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Updated: May 5, 2026

Isolation and Expansion of Cytotoxic Cytokine-induced Killer T Cells for Cancer Treatment
Published on: January 24, 2020
Multiple cytotoxic factors involved in IL-21 enhanced antitumor function of CIK cells signaled through STAT-3 and
S Rajbhandary1, Ming-Feng Zhao, Nan Zhao
1Department of Hematology, Tianjin First Central Hospital, Tianjin, China
Background/Objectives:
Maintenance of cellular function in culture is vital for transfer and development following adoptive immunotherapy. Dual properties of IL-21 in activating T cells and reducing activation induced cell death led us to explore the mechanism of action of IL-21 enhanced proliferation and cytotoxic potential of CIK cells.
Method:
CIK cells cultured from PBMCs of healthy subjects were stimulated with IL-21 and cellular viability and cytotoxicity to K562 cells were measured. To elucidate the mechanism of action of IL-21, mRNA expression of cytotoxic factors was assessed by RT-PCR and protein expression of significantly important cytotoxic factors and cytokine secretion were determined through flow cytometry and ELISA. Western blotting was performed to check the involvement of the JAK/STAT pathway following stimulation.
Results:
We found that IL-21 did not enhance in vitro proliferation of CIK cells, but did increase the number of cells expressing the CD3+/ CD56+ phenotype. Cytotoxic potential was increased with corresponding increase in perforin (0.9831±0.1265 to 0.7592±0.1457), granzyme B (0.4084±0.1589 to 0.7319±0.1639) and FasL (0.4015±0.2842 to 0.7381±0.2568). Interferon gamma and TNF-alpha were noted to increase (25.8±6.1 ng/L to 56.0±2.3 ng/L; and 5.64±0.61 μg/L to 15.14±0.93 μg/L, respectively) while no significant differences were observed in the expression of granzyme A, TNF-alpha and NKG2D, and NKG2D. We further affirmed that IL-21 signals through the STAT-3 and STAT- 5b signaling pathway in the CIK cell pool.
Conclusion:
IL-21 enhances cytotoxic potential of CIK cells through increasing expression of perforin, granzyme B, IFN-gamma and TNF-alpha. The effect is brought about by the activation of STAT-3 and STAT-5b proteins.
Insights
Interleukin-21 (IL-21) enhances the cytotoxic potential of cytokine-induced killer (CIK) cells by increasing key cytotoxic factors, mediated through the STAT-3 and STAT-5b signaling pathways.
Area of Science:
- Immunology
- Cell Biology
- Cancer Therapy
Background:
- Adoptive immunotherapy relies on maintaining cellular function in culture.
- Interleukin-21 (IL-21) has dual properties: T cell activation and reduction of cell death.
Purpose of the Study:
- To explore the mechanism by which IL-21 enhances the proliferation and cytotoxic potential of cytokine-induced killer (CIK) cells.
Main Methods:
- CIK cells were stimulated with IL-21.
- Cellular viability and cytotoxicity were measured.
- mRNA and protein expression of cytotoxic factors were assessed via RT-PCR, flow cytometry, and ELISA.
- JAK/STAT pathway involvement was analyzed by Western blotting.
Main Results:
- IL-21 did not enhance CIK cell proliferation but increased CD3+/CD56+ phenotype expression.
- Cytotoxic potential increased, with significant upregulation of perforin, granzyme B, and FasL.
- Interferon-gamma and TNF-alpha levels increased significantly.
- IL-21 signaling involved the STAT-3 and STAT-5b pathways.
Conclusions:
- IL-21 enhances CIK cell cytotoxic potential by upregulating perforin, granzyme B, IFN-gamma, and TNF-alpha.
- This enhancement is mediated by the activation of STAT-3 and STAT-5b proteins.
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