CIK細胞回輸6次 1.2x10" 2004-11-17 行NK細胞回輸 細胞計數3·27χ109 2004-11-30 行NK細胞回輸 細胞計數3.28χ109 2004-12-08 行NK細胞回輸 細胞計數3·85χ109 2004-12-17 行NK細胞回輸 細胞計數4·01χ109 30 200831670 v-2 18734twf.doc/006 表7 : 71歲女性被診斷為直腸癌肝轉移經過射 2004-11-02 瓜么目體N] 2004A2^〇T tc治療後腫 2004-12-15 6.85ng/ml 參七色一^ 〇 〜 AFP 6.02ng/ml 6.14ng/ml CEA 4.52 ng/ml 4.10 ng/ml 3.96 ng/ml 〇 〜5ng/mi CA199 12.07 u/mi 11.57u/ml 12.24u/mi 〇^35u/ml__ 表8 : — 71歲女性被診斷為直腸癌肝轉移經過射 頻消融術聯合CIK !自體NK治療後τ淋巴細胞亞 群檢測變化 2004-11-02 2004-12-01 2004-12-25 參考值 CD3+% 83.0 82.2 82.4 67.0+/-7.y CD3+CD4+ % 42.4 47.9 46.5 33.5+/-6.y CD3+ CD8+% 27.5 24.1 23.3 29.7+/-6.1 CD4+/CD8+ 1.54 1.98 2.0 1.31+/-0.5 CD 19+% 4.36 2.98 5.18 9.8+/-4.3 CD56+% 8.71 9.3 9.52 18.7+/-6.3 CD3+CD56+% 4.25 7.97 5.74 3.0+/-2.0Table 5: - 43 years old diagnosed as a primary liver cancer male performing _, > Example 11: straight victory cancer liver cancer (Rectum cancer with liver gtastasis) using D_CIK combination # NK treatment 瘙 71-year-old female was diagnosed For patients with rectal cancer liver metastases. In May 2003, the patient was admitted to the hospital for examination and performed a colonoscopy (pathology · tubular adenocarcinoma grade) and abdominal CT examination for rectal cancer liver metastasis. On May 12, 2003, the rectal Dixon, s surgery, radiofrequency ablation of liver metastases were performed twice, D-CIK fine sputum was returned 6 times, and NK cells were returned 4 times. The patient's vital signs are stable. Without any discomfort. 29 v-2 18734twf.doc/006 200831670 Table 6: — 71-year-old woman diagnosed with rectal cancer Liver metastasis after radiofrequency ablation combined with D-CIK and autologous NK treatment. Sputum treatment cell count 2003-05-12 rectal Dixon, s surgery 2003-06-28 Liver metastasis radiofrequency ablation 2003-07-04 Liver metastasis radiofrequency ablation 2003-08-14 D-CIK cells return 6 times 3.2xl09 2003-09-16 Line D -CIK cells were transfused 6 times 5.6xl09 2003-11-18 D-CIK cells were transfused 6 times 5.8xl09 2004-01-28 D-CIK cells were returned 6 times 6.2x10" 2004-04-28 Line D- CIK cells were transfused 6 times 6.6xl09 2004-06-8 D-CIK cells were transfused 6 times 1.2x10" 2004-11-17 NK cell reinfusion cell count 3.27χ109 2004-11-30 NK cell reinfusion Cell count 3.28χ109 2004-12-08 NK cell reinfusion cell count 3.85χ109 2004-12-17 NK cell reinfusion cell count 4·01χ109 30 200831670 v-2 18734twf.doc/006 Table 7: 71-year-old female Diagnosed as rectal cancer liver metastasis after shooting 2004-11-02 melon body N] 2004A2 ^ 〇 T tc treatment after swelling 2004-12-15 6.85ng / ml ginseng a ^ 〇 ~ AFP 6.02ng / ml 6.14ng /ml CEA 4 .52 ng/ml 4.10 ng/ml 3.96 ng/ml 〇~5ng/mi CA199 12.07 u/mi 11.57u/ml 12.24u/mi 〇^35u/ml__ Table 8: — 71-year-old woman diagnosed with rectal cancer liver metastasis Radiofrequency ablation combined with CIK! Changes in tau lymphocyte subsets after autologous NK treatment 2004-11-02 2004-12-01 2004-12-25 Reference value CD3+% 83.0 82.2 82.4 67.0+/-7.y CD3+ CD4+ % 42.4 47.9 46.5 33.5+/-6.y CD3+ CD8+% 27.5 24.1 23.3 29.7+/-6.1 CD4+/CD8+ 1.54 1.98 2.0 1.31+/-0.5 CD 19+% 4.36 2.98 5.18 9.8+/-4.3 CD56+% 8.71 9.3 9.52 18.7+/-6.3 CD3+CD56+% 4.25 7.97 5.74 3.0+/-2.0

實施例12:臨床案例:結腸癌務糖肝癌(Colon cancer with liver metastasis)使用 CIK 合併 NK 一罹患結腸癌術後肝轉移女性患者。患者於 2002-11-8執行“右半結腸癌根治術”,病理診斷為 “中分化腺癌”,術後接受規則化療,2003年7月 CT-PET檢查發現肝臟轉移,執行肝TACE術2次, 31 200831670 〜july-2 18734twf.doc/006 肝RFA術2次、經肝動脈執行CIK細胞回輸4程, NK細胞回輸9程。現今患者胃腸及健康情況可。 