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Cytokine-induced killer (CIK) cells are an ex vivo-expanded cellular immunotherapy developed by Robert Negrin and colleagues at Stanford University for the treatment of hematologic malignancies, including multiple myeloma. These cells are a unique population of T cells that express both T-cell (CD3) and natural killer (NK) cell (CD56) markers, typically generated by culturing peripheral blood lymphocytes with a sequence of interferon-gamma (IFN-γ), anti-CD3 monoclonal antibody (OKT3), and interleukin-2 (IL-2). CIK cells exert potent, non-MHC-restricted cytotoxic activity against tumor cells primarily through the NKG2D receptor pathway. A significant clinical advantage of this therapy is its ability to provide a graft-versus-leukemia effect with a markedly attenuated capacity for inducing graft-versus-host disease (GVHD) compared to conventional donor lymphocyte infusions, making it a viable post-transplant immunotherapy option.
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