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Updated: Jan 30, 2026

Isolation and Expansion of Cytotoxic Cytokine-induced Killer T Cells for Cancer Treatment
Published on: January 24, 2020
Efficacy of cytokine-induced killer cells targeting CD40 and GITR
Kaja D Biederbick1, Ingo G H Schmidt-Wolf2
1Department of Internal Medicine III, University Hospital Bonn, D-53105 Bonn, Germany.
Abstract:
Since the publication of a novel protocol in 1991, cytokine-induced killer (CIK) cells have shown promising results in the treatment against neoplastic diseases. Despite ongoing preclinical and clinical studies, CIK cell treatment in the context of human monoclonal antibodies targeting tumor-necrosis factor receptors remains overlooked. The present study investigated whether a combination of CIK cells with human monoclonal antibody anti-CD40 and anti-Glucocorticoid-induced TNF-related protein (GITR) would lead to further cytotoxicity against tumor cells expressing CD40 and GITR ligand (L). Therefore, in vitro experiments with human lymphoma cell lines SU-DHL-4 and Daudi (both CD40 positive) and human breast adenocarcinoma MCF-7 (GITRL positive) were performed and the secretion of interferon (IFN)-γ was measured. Three interesting results emerged: i) a combination of CIK cells and anti-CD40 mAb is more effective than CIK cell treatment alone; ii) the use of anti-GITR mAb and CIK cells significantly enhanced the cytotoxicity of CIK cells against MCF-7 compared with single CIK cell treatment and iii) the combination of both antibodies and CIK cells abrogates the anti tumoral effect of CIK cells on all three cell lines. By performing an ELISA for IFN-γ measurement, a lower secretion was observed when anti-CD40 or anti-GITR mAb was added. This outcome indicates that further studies in vitro and in vivo may aid in understanding the synergistic molecular mechanisms of CIK cells, and anti-CD40 and anti-GITR mAb.
Insights
Combining cytokine-induced killer (CIK) cells with anti-CD40 or anti-GITR monoclonal antibodies shows varied effects on tumor cell cytotoxicity. While individual antibodies enhance CIK cell effectiveness, their combined use abrogates the anti-tumoral impact.
Area of Science:
- Immunology
- Oncology
- Cell Therapy
Background:
- Cytokine-induced killer (CIK) cells show promise in treating neoplastic diseases.
- The combination of CIK cells with tumor necrosis factor receptor-targeting monoclonal antibodies is understudied.
- CD40 and Glucocorticoid-induced TNF-related protein (GITR) are tumor-associated targets.
Purpose of the Study:
- To investigate the combined efficacy of CIK cells with anti-CD40 and anti-GITR monoclonal antibodies (mAbs).
- To assess the impact on cytotoxicity against tumor cells expressing CD40 and GITR ligand (L).
- To measure interferon-gamma (IFN-γ) secretion as an indicator of immune response.
Main Methods:
- In vitro experiments using human lymphoma cell lines (SU-DHL-4, Daudi) and breast adenocarcinoma cell line (MCF-7).
- Treatment groups included CIK cells alone, CIK cells with anti-CD40 mAb, CIK cells with anti-GITR mAb, and CIK cells with both mAbs.
- Cytotoxicity was assessed, and IFN-γ secretion was measured using ELISA.
Main Results:
- Combination of CIK cells and anti-CD40 mAb demonstrated enhanced cytotoxicity compared to CIK cells alone.
- Anti-GITR mAb combined with CIK cells significantly increased cytotoxicity against MCF-7 cells.
- The simultaneous use of both anti-CD40 and anti-GITR mAbs with CIK cells abrogated the anti-tumoral effect across all tested cell lines.
- Lower IFN-γ secretion was observed when either anti-CD40 or anti-GITR mAb was added to CIK cells.
Conclusions:
- Individual anti-CD40 and anti-GITR mAbs can enhance CIK cell-mediated cytotoxicity.
- Combined application of both antibodies with CIK cells leads to an antagonistic effect, reducing anti-tumoral activity.
- Further in vitro and in vivo studies are needed to elucidate the complex synergistic and antagonistic molecular mechanisms involved.
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