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恶性黑色素瘤的免疫疗法(主动特异性和非特异性免疫刺激)(作者译)

[Immunotherapy of malignant melanoma (active specific and non-specific immune stimulation) (author's transl)].

作者信息

Kokoschka E M, Micksche M

出版信息

Wien Klin Wochenschr. 1976 Nov 12;88(21):690-6.

PMID:1007279
Abstract

A prospective study was carried out on patients with stage I to III malignant melanoma. Following tumour resection these patients were treated with membrane extracts of autologous tumor tissue and BCG (Pasteur) or BCG alone by intradermal injections weekly for a minimum period of 6 months. They were followed up immunologically by delayed cutaneous hypersensitivity reactions: skin tests with recall antigens, PHA, with autologous tumour membrane extracts and challenge to 2-4-dinitrochlorobenzene (DNCB). The lymphocytic reactivity was assessed in vitro by means of the direct lymphocytic migration inhibition assay, purified tuberculin and autologous or allogoneic tumour extracts being used as antigens; the lymphocytic blastogenic response to PHA was also investigated. This study, which includes the data of 50 patients, demonstrates that it is possible to increase tumour--specific and general immune reactivity by this form of treatment.

摘要

对Ⅰ至Ⅲ期恶性黑色素瘤患者进行了一项前瞻性研究。肿瘤切除后,这些患者接受自体肿瘤组织膜提取物和卡介苗(巴斯德株)治疗,或仅接受卡介苗治疗,通过皮内注射,每周一次,最少持续6个月。通过迟发性皮肤超敏反应对他们进行免疫学随访:用回忆抗原、PHA、自体肿瘤膜提取物进行皮肤试验,并对2,4-二硝基氯苯(DNCB)进行激发试验。通过直接淋巴细胞迁移抑制试验在体外评估淋巴细胞反应性,使用纯化结核菌素和自体或异体肿瘤提取物作为抗原;还研究了淋巴细胞对PHA的增殖反应。这项研究纳入了50例患者的数据,表明通过这种治疗方式可以提高肿瘤特异性和全身免疫反应性。

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