表9: 一罹患結腸癌術後肝轉移女性患者接受射頻 消融術以及CIK聯合自體NK治療紀錄 曰期 治療 細胞計數 2002-11-08 在半結腸癌根治術 2003- 11-10 至 2004- 09-16 行肝TACE術2次,肝 RFA術2次、經肝動脈 藥盒CIK細胞回輸4 程 2004-09-29 行NK細胞回輸 細胞計數1·2χ109 2004-10-12 行NK細胞回輸 細胞計數1.32 X 109 2004-10-22 行NK細胞回輸 細胞計數1.2xl09 2004-11-01 行NK細胞回輸 細胞計數4·4χ109 2004-11-10 行NK細胞回輸 細胞計數4.89 X 109 2004-11-17 行NK細胞回輸 細胞計數4.78 X 109 2004-11-30 行NK細胞回輸 細胞計數4.31 X 109 2004-12-08 行NK細胞回輸 細胞計數4.06 X 109 2004-12-17 行NK細胞回輸 細胞計數4.32 X 109 32 200831670: 18734twf.doc/006 表1 0: —罹患結腸癌術後肝轉移女性患者接受射頻消 融術以及CIK聯合自體NK治療後追$腫瘤多記變化 2004-9-16 2004-10-14 2004-11-11 2〇〇m2>4 參考值 CA199 93.1 u/ml 156.4 u/ml 2.96 u/ml 321.5 u/ml 0 〜5u/ml CEA 9.15 ng/ml 7.69 ng/ml 5· 19 ng/ml 6.21 ng/ml 0〜35u/ml 例:肺脖羞使用D_CIK治唪 68歲男性患者2005.9因為雙侧腳底“腳氣,,而出現 又側^醜脹和疼痛,勘5·9 29檢查,擬“足癖並感染,, =仃鋒多欣”抗炎治療後好轉,住院期間因為咳嗷而進 行月凶片和胸部ct檢測發現左上肺有5 0x3.8cm纟小腫物伴 表11 · 一惟患結腸癌術後肝轉移女性患者接受射頻消 融術以及CIK聯合自體NK治療後追蹤T淋巴細胞亞Example 12: Clinical case: Colon cancer with liver metastasis using CIK combined with NK - a female patient with liver metastases after colon cancer surgery. The patient underwent "right radical resection of right colon cancer" on 2002-11-8, and the pathological diagnosis was "differentiated adenocarcinoma". After regular chemotherapy, the liver metastasis was found by CT-PET in July 2003. Liver TACE was performed. Times, 31 200831670 ~july-2 18734twf.doc/006 Liver RFA was performed twice, CIK cells were transfused through the hepatic artery for 4 cycles, and NK cells were returned to 9 cycles. Today's patients with gastrointestinal and health conditions are available. Table 9: A case of postoperative liver metastases in women with colon cancer undergoing radiofrequency ablation and CIK combined with autologous NK therapy to record the cell count in the treatment phase 2002-11-08 Radical surgery for semi-colon cancer 2003-11-11 to 2004-09 -16 liver TACE 2 times, liver RFA 2 times, transhepatic arterial CIK cells return 4 times 2004-09-29 NK cell reinfusion cell count 1·2χ109 2004-10-12 NK cell back Transfusion cell count 1.32 X 109 2004-10-22 NK cell reinfusion cell count 1.2xl09 2004-11-01 NK cell reinfusion cell count 4·4χ109 2004-11-10 NK cell reinfusion cell count 4.89 X 109 2004-11-17 NK cell reinfusion cell count 4.78 X 109 2004-11-30 NK cell reinfusion cell count 4.31 X 109 2004-12-08 NK cell reinfusion cell count 4.06 X 109 2004-12-17 NK cell reinfusion cell count 4.32 X 109 32 200831670: 18734twf.doc/006 Table 1 0: - Women with liver metastases after colon cancer undergoing radiofrequency ablation and CIK combined with autologous NK therapy to recover more tumor changes 2004-9-16 2004-10-14 2004-11-11 2〇〇m2>4 Reference value CA199 93.1 u/ml 156.4 u/ml 2 .96 u/ml 321.5 u/ml 0 〜5u/ml CEA 9.15 ng/ml 7.69 ng/ml 5· 19 ng/ml 6.21 ng/ml 0~35u/ml Example: Lung neck shame using D_CIK to treat 68-year-old male Patient 2005.9 because of the bilateral soles of the feet "foot gas, but the side of the side ^ bulging and pain, survey 5 · 9 29 check, the proposed "foot and infection,, = Qi Feng Duo Xin" improved after anti-inflammatory treatment, because of cough during hospitalization嗷 进行 月 月 和 和 和 和 和 和 和 和 和 和 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 月 左 左 左 左 左 左 左Lymphocyte

33 蠡200831670 .-2 18734twf.doc/006 有縱隔和肺門淋巴結腫大,肺内腫瘤穿刺活檢證實為腺癌n 〜Π級。2005·10·13過專家組討論後認為擬以放療為主的综 合治療,先進行二程誘導化療,視肺功能恢復情況決定是否 了以手術。於 2005.10.18 開始 Tax〇i (i〇〇mg ivcj dayl and day8) +Carb〇Platin (450mg ivd dayl )。從化療後的第三天 開始進行三維適型放療,同時每週進行Tax〇1 (9〇mg)單藥 增敏(11.21開始)。生物治療(D_aK回輸合計6次),過 程中肺功能也有所改善。33 蠡200831670 .-2 18734twf.doc/006 There is a mediastinal and hilar lymphadenopathy, and intrapulmonary tumor biopsy confirmed adenocarcinoma n ~ Π grade. After the discussion of the expert group in 2005·10·13, it was considered that the comprehensive treatment based on radiotherapy should be followed by two-way induction chemotherapy, and whether the recovery of lung function was determined by surgery. Starting from 2005.10.18 Tax〇i (i〇〇mg ivcj dayl and day8) +Carb〇Platin (450mg ivd dayl). Three-dimensional conformal radiotherapy was started on the third day after chemotherapy, and Tax1 (9〇mg) single-agent sensitization was started every week (starting at 11.21). Biotherapy (6 times total D_aK return), lung function improved during the process.

