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重组干扰素α在癌症患者长期治疗期间的免疫抑制作用。

Immunosuppressive effects of recombinant interferon-alpha during long-term treatment of cancer patients.

作者信息

Teichmann J V, Sieber G, Ludwig W D, Ruehl H

机构信息

Department of Hematology and Oncology, Free University of Berlin, FRG.

出版信息

Cancer. 1989 May 15;63(10):1990-3. doi: 10.1002/1097-0142(19890515)63:10<1990::aid-cncr2820631020>3.0.co;2-e.

DOI:10.1002/1097-0142(19890515)63:10<1990::aid-cncr2820631020>3.0.co;2-e
PMID:2702571
Abstract

Interferons (IFN) are known to modulate immune responses in an either stimulatory or inhibitory manner. Most of the knowledge about immunomodulatory activities of IFN comes from investigations of IFN effects on cells in vitro. This study examines the influence which long-term treatment with recombinant interferon-alpha 2 exerts on immune functions in cancer patients. Serial in vitro immune function studies of peripheral blood mononuclear cells were done to determine parameters of B-cell and T-cell functions as well as natural killer (NK)-cell activity. The authors detected profound suppression of in vitro immunoglobulin synthesis and lymphocyte proliferation as well as depression of NK-cell activity during IFN treatment. All suppressed immune functions normalized on discontinuation of IFN therapy. The authors conclude from these observations that, apart from their beneficial effects, IFN produce substantial immunosuppression.

摘要

已知干扰素(IFN)以刺激或抑制的方式调节免疫反应。关于IFN免疫调节活性的大部分知识来自于对IFN体外作用于细胞的研究。本研究探讨了重组干扰素α2长期治疗对癌症患者免疫功能的影响。对外周血单核细胞进行了系列体外免疫功能研究,以确定B细胞和T细胞功能参数以及自然杀伤(NK)细胞活性。作者发现,在IFN治疗期间,体外免疫球蛋白合成和淋巴细胞增殖受到显著抑制,NK细胞活性降低。在停止IFN治疗后,所有受抑制的免疫功能均恢复正常。作者从这些观察结果得出结论,IFN除了具有有益作用外,还会产生显著的免疫抑制作用。

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Immunosuppressive effects of recombinant interferon-alpha during long-term treatment of cancer patients.重组干扰素α在癌症患者长期治疗期间的免疫抑制作用。
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引用本文的文献

1
Enhancement of the antibody-dependent cellular cytotoxicity of human peripheral blood lymphocytes with interleukin-2 and interferon alpha.白细胞介素-2和α干扰素增强人外周血淋巴细胞的抗体依赖性细胞毒性
Cancer Immunol Immunother. 1993;36(3):163-70. doi: 10.1007/BF01741087.
2
Potential uses of interferon alpha 2 as adjuvant therapy in cancer.α-2干扰素作为癌症辅助治疗的潜在用途。
Ann Surg Oncol. 1995 Jul;2(4):365-71. doi: 10.1007/BF02307071.
3
Clinical toxicity of the interferons.
Drug Saf. 1994 Feb;10(2):115-50. doi: 10.2165/00002018-199410020-00003.
4
The role of interferons in the treatment of malignant neoplasms.干扰素在恶性肿瘤治疗中的作用。
Yale J Biol Med. 1989 May-Jun;62(3):271-90.
5
Differential sensitivity of renal cell carcinoma xenografts towards therapy with interferon-alpha, interferon-gamma, tumor necrosis factor and their combinations.肾细胞癌异种移植瘤对α干扰素、γ干扰素、肿瘤坏死因子及其联合治疗的敏感性差异。
Urol Res. 1991;19(2):91-8. doi: 10.1007/BF00368183.