Vaquero J, Martínez R, Oya S, Coca S, Barbolla L, Ramiro J, Salazar F G
Department of Neurosurgery, Puerta de Hierro Clinic, Autonomous University, Madrid, Spain.
Acta Neurochir (Wien). 1989;98(1-2):35-41. doi: 10.1007/BF01407174.
Preliminary experience with a clinical trial of immunotherapy for glioblastoma, by means of intratumoural injection of autologous lymphocytes (AL) mixed with low doses of human lymphoblastoid interferon (HLI) is presented. In two of twelve patients, a transient reduction of tumoural volume was obtained. Morphological studies showed that injected lymphocytes remain within the tumour, and suggest tumoural lysis due to activity of natural killer (NK) cells. Clinically no significant prolongation of survival time could be achieved and, as in other series, patients with additional radiation therapy survived longer. But the morphological findings suggest that immunotherapy carrying NK-cells to contact with tumoural cells might be useful in some patients with glioblastoma. Actually no explanation can be given why only two of our cases responded positively. Regarding the otherwise poor prognosis it seems justified to continue these studies.
本文介绍了通过瘤内注射自体淋巴细胞(AL)与低剂量人淋巴母细胞干扰素(HLI)混合制剂对胶质母细胞瘤进行免疫治疗的临床试验初步经验。12名患者中有2名肿瘤体积出现短暂缩小。形态学研究表明,注入的淋巴细胞留在肿瘤内,提示自然杀伤(NK)细胞的活性导致肿瘤溶解。临床上未能显著延长生存时间,与其他系列研究一样,接受额外放射治疗的患者存活时间更长。但形态学结果表明,携带NK细胞与肿瘤细胞接触的免疫治疗可能对某些胶质母细胞瘤患者有用。实际上,无法解释为何我们的病例中只有2例有阳性反应。鉴于预后不佳,继续这些研究似乎是合理的。