—一^_轉移性肺腺癌使用D-CIK泊年 •旦/ 71歲男性’患者于2004.10在香港體檢時發現右上 Ξ二Γ職11治療,於贏11.18在氣管内麻下進 Ξ此肋除+^上封段楔形切除 巴結者if 右上肺葉可見腺癌浸潤,而所有淋 後好躺術後出現痛風發作和肺間質性肺炎,經過處理- a ^ _ metastatic lung adenocarcinoma using D-CIK Pod • Dan / 71-year-old male 'patients in the medical examination in Hong Kong in 2004.10 found the right upper Ξ Γ Γ 11 11 treatment, Yu won 11.18 in the tracheal numbness into the rib In addition to the +^ upper segment of the wedge-shaped resection of the knot if the right upper lung lobe can be seen in the adenocarcinoma infiltration, and all the leaching after lying well after gout and pulmonary interstitial pneumonia, after treatment

但隨I個亍胸片檢查未發現明顯異常。 節,广狀有重’再次作胸部ct發現右上肺有結 求進行右為轉移性腺癌。患者不願接受化療,只要 子括入ί肺車病灶的1251 /粒子植入術。其後,繼續進行位 用以施例揭露如上,然其並非 明之精神和二:热習此技藝者’在不脫離本發 本發明之保& =夕可作些許之更動與潤部,因此 ,、圍#視後附之申請專利範圍所界定者 34 200831670 〜w2 18734twf.doc/006 為準。 【圖式簡單說明】 圖1-1繪示為本發明實施例一之純化前的人卵巢 r 癌細胞。 < 圖1-2繪示為本發明實施例一之純化後的卵巢癌 細胞。 圖2-1繪示為本發明實施例二之純化前的人腎癌 _ 組織細胞。 圖2-2繪示為本發明實施例二之純化後的腎癌細 胞。 圖3-1繪示為本發明實施例三之純化前的人肺癌 組織細胞。 圖3-2繪示為本發明實施例三之純化後的肺癌細 胞。 圖4-1繪示為本發明實施例四之純化前的人乳腺 I 癌組織細胞。 圖4-2繪示為本發明實施例四之純化後的乳腺癌 細胞。 圖5-1繪示為本發明實施例五之純化前的人鼻咽 癌組織細胞。 • 圖5-2繪示為本發明實施例五之純化後的鼻咽癌 細胞。 圖6-1繪示為本發明實施例六之純化前的人小腦 髓母細胞瘤組織細胞。 35 18734twfdoc/006 200831670 圖6-2繪示為本發明實施例六之純化後的人小腦 聽母細胞瘤細胞。 圖7-1繪示為本發明實施例七之純化前的人結腸 癌細胞。 圖7-2繪示為本發明實施例七之純化後的人結腸 癌細胞。 圖8-1繪示為本發明實施例八之純化前的人肝癌 細胞。 圖8-2繪示為本發明實施例八之純化後的人結腸 癌細胞。 圖9繪示為實施例9之一 77歲男性肝癌病患使用 CIK合併NK治療··其CD3+CD4+%變量曲線。 圖10繪示為本發明實施例九之一 77歲男性肝癌 病患使用CIK合併NK:其CD4+/CD8+%變量曲線。 圖11繪示為本發明實施例九之一 77歲罹患肝癌 男性使用CIK合併NK治療其:CD56+%變量曲線。 圖12繪示為本發明實施例九之一 77歲罹患肝癌 男性使用CIK合併NK治療在8/19執行肝臟CT掃 瞄發現右侧有數個傷口。 圖13繪示為本發明實施例九之一 77歲罹患肝癌 男性使用肝癌使用CIK合併NK治療··(a)為8/26之 RFA的肝臟損傷(b)為9/21之RFA肝臟有復原之 現象。 圖14繪示為本發明實施例九之一 77歲罹患肝癌 男性使用肝癌使用CIK合併NK治療:在11/23以 36 18734twf.doc/006 200831670 CT/PET掃瞄肝臟已偵測不到肝臟損傷。 圖15繪示為本發明實施例九之一 77歲罹串 男性使用肝癌使用ακ合併NK治療··在兩肝癌 療與5次自體NK細胞回輸,藉著CT/PET 冶 债測不到損傷。 曰已麵 圖16繪示為本發明實施例十之一 43歲診齡 發性肝癌男性執行射頻消融術聯合ακ與自 原 療後追蹤CD3+CD4+%變量曲線。 K治 圖17繪示為本發明實施例十之:一们 原發性肝癌雜執行射頻消融術聯合CIΚ與自=為 治療後追蹤CD4+/CD8+變量曲線。 耀Νκ 圖18繪示為本發明實施例十之:一 43歲 原發性肝癌男性執行射㈣融術聯合ακ靜為 治療後追蹤CD56+%變量曲線。 、體冲< 圖19繪示為本發明實施例十之一 43歲診 备性肝癌男性執行射頻消融術聯合cik與 原 療,在肝臟TACE治療後以CT婦瞎追縱結果。敗治 圖20繪示為本發明實施例十之一 43歲玲 發性肝癌男性執行射頻消融術聯合ακ與自°體=原 療’在肝臟FRA治療後追縱結果。 體败治 圖21繪示為本發明實施例十之一杞歲玲 =肝癌男性執行_、;肖融_+ ακ 圖…备干二二田規察結果無復發現象。 發性肝癌男性執行射頻消融術聯合CIK與== 37 200831670 -2 18734twf.doc/006However, no obvious abnormalities were found with one chest X-ray examination. Section, the squama has a heavy 're- chest ct found that the right upper lung has a knot to seek right for metastatic adenocarcinoma. Patients are reluctant to receive chemotherapy, as long as they are included in the 1251 / particle implantation of the lung car lesion. Thereafter, the continuation of the position is used to expose the above, but it is not the spirit of the second and the second: the enthusiasm of the artist can make some changes and runes without leaving the invention. , , and ########################################################## BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1-1 is a diagram showing human ovarian r cancer cells before purification according to Example 1 of the present invention. < Figure 1-2 is a diagram showing purified ovarian cancer cells according to Example 1 of the present invention. 2-1 is a diagram showing human kidney cancer tissue cells before purification according to Example 2 of the present invention. Fig. 2-2 is a diagram showing the purified renal cell carcinoma of the second embodiment of the present invention. 3-1 is a diagram showing human lung cancer tissue cells before purification according to Example 3 of the present invention. Fig. 3-2 is a view showing the purified lung cancer cells of the third embodiment of the present invention. 4-1 is a diagram showing human breast I cancer tissue cells before purification according to Example 4 of the present invention. 4-2 is a diagram showing purified breast cancer cells according to Example 4 of the present invention. Figure 5-1 is a diagram showing human nasopharyngeal carcinoma tissue cells before purification according to Example 5 of the present invention. Figure 5-2 shows purified nasopharyngeal carcinoma cells according to Example 5 of the present invention. Figure 6-1 is a diagram showing the human cerebellum medulloblastoma tissue cells before purification according to Example 6 of the present invention. 