Yu Da-Ping, Han Yi, Zhao Qiu-Yue, Liu Zhi-Dong
Second Department of Thoracic Surgery, Beijing Chest Hospital, Capital Medical University, Beijing, China E-mail :
Asian Pac J Cancer Prev. 2014;15(6):2685-8. doi: 10.7314/apjcp.2014.15.6.2685.
To explore the prevalence of lymphocyte subgroups CD3+ CD4+ and CD3+ CD8+ and their surface receptors NKG2D and NKG2A in patients with non-small cell lung cancer (NSCLC).
A total of 40 patients with NSCLC were divided into different groups according to different clinical factors (TNM staging, pathological patterns and genders) for assessment of relations with CD3+ CD4+ and CD3+ CD8+ and the surface receptors NKG2D and NKG2A of T lymphocytes in peripheral blood by flow cytometry.
Patients in the advanced group had evidently lower levels of CD3+ CD4+ but markedly higher levels of CD3+ CD8+ in peripheral blood than those with early lesions (p<0.05). In addition, NSCLC patients in the advanced group had obviously higher CD3+ CD4+ NKG2D and CD3+ CD8+ NKG2A expression rates but lower CD3+ CD4+ NKG2A and CD3+ CD8+ NKG2D expression rates (p<0.05). However, there were no significant differences between NSCLC patients with different genders and pathological patterns in expression levels of lymphocyte subgroups CD3+ CD4+ and CD3+ CD8+ and their surface receptors NKG2D and NKG2A.
Unbalanced expression of surface receptors NKG2D and NKG2A in CD3+ CD4+ and CD3+ CD8+ lymphocytes may be associated with a poor prognosis, greater malignancy and immunological evasion by advanced cancers, related to progression of lung cancer.
探讨非小细胞肺癌(NSCLC)患者淋巴细胞亚群CD3 + CD4 +和CD3 + CD8 +及其表面受体NKG2D和NKG2A的患病率。
40例NSCLC患者根据不同临床因素(TNM分期、病理类型和性别)分组,采用流式细胞术评估外周血中CD3 + CD4 +和CD3 + CD8 +以及T淋巴细胞表面受体NKG2D和NKG2A的相关性。
晚期组患者外周血中CD3 + CD4 +水平明显低于早期病变患者,但CD3 + CD8 +水平明显高于早期病变患者(p<0.05)。此外,晚期NSCLC患者CD3 + CD4 + NKG2D和CD3 + CD8 + NKG2A表达率明显较高,但CD3 + CD4 + NKG2A和CD3 + CD8 + NKG2D表达率较低(p<0.05)。然而,不同性别和病理类型的NSCLC患者在淋巴细胞亚群CD3 + CD4 +和CD3 + CD8 +及其表面受体NKG2D和NKG2A的表达水平上无显著差异。
CD3 + CD4 +和CD3 + CD8 +淋巴细胞中表面受体NKG2D和NKG2A的表达失衡可能与预后不良、恶性程度较高以及晚期癌症的免疫逃逸有关,与肺癌进展相关。