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[胃肠道癌症患者对同种异体肿瘤相关抗原的细胞介导免疫反应]

[Cell-mediated immune responses of patients with gastro-intestinal cancer to allogenic tumor-associated antigens].

作者信息

Kure M

机构信息

Department of Surgery, School of Medicine, Chiba University, Japan.

出版信息

Nihon Geka Gakkai Zasshi. 1987 Aug;88(8):928-38.

PMID:3501067
Abstract

Soluble tumor extract was prepared from cancer tissue of 172 patients with gastrointestinal cancer by the methods of hypertonic salt extraction (HSE) and 3M-KCL salt extraction (3M-KCL). Lymphocyte proliferative (LP) response and skin test was assessed with these tumor extracts. The LP response of cancer patients could be induced on 4 day-incubation in 10 micrograms.protein/ml of the extracts. The allogenic tumor extract induced the LP response with a close correlation to an autologous extract (p less than 0.001). Both HSE and 3M-KCL extracts induced a positive LP response as well as delayed hypersensitivity of the skin in 20 to 30% with a good correlation (p less than 0.001). The clinical stage related closely to a responsibility of LP response and of skin test to the tumor extracts except in stage IV. Gel filtration with Sephadex G-200 revealed the 5th graduated fraction (M.W. less than 10,000) responsible for the activity of LP test. The LP cancer could be demonstrated by LP response and skin test with the tumor extract prepared by HSE and 3M-KCL methods. Thus, it was concluded that the LP response and skin test is a useful parameter of tumor-specific immune response.

摘要

采用高渗盐提取法(HSE)和3M - KCL盐提取法(3M - KCL)从172例胃肠道癌患者的癌组织中制备可溶性肿瘤提取物。用这些肿瘤提取物评估淋巴细胞增殖(LP)反应和皮肤试验。癌症患者的LP反应在提取物浓度为10微克/毫升蛋白的情况下培养4天时可被诱导。同种异体肿瘤提取物诱导的LP反应与自体提取物密切相关(p<0.001)。HSE和3M - KCL提取物均诱导出阳性LP反应以及20%至30%的皮肤迟发型超敏反应,且相关性良好(p<0.001)。除IV期外,临床分期与LP反应及皮肤试验对肿瘤提取物的反应性密切相关。用Sephadex G - 200进行凝胶过滤显示,第5个分级部分(分子量<10,000)负责LP试验的活性。通过HSE和3M - KCL方法制备的肿瘤提取物进行LP反应和皮肤试验可证明LP癌症。因此,得出结论:LP反应和皮肤试验是肿瘤特异性免疫反应的有用参数。

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