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经导管将自体淋巴因子激活的杀伤细胞(LAK细胞)注入肝癌患者体内。

Transcatheter arterial injection of autologous lymphokine-activated killer (LAK) cells into patients with liver cancers.

作者信息

Komatsu T, Yamauchi K, Furukawa T, Obata H

机构信息

Division of Medicine, Tokyo Women's Medical College, Japan.

出版信息

J Clin Immunol. 1990 May;10(3):167-74. doi: 10.1007/BF00917917.

Abstract

We studied the effect of transcatheter arterial injection of lymphokine-activated killer (LAK) cells in conjunction with interleukin-2 on 13 patients with liver cancers, 9 primary hepatocellular carcinomas (HCC), and 4 metastatic liver cancers. Based on the fact that the LAK-cell phenomenon was observed to exist equally in these patients as in healthy controls, an injection of autologous LAK cells into these patients was performed. Of 13 patients receiving LAK cells plus interleukin-2, one had a partial response and three had minor responses. The response duration of this "partial-response" patient was around 6 months after the LAK-cell injection. Simultaneously, a reduction of serum AFP level was found in six of eight HCC patients. One patient having a minor response after receiving this therapy had severe side effects, such as dyspnea and hypotension. The others had only a transient fever which was easy to control by medication. Thus the present study indicates that a measurable tumor regression and a reduction of serum AFP level are observed in some liver cancers after undergoing this therapy.

摘要

我们研究了经导管动脉注射淋巴因子激活的杀伤细胞(LAK细胞)联合白细胞介素-2对13例肝癌患者的影响,其中9例为原发性肝细胞癌(HCC),4例为转移性肝癌。基于观察到这些患者中LAK细胞现象与健康对照中同样存在这一事实,对这些患者进行了自体LAK细胞注射。在接受LAK细胞加白细胞介素-2治疗的13例患者中,1例出现部分缓解,3例出现轻微缓解。这位“部分缓解”患者的缓解持续时间在LAK细胞注射后约6个月。同时,在8例HCC患者中的6例发现血清甲胎蛋白(AFP)水平降低。1例接受该治疗后出现轻微缓解的患者有严重副作用,如呼吸困难和低血压。其他患者仅有短暂发热,药物易于控制。因此,本研究表明,部分肝癌患者在接受该治疗后可观察到可测量的肿瘤消退和血清AFP水平降低。

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