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头颈癌患者细胞介导免疫的转移

Transference of cell mediated immunity in patients with head and neck cancer.

作者信息

Vetto R M, Burger D R

出版信息

Laryngoscope. 1978 Jan;88(1 Pt 2 Suppl 8):79-82.

PMID:304143
Abstract

A group of 67 patients with head and neck cancer has been studied of which 40 have received immunologic transfer factor from a normal donor pool. Examination of these patients revealed that lymphocyte reactivity to nonspecific mitogrens is depressed in patients who have head and neck cancer to a much greater extent than is seen in patients with other types of tumors. Furthermore, the depression is more prevalent among patients who have been treated with radiation. Patients in the head and neck group who have received transfer factor show an initial decreased response to PHA stimulation in culture. This is not seen in a control group of head and neck cancer patients or in patients with nonsquamous cander. Thymus-derived lymphocytes are depressed in patients with head and neck cancer, irrespective of whether they have received radiation. Th T-lymphocyte levels increased in eight of 38 patients who received nonimmune transfer factor, but 7 of these were in the group who had not received radiation. The leukocyte adherence inhibition (LAI) test has been used to determine tumor immunity in the patient test group. Changes in tumor immunity did not occur in those patients who received normal nonimmune transfer factor. Studies are presently in progress which provide for treatment of patients with head and neck cancer with specific squamous carcinoma immune transfer factor.

摘要

对一组67例头颈部癌患者进行了研究,其中40例接受了来自正常供体库的免疫转移因子。对这些患者的检查发现,头颈部癌患者对非特异性促有丝分裂原的淋巴细胞反应性降低的程度比其他类型肿瘤患者更为明显。此外,这种降低在接受过放疗的患者中更为普遍。头颈部组中接受转移因子的患者在培养中对PHA刺激的反应最初会降低。在头颈部癌患者的对照组或非鳞状癌患者中未观察到这种情况。头颈部癌患者的胸腺来源淋巴细胞会减少,无论他们是否接受过放疗。38例接受非免疫转移因子的患者中有8例T淋巴细胞水平升高,但其中7例在未接受放疗的组中。白细胞粘附抑制(LAI)试验已用于确定患者试验组中的肿瘤免疫力。接受正常非免疫转移因子的患者未出现肿瘤免疫力变化。目前正在进行的研究是用特异性鳞状细胞癌免疫转移因子治疗头颈部癌患者。

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