35 18734twfdoc/006 200831670 FIG. 6-2 illustrates purified human cerebellar blastoma cells according to Example 6 of the present invention. 7-1 is a diagram showing human colon cancer cells before purification according to Example 7 of the present invention. Fig. 7-2 is a diagram showing the purified human colon cancer cells of the seventh embodiment of the present invention. Fig. 8-1 is a view showing human liver cancer cells before purification according to Example 8 of the present invention. Fig. 8-2 is a view showing purified human colon cancer cells according to Example 8 of the present invention. Figure 9 is a graph showing the CD3+CD4+% variable curve of a 77-year-old male liver cancer patient using CIK combined with NK treatment. Figure 10 is a graph showing the CD4+/CD8+% variable curve of a 77-year-old male liver cancer patient using a CIK combined with NK. Figure 11 is a diagram showing the ninth embodiment of the present invention. A 77-year-old man with liver cancer is treated with CIK combined with NK: CD56+% variable curve. Fig. 12 is a view showing one of the nineth embodiment of the present invention. A 77-year-old man with liver cancer. A man with CIK combined with NK treatment performed a liver CT scan on 8/19 and found several wounds on the right side. Figure 13 is a view showing a ninety-seven-year-old man with liver cancer using hepatocellular carcinoma using CIK combined with NK treatment according to Example 9 of the present invention. (a) 8A/26 RFA liver damage (b) 9/21 RFA liver recovery The phenomenon. Figure 14 is a diagram showing the use of CIK combined with NK in a 77-year-old man with liver cancer in a patient of 77 years old in the present invention: no liver damage detected in the liver at 11/23 to 36 18734 twf.doc/006 200831670 CT/PET scan of the liver . Figure 15 is a view showing a nine-year-old male with a liver cancer using ακ combined with NK treatment according to the embodiment of the present invention. In the two liver cancer treatments and five autologous NK cell reinfusions, the CT/PET smelting debt is not detected. damage. Figure 16 is a graph showing the variation of CD3+CD4+% in a 43-year-old male with hepatocellular carcinoma undergoing radiofrequency ablation combined with ακ and self-existing therapy. K rule Figure 17 shows a tenth embodiment of the present invention: a primary liver cancer hybrid radiofrequency ablation combined with CIΚ and self = for tracking CD4+/CD8+ variable curve after treatment. Fig. 18 is a diagram showing the tenth of the present invention: a 43-year-old male with primary liver cancer undergoing a radiation (four) fusion combined with ακ static as a curve for tracking CD56+%. Figure 19 is a diagram showing the results of a radiofrequency ablation combined with cik and primary therapy for a 43-year-old man with hepatocellular carcinoma in the present invention. The results of CT tracing were used after liver TACE treatment. Fig. 20 is a view showing the results of a radiofrequency ablation combined with ακ and autologous body = original therapy in a 43-year-old male with hepatocellular carcinoma after heal FRA treatment. Figure 21 shows that one of the tenth embodiment of the present invention is 杞年玲=hepatocarcinoma male _,; Xiao Rong _+ ακ map... prepared for dry two-two field inspection results without recurrence. Radiofrequency ablation combined with CIK in men with hepatocellular carcinoma and == 37 200831670 -2 18734twf.doc/006

療後:在11/18/04從CT/PET掃瞄觀察結果無復發現 象。 …、X 圖23繪示為本發明實施例十之一 43歲診斷為原 發性肝癌男性執行TACE聯合肝RFA術後序貫多一欠 CIK、NK細胞回輸後,肝癌未見復發,現患者AFp 陰性,HBsAg陰性。 圖24繪示為本發明實施例十一之一 71歲女性被 #斷為直腸癌移轉肝癌(Rectum cancer with liver* _ metastasis)執行直腸Dixon,3術,肝轉移瘤射頻消融 術2次,CIK細胞回輸6次以及NK細胞回輪4次後 追縱CD3+CD4+%變量曲線。 圖25繪示為本發明實施例十一之一 71歲女性被 診斷為直腸癌移轉肝癌(Rectum cancer with liver metastasis)執行直腸Dixon,s術,肝轉移瘤射頻消融 術2次,CIK細胞回輸6次以及NK細胞回輪4次後 追蹤CD4+/CD8+變量曲線。 鲁 圖26繪示為本發明實施例十一之一 71歲女性被 診斷為直腸癌移轉肝癌(Rectum cancer with liver metastasis)執行直腸Dixon,s術,肝轉移瘤射頻消融 術2次,CIK細胞回輸6次以及NK細胞回輸4次後 追縱CD56+%變量曲線。 . 圖27繪示為本發明實施例十一之一 71歲女性被 診斷為直腸癌移轉肝癌(Rectum cancer with liver metastasis)執行直腸Dixon,s術,肝轉移瘤射頻消融 術2次,CIK細胞回輸6次以及NK細胞回輸4次後 38 20083 1670.2 18734twf.doc/006 於2003-5-30以肝臟CT追蹤成果。 