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结肠癌患者辅助化疗期间饮用小麦草汁与免疫指标:初步结果

Wheatgrass Juice Administration and Immune Measures during Adjuvant Chemotherapy in Colon Cancer Patients: Preliminary Results.

作者信息

Avisar Adva, Cohen Miri, Katz Rina, Shentzer Kutiel Talia, Aharon Anat, Bar-Sela Gil

机构信息

The Graduate Studies Authority, University of Haifa, Haifa 31000, Israel.

School of Social Work, University of Haifa, Haifa 31000, Israel.

出版信息

Pharmaceuticals (Basel). 2020 Jun 23;13(6):129. doi: 10.3390/ph13060129.

Abstract

Adjuvant chemotherapy is recommended in high-risk stage II-III colorectal cancer (CC). We examine the effect of daily wheatgrass juice (WGJ) intake in addition to chemotherapy on immune parameters, including IL-6, IL-8, IL-10, IL-12, and white blood cells (WBCs) among CC patients. In a controlled prospective trial, 100 stage II-III CC patients were enrolled. According to patient preference, they were divided into two subgroups, control group and intervention group, 50 patients each, all of whom received the same standard postoperative adjuvant chemotherapy, plus consumption of 60 cc WGJ daily in the intervention group. Blood samples were collected at baseline (T0) and upon treatment termination, 5-6 months later (T1). Cytokine concentrations were assessed using ELISA kits. Anti-inflammatory cytokine IL-10 concentrations were significantly higher in the WGJ group than in the control group at T1. The decline in WBC counts between T0 and T1 was significantly lower in the WGJ group. No significant differences were observed in IL-6, IL-8, and IL-12 concentrations between the study groups. The higher levels of IL-10 and the attenuating of WBC decline during chemotherapy may constitute preliminary evidence of the beneficial effects of WGJ on immune parameters, when given as a supplement to standard care. In light of these preliminary results, WGJ supports immunological parameters during adjuvant chemotherapy. Nevertheless, future studies are needed in order to translate those results to clinical recommendations for cancer survivors.

摘要

高危II-III期结直肠癌(CC)患者建议进行辅助化疗。我们研究了在化疗基础上每日摄入小麦草汁(WGJ)对CC患者免疫参数的影响,这些参数包括白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、白细胞介素-10(IL-10)、白细胞介素-12(IL-12)和白细胞(WBC)。在一项对照前瞻性试验中,招募了100例II-III期CC患者。根据患者偏好,将他们分为两个亚组,即对照组和干预组,每组50例患者,所有患者均接受相同的标准术后辅助化疗,干预组另外每日饮用60毫升WGJ。在基线期(T0)和治疗结束时(5-6个月后,T1)采集血样。使用酶联免疫吸附测定试剂盒评估细胞因子浓度。在T1时,WGJ组的抗炎细胞因子IL-10浓度显著高于对照组。WGJ组T0至T1期间白细胞计数的下降显著更低。研究组之间在IL-6、IL-8和IL-12浓度方面未观察到显著差异。较高水平的IL-10以及化疗期间白细胞下降的减轻可能构成了WGJ作为标准护理补充剂对免疫参数有益作用的初步证据。鉴于这些初步结果,WGJ在辅助化疗期间支持免疫参数。然而,为了将这些结果转化为癌症幸存者的临床建议,还需要进一步的研究。

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Wheatgrass: Green Blood can Help to Fight Cancer.小麦草:绿色血液有助于抗癌。
J Clin Diagn Res. 2017 Jun;11(6):ZC40-ZC42. doi: 10.7860/JCDR/2017/26316.10057. Epub 2017 Jun 1.

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