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[重组白细胞介素-2局部给药治疗头颈癌时肿瘤组织的免疫组织学研究]

[Immunohistology of tumor tissue in local administration of recombinant interleukin-2 in head and neck cancer].

作者信息

Saito T, Kawaguti T, Yoda J, Kimura T, Tabata T

出版信息

Nihon Jibiinkoka Gakkai Kaiho. 1989 Aug;92(8):1271-6. doi: 10.3950/jibiinkoka.92.1271.

Abstract

Biopsied specimens from patients treated by local administration of rIL-2 were examined immunohistologically. Lymphocytes infiltrating into the cancer tissue before and after administration of rIL-2 were observed on paraffin embedded sections by Hematoxilin Eosin (HE) stain in relation to the clinical effect. And their subsets were identified on frozen sections by Avidin Biotin peroxidase Complex (ABC) method using monoclonal antibodies to examine what kinds of effector cells were induced and increased in the tumor site by rIL-2 in vivo. The intensity of increasing of tumor infiltrating lymphocytes (TIL) was correlated with the clinical effect of local administration of rIL-2. Tumor Infiltrating Lymphocytes were mainly T lymphocytes, of which Leu-2a+ cells (suppressor/cytotoxic T cells) and Leu-3a + 3b+ cells (helper/inducer T cells) were almost equally observed. Leu-2a+ cells were considered to be mainly cytotoxic T lymphocytes because few Leu-2a+ cells were stained with anti-Leu-15 antibody. After administration of rIL-2, marked infiltration of T lymphocytes was observed and there was no obvious different response in degree of infiltration between Leu-2a+ cells and Leu 3a + 3b+ cells. Furthermore, IL-2 receptor+ T lymphocytes (activated T lymphocytes) were increased after administration of rIL-2. And natural killer (NK) cells were slightly observed and also increased after administration of rIL-2. These findings suggest local administration of rIL-2 has possibility to induce cytotoxic T lymphocytes, to increase NK cells and to activate these lymphocytes in vivo.

摘要

对接受局部注射重组白细胞介素-2(rIL-2)治疗的患者的活检标本进行了免疫组织学检查。通过苏木精-伊红(HE)染色,在石蜡包埋切片上观察了rIL-2给药前后浸润到癌组织中的淋巴细胞,并分析其与临床疗效的关系。使用单克隆抗体,通过抗生物素蛋白-生物素过氧化物酶复合物(ABC)法在冰冻切片上鉴定这些淋巴细胞的亚群,以研究rIL-2在体内肿瘤部位诱导并增加了何种效应细胞。肿瘤浸润淋巴细胞(TIL)增加的强度与局部注射rIL-2的临床疗效相关。肿瘤浸润淋巴细胞主要为T淋巴细胞,其中Leu-2a+细胞(抑制/细胞毒性T细胞)和Leu-3a + 3b+细胞(辅助/诱导T细胞)的数量大致相等。由于很少有Leu-2a+细胞被抗Leu-15抗体染色,因此Leu-2a+细胞被认为主要是细胞毒性T淋巴细胞。注射rIL-2后,观察到T淋巴细胞明显浸润,并且Leu-2a+细胞和Leu 3a + 3b+细胞在浸润程度上没有明显差异。此外,注射rIL-2后,IL-2受体阳性T淋巴细胞(活化的T淋巴细胞)增加。并且观察到少量自然杀伤(NK)细胞,注射rIL-2后也增加。这些发现表明,局部注射rIL-2有可能在体内诱导细胞毒性T淋巴细胞、增加NK细胞并激活这些淋巴细胞。

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