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[在使用低剂量重组白细胞介素-2的淋巴因子激活杀伤细胞对癌症患者进行过继性免疫治疗期间血液单核细胞的抑制和细胞毒性活性比较]

[A comparison of the suppressor and cytotoxic activities of the blood mononuclear cells during the adoptive immunotherapy of cancer patients using lymphokine-activated killers with a low dose of recombinant interleukin-2].

作者信息

Abronina I F, Kupriianova T A, Bolvachova A V, Bykovskaia S N, Dronova O M, Buachidze L I

出版信息

Biull Eksp Biol Med. 1991 Nov;112(11):519-21.

PMID:1839773
Abstract

The suppressor and cytotoxic activities of mononuclear blood cells (MNC) were studied in 70 cancer patients (melanoma, renal carcinoma) undergoing adoptive immunotherapy (AIT). In the course of AIT the patients' MNC were treated in vitro with the recombinant interleukin-2 (RIL-2) in order to generate the lymphokine-activated killer (LAK) cells. Then patients received i/v 2.5-13.6 10(9) autologous LAK cells and RIL-2 (75000 u). Each course included 2-3 repeated infusions; the patients received 1-5 courses according to their clinical conditions. The cytotoxic activity of MNC was assessed by a routine method; but for evaluation of the suppressor activity we used a new technique based on separation of MNS populations in the Percoll gradient. Twenty-four hours after the completion of each AIT course the suppressor activity of MNC decreased drastically up to the zero level in some patients. The decrease in the suppressor activity inversely correlated with the rise in the cytotoxic activity on Mel-I (LAK-sensitive) and K-562 (natural killer-sensitive) target cells. The level of cytotoxicity in some patients reached 51.2%.

摘要

对70例接受过继性免疫疗法(AIT)的癌症患者(黑色素瘤、肾癌)的单核血细胞(MNC)的抑制和细胞毒性活性进行了研究。在AIT过程中,患者的MNC在体外接受重组白细胞介素-2(RIL-2)处理,以产生淋巴因子激活的杀伤(LAK)细胞。然后患者静脉注射2.5 - 13.6×10⁹个自体LAK细胞和RIL-2(75000单位)。每个疗程包括2 - 3次重复输注;患者根据临床情况接受1 - 5个疗程。MNC的细胞毒性活性通过常规方法评估;但对于抑制活性的评估,我们使用了一种基于在Percoll梯度中分离MNS群体的新技术。在每个AIT疗程结束后24小时,一些患者的MNC抑制活性急剧下降至零水平。抑制活性的降低与对Mel-I(LAK敏感)和K-562(自然杀伤敏感)靶细胞的细胞毒性活性的升高呈负相关。一些患者的细胞毒性水平达到了51.2%。

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