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异基因脐血单个核细胞输注对免疫功能低下的胃肠道癌患者免疫功能的增强作用

Immunity Enhancement in Immunocompromised Gastrointestinal Cancer Patients with Allogeneic Umbilical Cord Blood Mononuclear Cell Transfusion.

作者信息

Qiu Ying, Zhao Ruidong, Yun Mark M, Han Xia, Yun Feiyu, Liu Bingchun, Zhou Erxia, Ouyang Xiaohui, Yun Sheng

机构信息

Stem Cell Centre/Department of Oncology, Affiliated Hospital of Inner Mongolia Medical University, Huhhot 010050, China.

Medical School, University College London, Gower Street, London WC1E 6BT, UK.

出版信息

Biomed Res Int. 2017;2017:5945190. doi: 10.1155/2017/5945190. Epub 2017 Apr 26.

Abstract

. In order to enhance the immunity of cancer patients to prevent relapse or to prolong survival time, umbilical cord blood mononuclear cells (UCMCs) were transplanted to cancer patients. . UCMCs were transfused to 63 immunocompromised gastrointestinal cancer patients with nonmyeloablative (NMA) conditioning regimen. . The clinical study showed that the number of both T and B cells increased much more rapidly after transfusion of UCMCs than that of the control group without transplantation ( < 0.01). Proinflammation cytokines IFN and TNF in serum increased to or above the normal range in 80.9% of patients at 12 weeks after UCMC transfusion. However, they recovered to the normal range in 21.7% of patients at the same time point in the control group only. In addition, the clinical investigation also showed that the transfusion of UCMC increased stable disease (SD) and reduced progressive disease (PD) significantly ( < 0.01); however, it did not have significant effects on complete response (CR), partial response (PR), or mortality rates compared with the control group ( > 0.05). . UCMCs have powerful repairing effects on damaged cells and tissues and may reconstruct the impaired immunity. Transfusion of UCMCs could reconstruct the immunity of cancer patients with immunosuppression.

摘要

为提高癌症患者的免疫力以预防复发或延长生存时间,将脐带血单个核细胞(UCMCs)移植到癌症患者体内。将UCMCs输注给63例采用非清髓性(NMA)预处理方案的免疫功能低下的胃肠道癌症患者。临床研究表明,输注UCMCs后T细胞和B细胞数量的增加比未进行移植的对照组快得多(P<0.01)。输注UCMCs后12周,80.9%的患者血清中的促炎细胞因子IFN和TNF升高至正常范围或以上。然而,在同一时间点,对照组仅21.7%的患者恢复到正常范围。此外,临床研究还表明,输注UCMCs显著增加了疾病稳定(SD)并减少了疾病进展(PD)(P<0.01);然而,与对照组相比,其对完全缓解(CR)、部分缓解(PR)或死亡率没有显著影响(P>0.05)。UCMCs对受损细胞和组织具有强大的修复作用,可能重建受损的免疫力。输注UCMCs可以重建免疫抑制的癌症患者的免疫力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a3e/5424190/52e33167b6e0/BMRI2017-5945190.001.jpg

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