圖28繪示為本發明實施例十一之一 71歲女性被 診斷為直腸癌移轉肝癌(Rectum cancer with liver metastasis)執行直腸Dixon,s術,肝轉移瘤射頻消融 術2次’ CIK細胞回輸6次以及NK細胞回輸4次後 於2003-6-28以肝臟RFA追蹤成果。 圖29繪示為本發明實施例十一之一 71歲女性被 診斷為直腸癌移轉肝癌(Rectuin cancer with liver • metastasis)執行直腸Dixon,s術,肝轉移瘤射頻消融 術2次,CIK細胞回輸6次以及NK細胞回輸4次後 於2003-74以肝臟RFA追蹤。 圖3 0纟會不為本發明實施例十一之一 71歲女性被 診斷為直腸癌移轉肝癌(RectUm cancer with liver metastasis)執行直腸Dixon,s術,肝轉移瘤射頻消融 術2次,CIK細胞回輸6次以及NK細胞回輸4次後 以肝臟CT掃瞄顯示癌症無復發。癌症標記已經回 ^ 復正常指數。 圖31繪示為本發明實施例十二之一罹患結腸癌 術後肝轉移女性患者接受射頻消融術以及CIK聯合自 體NK治療後追蹤CD3+CD4+%變量曲線。 圖32繪示為本發明實施例十二之一罹患結腸癌 ^ 術後肝轉移女性患者接受射頻消融術以及CIK聯合自 , 體NK治療後追蹤CD4+/CD8+%變量曲線。 圖33繪示為本發明實施例十二之一罹患結腸癌 術後肝轉移女性患者接受射頻消融術以及CIK聯合自 39 200831670 v-2 18734twf.doc/006 體NK治療後追蹤CD45+%變量曲線。 圖34繪示為本發明實施例十二之〜羅串 術後肝轉移女性患者接受射頻消融術以及Clg 1腸癌 體NK治療後於2003-11-20追蹤肝臟CT 聯合自After treatment: No results were observed from CT/PET scans on 11/18/04. Fig. 23 is a view showing that the liver cancer has not recurred after the TACE combined with liver RFA is performed in a 43-year-old male patient with primary liver cancer who has been diagnosed as a primary liver cancer. The patient was negative for AFp and negative for HBsAg. Figure 24 is a diagram showing that a 71-year-old female is a rectal cancer transplanting liver cancer (Rectum cancer with liver* _ metastasis) performing rectal Dixon, 3 surgery, and liver metastases radiofrequency ablation twice. The CIK cells were transfused 6 times and the NK cells were retrieved 4 times and the CD3+CD4+% variable curve was followed. 25 is a diagram showing a 71-year-old woman diagnosed with rectal cancer with liver metastasis performing rectal Dixon, s surgery, liver metastases radiofrequency ablation twice, CIK cells are returned. The CD4+/CD8+ variable curve was followed after 6 transfusions and 4 rounds of NK cell reincarnation. Lutu 26 depicts a 71-year-old woman diagnosed with rectal cancer with liver metastasis performing rectal Dixon, s surgery, liver metastases radiofrequency ablation twice, CIK cells. The CD56+% variable curve was traced after 6 times of return and 4 times of NK cell reinfusion. Figure 27 is a diagram showing that a 71-year-old female is diagnosed with rectal cancer with liver metastasis and performs rectal Dixon, s surgery, liver metastases radiofrequency ablation twice, CIK cells. 6 times of reinfusion and 4 times of NK cell reinfusion 38 20083 1670.2 18734twf.doc/006 The results were tracked by liver CT at 2003-5-30. 28 is a diagram showing that a 71-year-old female is diagnosed with rectal cancer with liver metastasis performing rectal Dixon, s surgery, and liver metastases radiofrequency ablation twice 'CIK cell gyrus. After 6 transfusions and 4 NK cell retransmissions, the results were followed by liver RFA at 2003-6-28. 29 shows a 71-year-old female diagnosed with rectal cancer with liver (metastasis) performing rectal Dixon, s surgery, liver metastases radiofrequency ablation twice, CIK cells, according to an eleventh embodiment of the present invention. After 6 times of reinfusion and 4 times of NK cell reinfusion, the liver RFA was followed at 2003-74. Figure 3 is not a case in which a 71-year-old woman is diagnosed with rectal cancer with liver metastasis (RectUm cancer with liver metastasis) performing rectal Dixon, s surgery, liver metastases radiofrequency ablation twice, CIK After the cells were returned 6 times and the NK cells were reinfused 4 times, the liver CT scan showed no recurrence of the cancer. The cancer marker has returned to the normal index. Figure 31 is a graph showing the tracking of CD3+CD4+% in a female patient with liver metastasis after colon cancer after receiving radiofrequency ablation and CIK combined with autologous NK therapy. 32 is a graph showing the tracking of CD4+/CD8+% in a female patient with liver metastases after undergoing radiofrequency ablation and CIK combined with autologous NK treatment. 33 is a graph showing the tracking of CD45+% of a female patient with liver metastasis after colon cancer after radiofrequency ablation and CIK combined with NK treatment. Figure 34 is a view showing the twelfth to the sequel to the liver of the female patient with liver metastasis after radiofrequency ablation and Clg 1 intestinal cancer NK treatment in 2003-12-20.

