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[淋巴因子激活的杀伤细胞(LAK)和白细胞介素-2(IL-2)疗法改善了一名B细胞非霍奇金淋巴瘤患者的淋巴结病]

[Lymphokine-activated killer (LAK) cells and interleukin-2 (IL-2) therapy that improved lymphadenopathy in a patient with B cell non-Hodgkin's lymphoma].

作者信息

Nakata K, Ogawa R, Wake A, Sato T, Nagata K, Mori N, Tsukada J, Misago M, Zeki K, Morimoto I

机构信息

Blood Transfusion Unit of University Hospital, University of Occupational and Environmental Health, UOEH.

出版信息

Rinsho Ketsueki. 1992 Feb;33(2):205-10.

PMID:1635170
Abstract

A 70-year-old man was admitted to our hospital on March 9, 1989 because of fever, superficial generalized lymphadenopathy, upper abdominal mass and right pleural effusion. The diagnosis of non-Hodgkin's lymphoma (follicular medium sized cell type, B cell) was made by a biopsy of the neck lymph node. Peripheral blood mononuclear cells were obtained from the patient by cytopheresis. The cells were cultured for 8 days with interleukin-2 (IL-2) to generate Lymphokine-activated killer (LAK) cells. The patient received a total of 7.7 x 10(9) LAK cells intravenously over a period of 3 weeks. He also received continuous intravenous infusion of IL-2 for 17 days, starting 2 days before the first infusion of LAK cells. After this therapy, although his superficial generalized lymphadenopathy disappeared or decreased in size, the size of the upper abdominal mass did not decrease. Therefore, it is suggested that adoptive immunotherapy is a beneficial treatments for B cell lymphoma. However, LAK cells should be generated in much larger quantities for a more successful therapeutic result.

摘要

一名70岁男性于1989年3月9日因发热、全身浅表淋巴结肿大、上腹部肿块及右侧胸腔积液入住我院。经颈部淋巴结活检确诊为非霍奇金淋巴瘤(滤泡性中等大小细胞型,B细胞)。通过血细胞分离术从患者外周血中获取单个核细胞。将细胞与白细胞介素-2(IL-2)培养8天以产生淋巴因子激活的杀伤(LAK)细胞。患者在3周内共静脉输注7.7×10⁹个LAK细胞。他还在首次输注LAK细胞前两天开始连续静脉输注IL-2共17天。经过该治疗后,尽管他的全身浅表淋巴结肿大消失或缩小,但上腹部肿块大小并未减小。因此,提示过继性免疫疗法对B细胞淋巴瘤是一种有益的治疗方法。然而,为了获得更成功的治疗效果,应大量产生LAK细胞。

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