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癌症患者体内经白细胞介素-2治疗后,淋巴细胞体外T细胞反应受到抑制,同时白细胞介素-2反应增强。

Depressed in vitro T cell responses concomitant with augmented interleukin-2 responses by lymphocytes from cancer patients following in vivo treatment with interleukin-2.

作者信息

Hank J A, Sosman J A, Kohler P C, Bechhofer R, Storer B, Sondel P M

机构信息

Department of Human Oncology, University of Wisconsin, Madison.

出版信息

J Biol Response Mod. 1990 Feb;9(1):5-14.

PMID:2181071
Abstract

Peripheral blood lymphocytes obtained from cancer patients receiving interleukin-2 (IL-2) on two separate clinical protocols were evaluated for their in vitro responses to IL-2, alloantigens, and PHA. IL-2 in vivo induced enhanced in vitro proliferative responses to IL-2 and diminished in vitro proliferative responses to phytohemagglutinin (PHA) and alloantigens. Alloinduced cytotoxic T cell responses were also depressed following in vivo IL-2. We examined the kinetics of the in vitro proliferative response to PHA and IL-2 and found that while the response of lymphocytes primed in vivo with IL-2 to PHA was depressed at all times during the 2 week in vitro exposure, the response to IL-2 peaked earlier and higher than did the response to IL-2 by lymphocytes obtained prior to IL-2 therapy. These contrasting effects on antigen-induced T cell responses vs. IL-2 induced nonspecific proliferative and cytotoxic responses suggest the importance of dose and timing of IL-2 administration when used to enhance antigen-specific T cell responses or as an immune enhancing agent combined with vaccines.

摘要

对接受两种不同临床方案的白细胞介素-2(IL-2)治疗的癌症患者获取的外周血淋巴细胞,评估其对IL-2、同种异体抗原和PHA的体外反应。体内IL-2诱导对IL-2的体外增殖反应增强,而对植物血凝素(PHA)和同种异体抗原的体外增殖反应减弱。体内给予IL-2后,同种异体诱导的细胞毒性T细胞反应也受到抑制。我们研究了对PHA和IL-2的体外增殖反应动力学,发现虽然在体外暴露的2周内,体内用IL-2致敏的淋巴细胞对PHA的反应在任何时候都受到抑制,但对IL-2的反应比IL-2治疗前获取的淋巴细胞对IL-2的反应更早达到峰值且峰值更高。这些对抗原诱导的T细胞反应与IL-2诱导的非特异性增殖和细胞毒性反应的不同影响表明,当使用IL-2增强抗原特异性T细胞反应或作为与疫苗联合使用的免疫增强剂时,IL-2给药的剂量和时间很重要。

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1
Depressed in vitro T cell responses concomitant with augmented interleukin-2 responses by lymphocytes from cancer patients following in vivo treatment with interleukin-2.癌症患者体内经白细胞介素-2治疗后,淋巴细胞体外T细胞反应受到抑制,同时白细胞介素-2反应增强。
J Biol Response Mod. 1990 Feb;9(1):5-14.
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引用本文的文献

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Cancer Immunol Immunother. 1993;36(3):198-204. doi: 10.1007/BF01741092.
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Overexpression of 27-kDa heat-shock protein in MCF-7 breast cancer cells: effects on lymphocyte-mediated killing by natural killer and gamma delta T cells.27-kDa热休克蛋白在MCF-7乳腺癌细胞中的过表达:对自然杀伤细胞和γδT细胞介导的淋巴细胞杀伤作用的影响
Cancer Immunol Immunother. 1993 Aug;37(3):181-6. doi: 10.1007/BF01525433.
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Reversible anergy in circulating lymphocytes of cancer patients during interleukin-2 therapy.
癌症患者在白细胞介素-2治疗期间循环淋巴细胞中的可逆性无反应性
Cancer Immunol Immunother. 1994 Sep;39(3):167-71. doi: 10.1007/BF01533382.
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Antibody-targeted interleukin 2 stimulates T-cell killing of autologous tumor cells.抗体靶向白细胞介素2刺激T细胞杀伤自体肿瘤细胞。
Proc Natl Acad Sci U S A. 1992 Feb 15;89(4):1428-32. doi: 10.1073/pnas.89.4.1428.
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J Exp Med. 1990 Oct 1;172(4):1101-14. doi: 10.1084/jem.172.4.1101.