RFA 圖35繪示為本發明實施例十二之 掃插 罹患結 以及 術後肝轉移女性患者接受射頻消融術以及Ci= j腸癌 體NK治療後於2004-1_17以肝臟CT追縱。^合自 圖36繪示為本發明實施例實施例十二之—罹串 結腸癌術後肝轉移女性患者接受射頻消融術以及= 聯合自體NK治療後,u/04之肝臟MRI顯示無復 發0 【主要元件符號說明 益RFA Fig. 35 is a view showing the CT scan of the liver in 2004-1_17 after the insertion of the sputum sputum node and the postoperative liver metastasis in a female patient undergoing radiofrequency ablation and Ci=j intestinal cancer NK treatment. Figure 36 is a diagram showing the embodiment of the present invention. The human liver MRI of the u/04 showed no recurrence after radiofrequency ablation and combined with autologous NK treatment in women with liver metastasis after sputum colon cancer operation. 0 [Main component symbol description benefits

Claims (1)

200831670 n, w2 18734twf.doc/006 十、申請專利範圍: 1. 一種人腫瘤細胞的分離純化技術,包括(a) 腫瘤細胞的純化前的處理;(b)腫瘤細胞的分離純化。 2. 如申請專利範圍第1項所述人腫瘤細胞的分 離純化技術,其中腫瘤細胞的純化前的處理步驟更包 括⑴剔除可見的非腫瘤組織和腫瘤壞死組織;(ii)用少 許含有RPMI-1640培養液(無血清)潤濕腫瘤組織並 將其儘快的剪碎;(iii)將該些剪碎的腫瘤組織置於第一 _ 離心管中,加入膠原酶溶液;(iv)在37°C水浴箱内溫 浴1小時;(v)l小時後取出的離心管以不含血清的 RPMI-1640溶液稀釋一倍,反復吹打後取細胞懸液; (vi)離心轉速介於1000-1600轉達5-16分鐘後;(vii) 去除上清液,取適量含有10%胎牛血清或人AB血清 以及1%雙抗的RPMM640培養基混勻該些離心後的 細胞。 3. 如申請專利範圍第1項所述人腫瘤細胞的分 離純化技術,其中腫瘤細胞的分離純化步驟更包括⑴ 取適量滅活的胎牛血清或人AB血清,離心轉速介於 2500-3600轉達18-30分鐘;(ii)取上清液置第二個離 心管中;(iii)取該步驟⑴之人血清或胎牛血清適量置第 三離心管中;(iv)將適量於第一離心管之混勻的腫瘤組 . 織的細胞懸液經管壁加入該第三離心管中,靜置適當 時間,再從該第三離心管管底部吸出6ml血清置於第 ' 四離心管中;(v)再將該第三離心管靜置適當時間,再 從該第三管底部吸出6ml血清置於第五離心管中;(vi) 41 18734twf.doc/006 200831670 v^jljl^-2 毯多管底部吸出6ml 再將該第三管靜置適當_,從# μ、第五 血清置於第六離心管中;⑽將誦-謂轉 離心管、和第六離心管於離心轉連’ ^ ^ ^ , . I純化的腫瘤細胞, 達5-16分鐘,所得沉澱的細胞即爲 ▲ Q紅清以及i/G雙机 (viii)取適量10%胎牛血清或人A3 π ^ :殿的細胞亚置6孔 的1640培養基混勻該第四離心管冰aw莫a 1工如 ^ +砍細胞培餐3_4天即 板中的一個孔中;(ix)將純化的_%、\、、爲 發和該弟六離心官 可見腫瘤細胞分裂;(X)該第五離心@a 去*; A 0#瘤細胞,重複刖 的細胞除腫瘤細胞外還含有少量非 述過程,可得到更純化的腫瘤細腺 ..7 ^ Λ, yV ^^ 以述人腫瘤細胞的分 4·如申請專利範圍第1頊所^ @ & μ & μ _ ^ 故應用為上皮性腫 離純化技術,其中較佳之腫瘤辦腾 Α、肺癌細胞、礼腺 瘤,選自由卵巢癌細胞、腎癌細胞 你瘤細胞、結細癌 癌細胞、鼻咽癌細胞、小腦髓母、細月 人、,广 ^ 一,t l撟癌、食逞癌、肺 細胞、肝癌細胞、神經膠質瘤、Λ朥 癌細胞等所組成之族群。 ,、 5·如申請專利範圍第3頊戶斤述亡:瘤::曰; ^ 、飨三離心官之混勻 離純化技術,其中步驟(iv)之適耋於弟 ,/ τ人认 t v ,釭清之比例介於 的腫瘤組織的細胞懸液,其相#人 0·8-1·5 。 r , φ ^ ^ &沭人腫瘤細胞的分 6·如申㉖專利範圍第3頊所51 、, 離純化技術,其中步驟(iv)、(v)、(vi)之適當時間介於 4-8分鐘。 7· 一種人腫瘤細胞的分離純化技術之應用,其 中較適用於疫苗、抗肿瘤药物、活細胞治療、基因治 42 18734tw£doc/006 200831670200831670 n, w2 18734twf.doc/006 X. Patent scope: 1. A method for isolation and purification of human tumor cells, including (a) pre-purification treatment of tumor cells; (b) separation and purification of tumor cells. 2. The separation and purification technique of human tumor cells according to claim 1, wherein the pre-purification treatment process of the tumor cells further comprises (1) removing visible non-tumor tissue and tumor necrotic tissue; (ii) using a little RPMI-containing 1640 medium (serum free) wets the tumor tissue and cuts it as quickly as possible; (iii) places the cut tumor tissue in the first centrifuge tube and adds the collagenase solution; (iv) at 37° C bath in the water bath for 1 hour; (v) 1 hour after the removal of the centrifuge tube is diluted with serum-free RPMI-1640 solution, repeated pipetting to take the cell suspension; (vi) Centrifugal speed between 1000-1600 After 5-16 minutes of transfer; (vii) Remove the supernatant and mix the centrifuged cells with an appropriate amount of RPMM640 medium containing 10% fetal bovine serum or human AB serum and 1% double antibody. 3. The separation and purification technology of human tumor cells as described in claim 1 of the patent scope, wherein the step of separating and purifying the tumor cells further comprises: (1) taking an appropriate amount of inactivated fetal bovine serum or human AB serum, and the centrifugation speed is between 2500 and 3600 18-30 minutes; (ii) taking the supernatant in a second centrifuge tube; (iii) taking the human serum or fetal bovine serum of the step (1) in a third centrifuge tube; (iv) the appropriate amount in the first a mixed tumor group of the centrifuge tube. The woven cell suspension is added to the third centrifuge tube through the tube wall, allowed to stand for a suitable time, and then 6 ml of serum is aspirated from the bottom of the third centrifuge tube to be placed in the 'fourth centrifuge tube. (v) the third centrifuge tube is allowed to stand for a suitable time, and then 6 ml of serum is aspirated from the bottom of the third tube and placed in a fifth centrifuge tube; (vi) 41 18734 twf.doc/006 200831670 v^jljl^-2 The bottom of the blanket multi-tube is aspirated 6ml and then the third tube is allowed to stand properly _, from the # μ, the fifth serum is placed in the sixth centrifuge