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[免疫组织化学方法在鳞状细胞癌放射治疗中作为预测性检测的应用]

[Application of the immunohistochemical method as predictive assay in radiotherapy of squamous cell carcinoma].

作者信息

Ogawa Y, Inomata T, Maeda T, Seguchi H, Nishioka A, Terashima M, Kishimoto S, Saito H, Hirota S, Osaki T

机构信息

Dept. of Radiology, Kochi Medical School.

出版信息

Gan No Rinsho. 1988 Oct;34(13):1799-810.

PMID:3264351
Abstract

We analysed various subsets of lymphocytes infiltrated into cancer tissues from 15 patients (10 cases of oropharyngeal cancer and 5 of hypopharyngeal cancer) at pretreatment and at about 10 Gy and 30 Gy of irradiation by the method of biotin-avidin-horseradish peroxidase using mouse monoclonal antibodies. In 3 cases, tumor infiltrating lymphocytes were remarkably increased at the delivery of small dose of irradiation: Two of them showed remarkable radiosensitivity, and the lymphocyte subpopulation of the cancer tissue was mainly composed of Leu3a + 3b positive, Leu-8 negative and Leu-HLA-DR positive lymphocytes (activated helper inducer T lymphocytes). On the other hand, the third one proved to be rather radioresistant and the lymphocyte subpopulation was mainly composed of Leu-14 positive lymphocytes (B lymphocytes). These findings indicate that the analysis of the lymphocyte subpopulation infiltrating into cancer tissues at the delivery of small dose of irradiation is applicable as a predictive assay in radiotherapy of squamous cell carcinoma of oropharynx and hypopharynx.

摘要

我们采用生物素-抗生物素蛋白-辣根过氧化物酶法,使用小鼠单克隆抗体,对15例患者(10例口咽癌和5例下咽癌)癌组织中浸润的淋巴细胞的各个亚群在治疗前以及照射约10 Gy和30 Gy时进行了分析。在3例患者中,小剂量照射时肿瘤浸润淋巴细胞显著增加:其中2例显示出显著的放射敏感性,癌组织的淋巴细胞亚群主要由Leu3a + 3b阳性、Leu-8阴性和Leu-HLA-DR阳性淋巴细胞(活化的辅助诱导性T淋巴细胞)组成。另一方面,第3例被证明具有相当的放射抗性,淋巴细胞亚群主要由Leu-14阳性淋巴细胞(B淋巴细胞)组成。这些发现表明,在小剂量照射时对癌组织中浸润的淋巴细胞亚群进行分析,可作为口咽和下咽鳞状细胞癌放射治疗中的一种预测性检测方法。

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