# Irreversible electroporation plus allogenic Vγ9Vδ2 T cells enhances antitumor effect for locally advanced pancreatic cancer patients

**Authors:** Mao Lin, Xiaoyan Zhang, Shuzhen Liang, Haihua Luo, Mohammed Alnaggar, Aihua Liu, Zhinan Yin, Jibing Chen, Lizhi Niu, Yong Jiang

PMC · DOI: 10.1038/s41392-020-00260-1 · Signal Transduction and Targeted Therapy · 2020-10-23

## TL;DR

Combining irreversible electroporation with allogeneic gamma delta T cells improves survival in locally advanced pancreatic cancer patients.

## Contribution

This study demonstrates that combining IRE with allogeneic γδ T-cell therapy improves survival outcomes in LAPC patients.

## Key findings

- Group A patients receiving IRE plus γδ T-cell therapy had longer median OS (14.5 months) compared to group B (11 months).
- Patients receiving multiple γδ T-cell infusions had even longer OS (17 months) than those with a single infusion (13.5 months).
- IRE combined with allogeneic γδ T-cell infusion is a promising strategy for enhancing antitumor efficacy in LAPC.

## Abstract

Immunotherapy has limited efficacy against locally advanced pancreatic cancer (LAPC) due to the presence of an immunosuppressive microenvironment (ISM). Irreversible electroporation (IRE) can not only induce immunogenic cell death, but also alleviate immunosuppression. This study aimed to investigate the antitumor efficacy of IRE plus allogeneic γδ T cells in LAPC patients. A total of 62 patients who met the eligibility criteria were enrolled in this trial, then randomized into two groups (A: n = 30 and B: n = 32). All patients received IRE therapy and after receiving IRE, the group A patients received at least two cycles of γδ T-cell infusion as one course continuously. Group A patients had better survival than group B patients (median OS: 14.5 months vs. 11 months; median PFS: 11 months vs. 8.5 months). Moreover, the group A patients treated with multiple courses of γδ T-cell infusion had longer OS (17 months) than those who received a single course (13.5 months). IRE combined with allogeneic γδ T-cell infusion is a promising strategy to enhance the antitumor efficacy in LAPC patients, yielding extended survival benefits.

ClinicalTrials.gov ID: NCT03180437.

## Linked entities

- **Diseases:** pancreatic cancer (MONDO:0005192)

## Full-text entities

- **Genes:** PTPRC (protein tyrosine phosphatase receptor type C) [NCBI Gene 5788] {aka B220, CD45, CD45R, GP180, IMD105, L-CA}, HLA-C (major histocompatibility complex, class I, C) [NCBI Gene 3107] {aka D6S204, HLA-JY3, HLAC, HLC-C, MHC, PSORS1}, CMPK1 (cytidine/uridine monophosphate kinase 1) [NCBI Gene 51727] {aka CK, CMK, CMPK, UMK, UMP-CMPK, UMPK}, APP (amyloid beta precursor protein) [NCBI Gene 351] {aka AAA, ABETA, ABPP, AD1, APPI, CTFgamma}, LTA (lymphotoxin alpha) [NCBI Gene 4049] {aka LT, TNFB, TNFSF1, TNLG1E}, ERBB2 (erb-b2 receptor tyrosine kinase 2) [NCBI Gene 2064] {aka CD340, HER-2, HER-2/neu, HER2, MLN 19, MLN-19}, CD4 (CD4 molecule) [NCBI Gene 920] {aka CD4mut, IMD79, Leu-3, OKT4D, T4}, KLRK1 (killer cell lectin like receptor K1) [NCBI Gene 22914] {aka CD314, D12S2489E, KLR, NKG2-D, NKG2D}, CD8A (CD8 subunit alpha) [NCBI Gene 925] {aka CD8, CD8alpha, IMD116, Leu2, p32}, IL2 (interleukin 2) [NCBI Gene 3558] {aka IL-2, TCGF, lymphokine}, PDCD1 (programmed cell death 1) [NCBI Gene 5133] {aka ADMIO4, AIMTBS, CD279, PD-1, PD1, SLEB2}, IFNG (interferon gamma) [NCBI Gene 3458] {aka IFG, IFI, IMD69}, CD44 (CD44 molecule (IN blood group)) [NCBI Gene 960] {aka CDW44, CSPG8, ECM-III, ECMR-III, H-CAM, HCELL}, TLR7 (toll like receptor 7) [NCBI Gene 100037296]
- **Diseases:** ascites (MESH:D001201), loss of appetite (MESH:D001068), PDAC (MESH:D010190), biliary obstruction (MESH:D001658), autoimmune disease (MESH:D001327), nausea (MESH:D009325), OS (MESH:D011475), glioblastoma (MESH:D005909), hematemesis (MESH:D006396), diarrhea (MESH:D003967), abdominal pain (MESH:D015746), portal hypertension (MESH:D006975), cholangiocarcinoma (MESH:D018281), IRE (MESH:D001926), coronary disease (MESH:D003327), pancreatic fistula (MESH:D010185), follicular lymphoma (MESH:D008224), inflammatory (MESH:D007249), breast cancer (MESH:D001943), grade V AEs (MESH:D064420), hypertension (MESH:D006973), HIV infection (MESH:D015658), coagulopathy (MESH:D001778), gastrointestinal symptoms (MESH:D012817), compromised liver function (MESH:D056486), gastroparesis (MESH:D018589), hepatitis B (MESH:D006509), vomiting (MESH:D014839), pancreatitis (MESH:D010195), abscesses (MESH:D000038), cholangitis (MESH:D002761), allergy (MESH:D004342), Cancer (MESH:D009369), portal vein thrombosis (MESH:D012170), bleeding from duodenum (MESH:D004379), suppression (MESH:D000550)
- **Chemicals:** Gemcitabine (MESH:D000093542), FOLFIRINOX (MESH:C000627770), herceptin (MESH:D000068878), 5-fluorouracil, leucovorin, irinotecan, and oxaliplatin (-),  (MESH:D000970)
- **Species:** Mus musculus (house mouse, species) [taxon 10090], Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC7582168/full.md

## References

46 references — full list in the complete paper: https://tomesphere.com/paper/PMC7582168/full.md

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Source: https://tomesphere.com/paper/PMC7582168