tube; (10) the 诵-precision to the centrifuge tube, and the sixth centrifuge tube is transferred in the centrifuge ' ^ ^ ^ , . I purified tumor cells, for 5-16 minutes, the resulting precipitated cells are ▲ Q Qing and i/G double machine (viii) take appropriate amount of 10% fetal bovine serum or human A3 π ^: the cells of the temple sub-set 6 well of 1640 medium mix the fourth centrifuge tube ice aw a 1 work such as ^ + cut The cell culture meal is in a hole in the plate for 3_4 days; (ix) the purified _%, \, , and the six cells of the centrifuge can be seen to divide the tumor cells; (X) the fifth centrifugation @a to *; A 0# tumor cells, repeated sputum cells in addition to tumor cells also contain a small amount of non-reporting process, can obtain more purified tumor fine glands.. 7 ^ Λ, yV ^ ^ to describe human tumor cells 4 · as patent application The first range of the range ^ @ & μ & μ _ ^ is therefore applied as epithelial swelling and purification technology, of which the best tumors are sputum, lung cancer cells, ceremonial adenoma, selected from ovarian cancer cells, kidney cancer cells Tumor cells, cancer cells, nasopharyngeal carcinoma cells, cerebellar medulla, sarcophagus, guangyi, tl 挢 cancer, chyme cancer, lung cells, liver cancer cells, gliomas, sputum cancer cells, etc. The group of people formed. ,, 5, such as the scope of the patent application, the third 顼 斤 述 : : : : 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤 瘤, the ratio of sputum clear is the cell suspension of the tumor tissue, the phase #人0·8-1·5. r , φ ^ ^ & 沭 human tumor cell fraction 6 · 申 26 patent scope 3 顼 51,, from the purification technology, where the appropriate time of steps (iv), (v), (vi) is between 4 -8 minutes. 7. The application of an isolation and purification technique for human tumor cells, which is more suitable for vaccines, anti-tumor drugs, living cell therapy, gene therapy 42 18734 tt/doc/006 200831670 8 ·如申清專利範圍弟7項所述人腫瘤細胞的分 離純化技術之應用,其中人腫瘤細胞的分離純化技術 更包括(a)腫瘤細胞的純化前的處理;(b)腫瘤細胞的 分離純化。 9· 如申請專利範圍第8項所述人腫瘤細胞的分 離純化技術之應用,其中腫瘤細胞的純化前的處理步 驟更包括⑴剔除可見的非腫瘤組織和腫瘤壞死組織; (ii)用少终含有RJPMI-1640培養液(無灰清)潤濕腫瘤 組織並將其儘快的剪碎;(iii)將該些剪碎的腫瘤組織置 於第一離心管中,加入膠原酶溶液;(iv)在37°C水浴 相内溫浴1小時;(v) 1小時後取出的離心管以不含血 清的RPMI-1640溶液稀釋一倍,反復吹打後取細胞懸 液;(vi)離心轉速介於1000-1600轉達5-16分鐘後;(vii) 去除上清液’取適量含有10%胎牛血清或人AB企清 以及1%雙抗的RPMI-1640培養基混勻該些離心後的 細胞。 10·如申請專利範圍第8項所述人腫瘤細胞的分 離純化技術之應用,其中腫瘤細胞的分離純化步驟更 包括⑴取適量滅活的胎牛血清或人AB血清,離心轉 速介於25〇0_3600轉達18-30分鐘:⑼取上清液置第 二個離心管中;(Hi)取該步驟(丨)之人血清或胎牛血清適 量置第三離心管中;(iv)將適量於第一離心管之混勻的 腫瘤組織的細胞懸液經管壁加入該第二雜瞢中,靜 置適當時間,再從該第三離心管管:二:二 43 18734twfdoc/006 200831670 置於第四離心管中;(V)再將該第三離心管靜置適當時 間,再從該第三管底部吸出6ml血清置於第五離心管 中;(vi)再將該第三管靜置適當時間,從該第三管底部 吸出6ml血清置於第六離心管中;(vii)將該第四離心 管、第五離心管、和第六離心管於離心轉速介於 1000-1600轉達5-16分鐘,所得沉澱的細胞即為純化 的腫瘤細胞;(viii)取適量10%胎牛血清或人AB血清 以及1%雙抗的1640培養基混勻該第四離心管沉澱 的細胞並置6孔板中的一個孔中;(ix)將純化的腫瘤細 胞培養3-4天即可見腫瘤細胞分裂;(X)該第五離心管 和該第六離心管的細胞除腫瘤細胞外還含有少量非腫 瘤細胞,重複前述過程,可得到更純化的腫瘤細胞。 11. 如申請專利範圍第8項所述人腫瘤細胞的分 離純化技術之應用,其中較佳之腫瘤細胞應用為上皮 性腫瘤,選自由卵巢癌細胞、腎癌細胞、肺癌細胞、 乳腺癌細胞、鼻咽癌細胞、小腦髓母細胞瘤細胞、結 腸癌細胞、肝癌細胞、神經膠質瘤、大腸癌、食道癌、 肺癌細胞等所組成之族群。 12. 如申請專利範圍第10項所述人腫瘤細胞的 分離純化技術之應用,其中步驟(iv)之適量於第三離心 管之混勻的腫瘤組織的細胞懸液,其相對人血清之比 例介於0.8-1.5。 13. 如申請專利範圍第10項所述人腫瘤細胞的 分離純化技術之應用,其中步驟(iv)、(v)、(vi)之適當 時間介於4-8分鐘。 44 200831670 〜似-2 18734twf.doc/006 1 4. 一種在人腫瘤細胞的分離純化技術衍生之細 胞激活素(Koyo),其中該細胞激活素(Koyo)可活化 DC、CIK、NK 等細胞。 15. 如申請專利範圍第14項所述之在人腫瘤細 胞的分離純化技術衍生之細胞激活素(Koyo),其中初 始DC、CIK、NK等細胞之取得選自臍帶血或受試者 周邊血。 16. 如申請專利範圍第15項所述之在人腫瘤細 _ 胞的分離純化技術衍生之細胞激活素(Koyo),其中活 化之DC、CIK、NK等細胞更製備成疫苗以改善感染、 癌症、移轉之癌症、自體免疫不良等病症。 17. 如申請專利範圍第16項所述之在人腫瘤細 胞的分離純化技術衍生之細胞激活素(Koyo),其中製 備之疫苗較佳應用為上皮性腫瘤,選自由卵巢癌細 胞、腎癌細胞、肺癌細胞、乳腺癌細胞、鼻咽癌細胞、 小腦趙母細胞瘤細胞、結腸癌細胞、肝癌細胞、神經 ^ 膠質瘤、大腸癌、食道癌、肺癌細胞等所組成之族群。 458 · The application of the separation and purification technology of human tumor cells as described in the 7th patent scope of Shenqing, wherein the isolation and purification technology of human tumor cells further includes (a) pre-purification treatment of tumor cells; (b) separation of tumor cells. purification. 9. The application of the separation and purification technique of human tumor cells as described in claim 8 of the patent application, wherein the pre-purification treatment steps of the tumor cells further comprise (1) removing visible non-tumor tissue and tumor necrotic tissue; Wetting the tumor tissue with RJPMI-1640 medium (no ash clear) and cutting it as soon as possible; (iii) placing the cut tumor tissue in the first centrifuge tube and adding the collagenase solution; (iv) The bath was incubated in a 37 ° C water bath for 1 hour; (v) the centrifuge tube taken out after 1 hour was diluted twice with serum-free RPMI-1640 solution, and the cell suspension was taken after repeated blows; (vi) Centrifugal speed was between 1000-1600 after 5-16 minutes; (vii) Removal of supernatant 'The appropriate amount of PFMI-1640 medium containing 10% fetal bovine serum or human AB clear and 1% double antibody was mixed to mix the centrifuged cells. 