Vucković Lj, Stanojević N, Rajner L, Susnjar S
Glas Srp Akad Nauka Med. 1991(41):87-96.
The nonspecific immune competence was investigated in three groups of patients with bronchogenic lung cancer: group I (n = 30) was tested prior to any therapy; group II (n = 8) after radiotherapy; and group III (n = 13) after the end of combined radio and immunotherapeutical (Thymex-L) treatment. A total of 46 healthy persons served as control group. Both cellular (the number and function of T cells and mononuclear phagocytes) and humoral (the number of B cells and the levels of serum immunoglobulins and immune complexes) immune reactivity were tested. The number of T cells and B cells, as well as their function, were markedly depressed in a majority of patients before therapy; the number and reactivity of phagocytes were significantly higher in patients than in controls. The radiologic treatment caused further decrease of T cell number and function. The number of phagocytes was significantly higher than before radiotherapy. This treatment had no effect on the parameters of humoral immunity. All these parameters were less affected in patients who were simultaneously treated by irradiation and Thymex-L; no effect was seen on the humoral immunity, except the immune complexes, which returned to normal values only in that group of patients.
第一组(n = 30)在任何治疗之前进行检测;第二组(n = 8)在放疗后检测;第三组(n = 13)在放疗和免疫治疗(胸腺五肽)联合治疗结束后检测。共有46名健康人作为对照组。对细胞免疫(T细胞和单核吞噬细胞的数量及功能)和体液免疫(B细胞数量、血清免疫球蛋白和免疫复合物水平)反应性均进行了检测。大多数患者在治疗前T细胞和B细胞的数量及其功能均显著降低;患者吞噬细胞的数量和反应性明显高于对照组。放射治疗导致T细胞数量和功能进一步下降。吞噬细胞数量显著高于放疗前。这种治疗对体液免疫参数没有影响。在同时接受放疗和胸腺五肽治疗的患者中,所有这些参数受影响较小;对体液免疫没有影响,只有该组患者的免疫复合物恢复到正常水平。