Stefanović S, Banićević B, Jancić M S, Vucić L, Vidaković A
Bilt Hematol Transfuz. 1977;5(2):3-14.
Authors present the facts which indicate that in human medicine there is immunity against malignant tumors and leukaemia through T lymphocytes immunological control. The appearance of leukaemia in a certain number of persons is due to reduced immunity in the patient or weak antigen immunogenicity of leukaemic cells. Authors also present evidence for the existance of tumor antigens same as in leukaemic leukocytes in human pathology. These antigens belong either to still undiscovered viruses of human leukaemia, as is the case of reverse transcriptase of RNK virus, found in leukocytes of 95 percent of patients with acute leukaemia, or they are new antigens formed by combination of cell genoma and virus genoma, or by depression of the gene which were active only during the foetal life under the influence of oncogenic chemical substances or viruses. The evidence is given too, concerning the existence of immune response in human medicine, in the form of cytotoxic antibodies or sensitized T lymphocytes to tumor antigens which can be demonstrated in vitro by the test of colonial growth inhibition of tumor cells. As the immunity does not operate against tumor or leukaemic cells, the reason for it must be sought in the disorder of the afferent part (weak immunogenicity of tumor antigens, tolerance of tumor antigens, etc.), or of the efferent part of the immune response (the presence of blocking factors in the patient's plasma). At the end, the authors also discuss about the attempts of immunological treatment of acute leukaemia, and the results to this date are encouraging.
作者列举了一些事实,表明在人类医学中,通过T淋巴细胞免疫控制存在针对恶性肿瘤和白血病的免疫力。一定数量的人患白血病是由于患者免疫力降低或白血病细胞的抗原免疫原性较弱。作者还提供了证据,证明在人类病理学中存在与白血病白细胞中相同的肿瘤抗原。这些抗原要么属于尚未发现的人类白血病病毒,如在95%的急性白血病患者白细胞中发现的RNA病毒逆转录酶,要么是由细胞基因组和病毒基因组结合形成的新抗原,或者是在致癌化学物质或病毒影响下仅在胎儿期活跃的基因受到抑制而形成的。文中还给出了关于人类医学中免疫反应存在的证据,其形式为针对肿瘤抗原的细胞毒性抗体或致敏T淋巴细胞,可通过肿瘤细胞集落生长抑制试验在体外得到证实。由于免疫作用无法对抗肿瘤或白血病细胞,其原因必须从免疫反应的传入部分(肿瘤抗原免疫原性弱、肿瘤抗原耐受性等)或传出部分(患者血浆中存在阻断因子)的紊乱中寻找。最后,作者还讨论了急性白血病免疫治疗的尝试,迄今为止的结果令人鼓舞。