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乳腺癌患者外周血白细胞表型:多柔比星/紫杉醇联合化疗的影响

The peripheral blood leukocyte phenotype in patients with breast cancer: effect of doxorubicin/paclitaxel combination chemotherapy.

作者信息

Melichar B, Tousková M, Dvorák J, Jandík P, Kopecký O

机构信息

Department of Oncology & Radiotherapy, Charles University Medical School & Teaching Hospital, Hradec Králové, Czech Republic.

出版信息

Immunopharmacol Immunotoxicol. 2001 May;23(2):163-73. doi: 10.1081/iph-100103857.

Abstract

Presence of functional immune system is critical for any attempt aimed at improving survival of breast cancer patients by strategies based on immune system manipulation. We evaluated by flow cytometry the phenotype of peripheral blood leukocyte of 43 breast cancer patients. In 11 patients, the phenotype was evaluated before and during the chemotherapy by combination of doxorubicin and paclitaxel (AT). Compared with controls breast cancer patients had significantly higher relative and absolute numbers of CD3 HLA-DR+, CD3+CD69+ and CD14+CD16+, and significantly lower percentages of CD3 and CD8+CD28+ cells. After one cycle of AT, the absolute numbers of CD3 , CD3+CD4+, CD3+CD8+ and CD8+CD28+ cells increased significantly. Present data show a presence of T-cell activation in breast cancer patients. Administration of AT may lead to an increase in functional T-cells in peripheral blood, indicating a potential for combining chemotherapy with immunotherapy in the treatment of breast cancer patients.

摘要

功能性免疫系统的存在对于任何旨在通过基于免疫系统操纵的策略来提高乳腺癌患者生存率的尝试都至关重要。我们通过流式细胞术评估了43例乳腺癌患者外周血白细胞的表型。在11例患者中,在使用阿霉素和紫杉醇联合化疗(AT)之前和期间评估了表型。与对照组相比,乳腺癌患者CD3 HLA-DR+、CD3+CD69+和CD14+CD16+的相对和绝对数量显著更高,而CD3和CD8+CD28+细胞的百分比显著更低。经过一个周期的AT治疗后,CD3、CD3+CD4+、CD3+CD8+和CD8+CD28+细胞的绝对数量显著增加。目前的数据表明乳腺癌患者存在T细胞活化。AT治疗可能导致外周血中功能性T细胞增加,这表明在乳腺癌患者的治疗中化疗与免疫治疗联合应用具有潜力。

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