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RetroNectin-activated killer (RAK) cells are an adoptive cell immunotherapy developed by the Chinese PLA General Hospital for the treatment of advanced gastric cancer. These cells are autologous peripheral blood lymphocytes (or in some study arms, derived from human umbilical cord blood) that are expanded and activated ex vivo using a combination of RetroNectin (a recombinant chimeric fibronectin fragment), anti-CD3 monoclonal antibodies, and cytokines such as Interleukin-2 (IL-2) and Interferon-gamma (IFN-γ). This activation process enhances the proliferative capacity and anti-tumor cytotoxicity of the cells compared to conventional cytokine-induced killer (CIK) cells. RAK cells primarily consist of CD8+ T cells and natural killer T (NKT) cells, which exert non-MHC-restricted cytolytic activity against tumor cells. The therapy is currently being evaluated in Phase 2 clinical trials in combination with the chemotherapy agent TAS-102 (trifluridine/tipiracil) for patients with recurrent or metastatic gastric cancer who have failed frontline therapy.
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