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恶性胶质瘤的挽救性免疫治疗

Salvage immunotherapy of malignant glioma.

作者信息

Ingram M, Jacques S, Freshwater D B, Techy G B, Shelden C H, Helsper J T

机构信息

Experimental and Clinical Immunotherapy Laboratory, Huntington Medical Research Institutes, Pasadena, CA 91101.

出版信息

Arch Surg. 1987 Dec;122(12):1483-6. doi: 10.1001/archsurg.1987.01400240131025.

DOI:10.1001/archsurg.1987.01400240131025
PMID:3500693
Abstract

We present the preliminary results of a phase I trial of adoptive immunotherapy for recurrent or residual malignant glioma. The protocol is based on surgical debulking followed by implantation into the tumor bed of autologous lymphocytes that have been stimulated with phytohemagglutinin-P and then cultured in vitro in the presence of interleukin 2. Fifty-five patients with a mean Karnofsky rating of 64 were treated between February 1985 and March 1987. No significant toxicity was associated with the immunotherapy. Fifty patients had a positive initial response to therapy, nine patients had early recurrence (two to four months after treatment), and 22 patients died. We comment on major differences between the protocol described and other immunotherapy protocols.

摘要

我们展示了一项针对复发性或残留性恶性胶质瘤的过继性免疫疗法I期试验的初步结果。该方案基于手术减瘤,随后将经植物血凝素-P刺激并在白细胞介素2存在下体外培养的自体淋巴细胞植入肿瘤床。1985年2月至1987年3月期间,对55名平均卡诺夫斯基评分64的患者进行了治疗。免疫疗法未产生明显毒性。50名患者对治疗有阳性初始反应,9名患者早期复发(治疗后两到四个月),22名患者死亡。我们对所述方案与其他免疫疗法方案之间的主要差异进行了评论。

相似文献

1
Salvage immunotherapy of malignant glioma.恶性胶质瘤的挽救性免疫治疗
Arch Surg. 1987 Dec;122(12):1483-6. doi: 10.1001/archsurg.1987.01400240131025.
2
[In vitro induction of PHA-activated killer cells for adoptive immunotherapy of recurrent or residual malignant gliomas].[用于复发性或残留性恶性胶质瘤过继性免疫治疗的PHA激活杀伤细胞的体外诱导]
Neurol Med Chir (Tokyo). 1987 Sep;27(9):831-40. doi: 10.2176/nmc.27.831.
3
Preliminary clinical trial of immunotherapy for malignant glioma.
J Biol Response Mod. 1987 Oct;6(5):489-98.
4
Long-term follow-up of patients with recurrent malignant gliomas treated with adjuvant adoptive immunotherapy.接受辅助性过继免疫疗法治疗的复发性恶性胶质瘤患者的长期随访
Neurosurgery. 1991 Jan;28(1):16-23. doi: 10.1097/00006123-199101000-00003.
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Pilot study of local autologous tumor infiltrating lymphocytes for the treatment of recurrent malignant gliomas.局部自体肿瘤浸润淋巴细胞治疗复发性恶性胶质瘤的初步研究。
J Neurooncol. 1999;45(2):141-57. doi: 10.1023/a:1006293606710.
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Immunotherapy for recurrent malignant glioma: an interim report on survival.复发性恶性胶质瘤的免疫治疗:生存情况中期报告。
Neurol Res. 1990 Dec;12(4):265-73. doi: 10.1080/01616412.1990.11739955.
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Adoptive immunotherapy in patients with recurrent malignant glioma: preliminary results of using autologous whole-tumor vaccine plus granulocyte-macrophage colony-stimulating factor and adoptive transfer of anti-CD3-activated lymphocytes.复发性恶性胶质瘤患者的过继性免疫治疗:使用自体全肿瘤疫苗加粒细胞巨噬细胞集落刺激因子及抗CD3激活淋巴细胞过继性转移的初步结果
Neurosurg Focus. 2000 Dec 15;9(6):e9. doi: 10.3171/foc.2000.9.6.10.
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Interleukin-2 activated cytotoxic lymphocytes and their application in the intraoperative immunotherapy of local tumors.白细胞介素-2激活的细胞毒性淋巴细胞及其在局部肿瘤术中免疫治疗中的应用。
Prog Clin Biol Res. 1987;244:185-95.
9
Therapy of recurrent high grade gliomas with surgery, and autologous mitogen activated IL-2 stimulated killer (MAK) lymphocytes: I. Enhancement of MAK lytic activity and cytokine production by PHA and clinical use of PHA.复发性高级别胶质瘤采用手术及自体丝裂原激活的白细胞介素-2刺激杀伤(MAK)淋巴细胞进行治疗:I. 植物血凝素(PHA)增强MAK的裂解活性及细胞因子产生和PHA的临床应用
J Neurooncol. 1993 Feb;15(2):141-55. doi: 10.1007/BF01053935.
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Adjuvant adoptive immunotherapy for pediatric recurrent brain tumors.儿童复发性脑肿瘤的辅助性过继性免疫治疗
Online J Curr Clin Trials. 1993 Dec 29;Doc No 111:[806 words; 5 paragraphs].

引用本文的文献

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Antibodies (Basel). 2022 Apr 27;11(2):31. doi: 10.3390/antib11020031.
2
Experimental approaches for the treatment of malignant gliomas.恶性脑胶质瘤的治疗方法。
Pharmacol Ther. 2010 Oct;128(1):1-36. doi: 10.1016/j.pharmthera.2010.04.015. Epub 2010 Jun 8.
3
Adoptive immunotherapy using lymphokine-activated killer (LAK) cells and interleukin-2 for recurrent malignant primary brain tumors.
采用淋巴因子激活的杀伤细胞(LAK细胞)和白细胞介素-2对复发性恶性原发性脑肿瘤进行过继性免疫治疗。
J Neurooncol. 1996 Feb;27(2):133-40. doi: 10.1007/BF00177476.
4
Therapy of recurrent high grade gliomas with surgery, and autologous mitogen activated IL-2 stimulated killer (MAK) lymphocytes: I. Enhancement of MAK lytic activity and cytokine production by PHA and clinical use of PHA.复发性高级别胶质瘤采用手术及自体丝裂原激活的白细胞介素-2刺激杀伤(MAK)淋巴细胞进行治疗:I. 植物血凝素(PHA)增强MAK的裂解活性及细胞因子产生和PHA的临床应用
J Neurooncol. 1993 Feb;15(2):141-55. doi: 10.1007/BF01053935.
5
Immunotherapy for malignant glioma using human recombinant interleukin-2 and activated autologous lymphocytes. A review of pre-clinical and clinical investigations.使用人重组白细胞介素-2和活化自体淋巴细胞对恶性胶质瘤进行免疫治疗。临床前和临床研究综述。
J Neurooncol. 1990 Apr;8(2):173-88. doi: 10.1007/BF00177842.
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Neuro-oncology index and review (adult primary brain tumors). Radiotherapy, chemotherapy, immunotherapy, photodynamic therapy.神经肿瘤学索引与综述(成人原发性脑肿瘤)。放射治疗、化学疗法、免疫疗法、光动力疗法。
J Neurooncol. 1991 Oct;11(2):85-147. doi: 10.1007/BF02390173.