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龙舌兰蜜作为辅助治疗对化疗后乳腺癌患者白细胞介素-6(IL-6)水平和 T 淋巴细胞的影响。

The effect of apis Dorsata honey as a complementary therapy to interleukin-6 (IL-6) levels and T lymphocytes of post-chemotherapy breast cancer patients.

机构信息

Faculty of Nursing, Hasanuddin University, Indonesia.

Department of Surgery, Faculty of Medicine, Hasanuddin University, Indonesia.

出版信息

Breast Dis. 2021;40(S1):S97-S101. doi: 10.3233/BD-219014.

Abstract

BACKGROUND

The overproduction of interleukin-6 (IL-6) in breast cancer cases can aggravate metastases. In comparison, the production of T lymphocytes plays a role in suppressing the development of tumor cells. Honey as a complementary therapy is expected to reduce the overproduction of IL-6 and facilitate the production of T lymphocytes in breast cancer cases.

OBJECTIVE

This study aims to determine the effect of Dorsata honey (DH) as a complementary therapy to IL-6 levels and T lymphocytes of post-chemotherapy in breast cancer.

METHODS

This study was a quasi-experimental approach that employed a pretest-posttest group control design. As many as 30 post-chemotherapy breast cancer patients at the Central Hospital in Eastern Indonesia were randomly selected into a control group of 15 participants. Additionally, an intervention group of 15 participants was given DH orally three times a day at a dose of 15 ml. The blood sample was taken two times, day 0 of the chemotherapy and day 16 (post-chemotherapy). The level of IL-6 was measured by ELISA, while the data were analyzed by Wilcoxon, independent T-test, and Mann-Whitney test.

RESULTS

The results showed that DH did not significantly affect IL-6 levels (p = 0.17). However, there was an increase in T lymphocyte levels with statistically significant differences (p = 0.01) in intervention groups. There was no difference in Il-6 and T lymphocyte levels between the intervention and control groups (p > 0.05).

CONCLUSIONS

Il-6 levels tend to be constant in the intervention group. However, there is a significant increase in the T lymphocyte levels which can indirectly increase the immune system and inhibit tumor cell growth in patients with breast cancer.

摘要

背景

乳腺癌病例中白细胞介素-6(IL-6)的过度产生会加重转移。相比之下,T 淋巴细胞的产生在抑制肿瘤细胞的发展中起着作用。蜂蜜作为一种补充疗法,有望减少 IL-6 的过度产生,并促进乳腺癌病例中 T 淋巴细胞的产生。

目的

本研究旨在确定 Dorsata 蜂蜜(DH)作为补充疗法对乳腺癌患者化疗后 IL-6 水平和 T 淋巴细胞的影响。

方法

这是一项准实验研究,采用了预测试-后测试组对照设计。从印度尼西亚东部中央医院随机选择了 30 名化疗后的乳腺癌患者进入对照组(n=15),还招募了 15 名化疗后的乳腺癌患者进入干预组,每天口服 DH 三次,剂量为 15ml。在化疗的第 0 天和第 16 天(化疗后)两次采集血样。使用 ELISA 法测量 IL-6 水平,采用 Wilcoxon、独立 T 检验和 Mann-Whitney 检验进行数据分析。

结果

结果表明,DH 对 IL-6 水平没有显著影响(p=0.17)。然而,干预组的 T 淋巴细胞水平显著增加(p=0.01)。干预组和对照组之间的 IL-6 和 T 淋巴细胞水平没有差异(p>0.05)。

结论

干预组的 IL-6 水平趋于稳定。然而,T 淋巴细胞水平显著增加,这可以间接增强免疫系统,抑制乳腺癌患者肿瘤细胞的生长。

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