10. The application of the separation and purification technology of human tumor cells according to item 8 of the patent application scope, wherein the step of separating and purifying the tumor cells further comprises: (1) taking an appropriate amount of inactivated fetal bovine serum or human AB serum at a centrifugal speed of 25 〇. 0_3600 for 18-30 minutes: (9) take the supernatant into the second centrifuge tube; (Hi) take the step (丨) of human serum or fetal bovine serum in a suitable amount in the third centrifuge tube; (iv) the appropriate amount The cell suspension of the mixed tumor tissue of the first centrifuge tube is added to the second miscellaneous tube through the tube wall, and is allowed to stand for a suitable time, and then placed from the third centrifuge tube: 2:2, 43,78034 twfdoc/006 200831670 (4) the third centrifuge tube is allowed to stand for a suitable time, and then 6 ml of serum is aspirated from the bottom of the third tube and placed in the fifth centrifuge tube; (vi) the third tube is allowed to stand still. Time, 6ml of serum is aspirated from the bottom of the third tube and placed in the sixth centrifuge tube; (vii) the fourth centrifuge tube, the fifth centrifuge tube, and the sixth centrifuge tube are rotated at a centrifugal speed of 1000-1600 to 5 - After 16 minutes, the resulting precipitated cells were purified tumor cells; (viii) Mix 10% fetal bovine serum or human AB serum and 1% double-antibody in 1640 medium to mix the cells precipitated in the fourth centrifuge tube and place in one well of the 6-well plate; (ix) culture the purified tumor cells 3-4 The tumor cell division can be seen in the day; (X) the cells of the fifth centrifuge tube and the sixth centrifuge tube contain a small amount of non-tumor cells in addition to the tumor cells, and the above process is repeated to obtain more purified tumor cells. 11. The application of the separation and purification technology of human tumor cells according to claim 8 of the patent application, wherein the preferred tumor cells are epithelial tumors selected from the group consisting of ovarian cancer cells, renal cancer cells, lung cancer cells, breast cancer cells, and nose. A group consisting of pharyngeal cancer cells, cerebellar medulloblastoma cells, colon cancer cells, liver cancer cells, gliomas, colon cancer, esophageal cancer, lung cancer cells, and the like. 12. The use of the separation and purification technique of human tumor cells according to claim 10, wherein the proportion of step (iv) to the cell suspension of the mixed tumor tissue of the third centrifuge tube is proportional to the ratio of human serum Between 0.8-1.5. 13. The use of the separation and purification technique of human tumor cells as described in claim 10, wherein the appropriate time of steps (iv), (v), (vi) is between 4 and 8 minutes. 44 200831670~2 18734twf.doc/006 1 4. A cell activin (Koyo) derived from the isolation and purification technique of human tumor cells, wherein the cell activin (Koyo) activates cells such as DC, CIK, NK and the like. 15. The cell activin (Koyo) derived from the isolation and purification technique of human tumor cells according to claim 14, wherein the cells of the initial DC, CIK, NK, etc. are selected from cord blood or peripheral blood of the subject. . 16. The cell activin (Koyo) derived from the isolation and purification technique of human tumor cells as described in claim 15, wherein activated DC, CIK, NK and the like are further prepared into a vaccine to improve infection and cancer. , transferred cancer, autoimmune and other diseases. 17. The cytokine (Koyo) derived from the isolation and purification technique of human tumor cells according to claim 16, wherein the prepared vaccine is preferably an epithelial tumor selected from the group consisting of ovarian cancer cells and renal cancer cells. , lung cancer cells, breast cancer cells, nasopharyngeal carcinoma cells, cerebellar Zhao cell tumor cells, colon cancer cells, liver cancer cells, nerve glioblastoma, colorectal cancer, esophageal cancer, lung cancer cells and the like. 45
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