Fujisawa T, Fukasawa T, Saitoh Y, Urabe N, Nomoto Y, Yamakawa H, Baba M, Kimura H, Yamaguchi Y
Dept. of Surgery, Chiba Univ. School of Med.
Gan No Rinsho. 1988 Nov;34(14):1922-6.
The objective of this study of 27 primary lung resected cancer patients was to evaluate sequentially the cytotoxic activity against autologous and allogeneic tumor cells during the postoperative period. In patients given a complete resection, the cytotoxic activity against the autologous tumor cells during the postoperative 1-2 weeks was significantly higher than during the postoperative 4-5 weeks (P less than 0.05, Student t test). In patients given an incomplete resection, however, no significant difference was demonstrated between the postoperative 1-2 weeks and during the postoperative 4-5 weeks. In contrast, the cytotoxic activity against the PC-3 cells or K562 cells during the postoperative 4-5 weeks tended to rise in comparison to those at the postoperative 1-2 weeks all patients in any cancer stage and whatever the amount of their lung resection. The phenotype of the effector cells which mediated the cytotoxic activity to the autologous tumor cells was the monoclonal antibody OKT 3(+), 8(+), 4(-) OKM 1(-) and the cells which were cytotoxic to the K562 cells had an OKT 3(-), 4(-), 8(-), OKM 1(+) phenotype. These results suggest that the effectors which mediate cytotoxic activity to the autologous tumor cells and to the K562 cells seems to be different and a concomitant immunity may exist in primary lung resected cancer patients.
本研究以27例接受原发性肺癌切除术的患者为对象,旨在序贯评估术后针对自体和异体肿瘤细胞的细胞毒活性。在接受根治性切除的患者中,术后1 - 2周针对自体肿瘤细胞的细胞毒活性显著高于术后4 - 5周(P < 0.05,Student t检验)。然而,在接受不完全切除的患者中,术后1 - 2周与术后4 - 5周之间未显示出显著差异。相反,在任何癌症分期以及无论肺切除量多少的所有患者中,术后4 - 5周针对PC - 3细胞或K562细胞的细胞毒活性相较于术后1 - 2周均有升高趋势。介导针对自体肿瘤细胞细胞毒活性的效应细胞表型为单克隆抗体OKT 3(+)、8(+)、4(-)、OKM 1(-),而对K562细胞具有细胞毒性的细胞具有OKT 3(-)、4(-)、8(-)、OKM 1(+)表型。这些结果表明,介导针对自体肿瘤细胞和K562细胞细胞毒活性效应细胞似乎不同,且原发性肺癌切除患者可能存在伴随免疫。