Ge Y G, Gao H, Kong X T
Department of Surgery, Chang Zheng Hospital, Shanghai, China.
J Surg Oncol. 1989 Sep;42(1):60-8. doi: 10.1002/jso.2930420113.
In exploring the mechanism of the effect of splenectomy on tumor growth, splenectomized rats and other control rats were implanted subcutaneously with Walker 256 carcinosarcoma cells (5 x 10(5] on day 10 after splenic operation; meanwhile, peripheral T-lymphocyte subsets were analysed successively. It was found that splenectomy enhanced the rate of tumor appearance and mean tumor diameter and disturbed the equation of T-lymphocyte subsets in peripheral blood, i.e., a subnormal level of Th/Ts ratio. Interestingly, a significant correlation was noted between decreasing values of Th/Ts ratio and increasing average diameters of implanted tumor in splenectomized rats, but not in sham-splenectomized or nonoperated rats with tumor growth. In spleen cells from tumor-bearing rats, a distinct increase of B-lymphocytes and a decrease of T cells were demonstrated. Data from this investigation provide striking evidence that a relationship exists between enhancement of tumor growth and disproportion of T-lymphocyte subsets in peripheral blood and offer some reasonable explanation for the causes of the promotive role of tumor growth following splenectomy.
在探索脾切除对肿瘤生长影响的机制时,对脾切除大鼠和其他对照大鼠在脾切除术后第10天皮下接种Walker 256癌肉瘤细胞(5×10⁵);同时,连续分析外周血T淋巴细胞亚群。结果发现,脾切除提高了肿瘤出现率和平均肿瘤直径,并扰乱了外周血T淋巴细胞亚群的平衡,即Th/Ts比值低于正常水平。有趣的是,在脾切除大鼠中,Th/Ts比值的降低值与植入肿瘤平均直径的增加之间存在显著相关性,但在假脾切除或有肿瘤生长的未手术大鼠中则不存在这种相关性。在荷瘤大鼠的脾细胞中,B淋巴细胞明显增加,T细胞减少。本研究数据提供了有力证据,表明外周血中肿瘤生长增强与T淋巴细胞亚群失衡之间存在关联,并为脾切除后促进肿瘤生长的原因提供了一些合理的解释。